All issues
Volume 20, Issue 6
Displaying 1-11 of 11 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese]2000 Volume 20 Issue 6 Pages 333-344
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (5187K) -
[in Japanese]2000 Volume 20 Issue 6 Pages 345-350
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (875K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]2000 Volume 20 Issue 6 Pages 351-357
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (1114K) -
[in Japanese]2000 Volume 20 Issue 6 Pages 358-361
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (565K) -
[in Japanese]2000 Volume 20 Issue 6 Pages 362-364
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (406K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]2000 Volume 20 Issue 6 Pages 365-368
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (463K) -
[in Japanese]2000 Volume 20 Issue 6 Pages 369-371
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (453K) -
Yukiyo ITOH, Michiaki YAMAKAGE, Yoshito NAKAYAMA, Yasuhiro KAMADA, Xia ...2000 Volume 20 Issue 6 Pages 372-377
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe investigated the usefulness of measurement of skin temperature using an infrared thermometer (GeniusTM, Nippon Sharwood, Tokyo, Japan) for estimation of the upper level of spinal anesthesia. Upper analgesic levels were determined by cold sensation, pin prick, and skin temperature techniques at 5, 10, 15, and 25 min after induction of spinal anesthesia with hyperbaric tetracaine. Over 0.4° within 5cm of skin was regarded as the upper analgesic level in the skin temperature technique. At 25 min after induction of spinal anesthesia, there were significant linear relationships both between cold sensation and skin temperature estimations of the upper level of spinal anesthesia (r=0.85, n=50, p<0.0001) and between pin prick and skin temperature estimations (r=0.81, n=50, p<0.0001). We conclude that the measurement of skin temperature using a noninvasive infrared thermometer is useful for estimating the upper level of spinal anesthesia, especially in patients with difficult communication.View full abstractDownload PDF (606K) -
Yoshitaka INOUE, Takashi KAWASAKI, Masayoshi KAMOCHI, Takeyoshi SATA2000 Volume 20 Issue 6 Pages 378-384
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThis retrospective study was performed to investigate the use of blood products and the intra-and postoperative complications in 16 adult patients whose intraoperative blood loss exceeded 4, 000ml.
The following results were obtained. The starting point of blood product transfusion was when the blood loss was estimated to be around 1, 500ml for red blood cells, 4, 000ml for fresh-frozen plasma, and 8, 000ml for platelets. Large doses of plasma protein fraction were required to maintain normovolemic conditions and plasma oncotic pressure. The recently revised guidelines for the use of blood products published by the Japanese Ministry of Health and Welfare were usually valid, even in a surgical setting. Intraoperative myocardial ischemia due to hemodilution was seen in non-cardiac patients with a hematocrit less than 20%.
Further study to evaluate the safety of administering large doses of artificial colloidal plasma substitutes and the introduction of low cost recombinant human serum albumin to clinical practice is essential.View full abstractDownload PDF (944K) -
Yasuhiro MAEHARA, Keiko MUKAIDA, Masashi KAWAMOTO, Osafumi YUGE2000 Volume 20 Issue 6 Pages 385-390
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe retroactively analyzed the data base of the malignant hyperthermia (MH) after 1990. The data base comprised of 150MH cases and 18 cases were found fatal. The mortality rate was approximately 12% and slightly higher than that of the European countries and North American. In the fatal cases, the neurosurgery cases occupied the majority in the surgical procedures. Continuous monitoring of endtidal CO2 and body temperature were almost carried out in 113 cases. About 55% of the fatal cases died within 12 hours after the induction of anesthesia. Adopting the Clinical Grading Scale, it was found that all cases were rank of 4 and 11 cases were rank of 6. To reduce the fatal cases from MH, we concluded that enlightenment and education for MH and increase in number of the anesthesiologist are further required.View full abstractDownload PDF (745K) -
Nobuaki ASAKURA, Ryuuta AMEMIYA2000 Volume 20 Issue 6 Pages 391-397
Published: July 15, 2000
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe analysed the loss of operation fee obtained from 2, 900 consecutive surgical patients of Ibaraki Prefectural Central Hospital in 1998 to 1999, by checking the mistakes and others in medical invoice system following the rules of national and social health insurance of Japan.
As the result, the total loss achieved about 21 millions yen in 369 cases. 82% of the total loss was from mistakes in evaluation or identification of surgery following the rules, 13% was from mistakes related to anesthesia, and the rest was related to materials and drugs. Regarding the cause, about 1/3 of total was simple human error, and the other 1/3 was error inchecking, but it includes some problems in many factors in medical invoice system, and the rest originated from complexity of the rules.
Little knowledge of the rules of insurance and medicine in medical staffs and clerks, respectively, may occupy main part of this problem. But the system of national and social health insurance of Japan may also have some problems regarding econometric evaluation of operation.View full abstractDownload PDF (1050K)
- |<
- <
- 1
- >
- >|