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Volume 19, Issue 5
Displaying 1-9 of 9 articles from this issue
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[in Japanese]1999 Volume 19 Issue 5 Pages 307-315
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese]1999 Volume 19 Issue 5 Pages 316-321
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1999 Volume 19 Issue 5 Pages 322-326
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
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[in Japanese]1999 Volume 19 Issue 5 Pages 327-333
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
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Noriyuki ANZAWA, Yuichi YATSU, Shinji KAMATA, Nobuko NAGAO, Kenji SHIG ...1999 Volume 19 Issue 5 Pages 334-338
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe purpose of this study is to make a comparison between total intravenous anesthesia (TIVA) and inhalational anesthesia in microlaryngosurgery.
Fifty-eight patients undergoing microlaryngosurgery were studied. The patients were assigned to two groups. Group GOT received isoflurane anesthesia and normal intubation. Group TIVA+HFJV received TIVA with propofol and ventilated with high frequency jet ventilation (HFJV). MERA HFO JET VENTILATOR AE-20 was used for HFJV. The 10Fr jet ventilation tube was nasally intubated. The HFJV set on 1.5or2kg/cm2 of pressure and of on 2, 5 and 10Hz of frequencies. We evaluated the time for recovery, hemodynamic change during the induction, at intubation and beginning of the surgery. PaO2 and PaCO2 were also measured at 10 and 20min after HFJV.
The time for recovery was significantly shorter and there were less hemodynamic changes in Group TIVA+HFJV. Oxygenation was adequate but significant increase in PaCO2 was observed with 10Hz at 10 and 20min after HFJV.
We concluded that TIVA combined with HFJV is an excellent method of anesthetic management for microlaryngosurgery.View full abstractDownload PDF (531K) -
Toshie SHIRAISHI, Asami SHIMIZU, Kiyoshi HATAKEYAMA, Tsuyoshi YAMAGUCH ...1999 Volume 19 Issue 5 Pages 339-343
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSIt is well known that there are many complications in stellate ganglion block (SGB). But many of them are transient and severe cases are rare.
We encountered a case of cervical and mediastinal hematoma after SGB which had been performed for a 45-year-old-woman with sudden deafness. On the day of 11th treatment, 9 hours after SGB and hyperbaric oxygen therapy, she felt chest compression and suffered severe dyspnea due to hemothorax and cervical hematoma. Emergency intubation was done and she was on artificial ventilation management for 5 days. Probable cause in this case was bleeding from any cervical vessel flowing into the mediastinum, and then through the pleura, finally causing swelling of the neck and obstruction of the airway.View full abstractDownload PDF (1591K) -
Clinical Trial of McCoy Laryngoscope for Difficult Adult AirwaysKeiko SATO, Tomoko FUKADA, Yoko TSUKAZAKI, Miwako KAWAMATA1999 Volume 19 Issue 5 Pages 344-347
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSMcCoy laryngoscope is reported to improve the laryngeal view of the vocal cord compared to a Macintosh laryngoscope. This study reports the beneficial effect of the McCoy laryngoscope in tracheal intubation in patients with difficult airways. Ninety-five patients in whom tracheal intubation with the Macintosh laryngoscope failed were studied. The laryngeal view (Cormack and Lehane classification) was compared between the two laryngoscopes. G1: G2: G3: G4 was 1 24: 66: 4 with the Macintosh laryngoscope, and 18: 55: 22: 0 with the McCoy laryngoscope (p<0.0001). All the patients could be intubated orally with the McCoy laryngoscope.
The McCoy laryngoscope was an effective device to intubate the difficult adult airways.View full abstractDownload PDF (869K) -
Hideo OCHIAI, Yayoi IFUKU, Kayo URYU, Kouichiro MINAMI, Wataru IWANO, ...1999 Volume 19 Issue 5 Pages 348-350
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSA 4-month-old boy was scheduled for resection of a tracheal tumor which occupied about 90% of the tracheal lumen. Intubation of an tracheal tube was deemed impossible. Anesthesia was induced by inhalation of sevoflurane in oxygen and fentanyl iv. After insertion of the LMA, anesthesia was maintained with O2-sevoflurane-fentanyl while maintaining his spontaneous ventilation. Fiberoptic tracheobronchoscopy was performed through the LMA to observe the tumor and the operation site lest the tumor obstructs the tracheal lumen during surgical manipulation. Anesthesia was completed uneventfully. We conclude that the combination of LMA and fiberoptic observation of the trachea is useful for airway management of the tracheal tumor in infants.View full abstractDownload PDF (943K) -
[in Japanese]1999 Volume 19 Issue 5 Pages 351
Published: June 15, 1999
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (146K)
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