THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Volume 21, Issue 1
Displaying 1-13 of 13 articles from this issue
  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 1-7
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 8-12
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    2001 Volume 21 Issue 1 Pages 13-15
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 16-18
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2001 Volume 21 Issue 1 Pages 19-22
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2001 Volume 21 Issue 1 Pages 23-25
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 26-28
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
    Download PDF (383K)
  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 29-31
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2001 Volume 21 Issue 1 Pages 32-34
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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  • Akiko KOJIMA, Minato SATO, Takashi HORINOUCHI, Masato KATO, Syu MATSUK ...
    2001 Volume 21 Issue 1 Pages 35-41
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
    Ten patients undergoing abdominal aortic repair surgery were enrolled in this study to examine the effect of ischemia followed by aortic cross clamping on local coagulation and endothelium functioning. Blood samples were collected from both upper and lower limbs (relating to ischemic site) simultaneously, and thrombomoduline (TM), tissue plasminogen activator-inhibitor complex (tPAIC), plasmin-α2 plasmin inhibitor complex (PIC), thrombin-antithrombin III complex (TAT) were measured before the induction of anesthesia, after aortic clamping, immediately before releasing the aortic clamp, and 1 hour after releasing the aortic clamp. Local ischemic insult was associated with elevated tPAIC, PIC and TAT levels, although significant correlations were found only between tPAIC levels and ischemic-related parameters (venous oxygen saturation and lactate levels). There were no significant changes in TM levels throughout the study period. These novel results of this study suggest that tPAIC might be the most sensitive marker that refers to the magnitude of ischemic insult during abdominal cross clamping.
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  • A Comparison with Intubation following Laryngoscopy
    Katsutoshi NAKAHATA, Hiroshi IRANAMI, Yoshio HATANO, Toshiyuki MINONIS ...
    2001 Volume 21 Issue 1 Pages 42-45
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
    The intubating laryngeal mask airway (ILMA; LMA-FastrachTM, Laryngeal Mask Company, Ltd., Henley on Thames, UK) has been shown to provide successful blind tracheal intubation through the airway. Laryngeal mask airway insertion is associated with fewer circulatory responses than tracheal intubation using a laryngoscope. We studied the circulatory responses to either endotracheal intubation performed through the ILMA or to those following laryngoscopy in 57 patients with ASA physical status I or II. In a randomized manner, endotracheal intubations using ILMA or a laryngoscope were performed after the induction of anesthesia with 2 mg•kg-1 of propofol, followed by vecuronium (0.1-0.15mg•kg-1) and a continuous infusion of propofol at a rate of 10mg•kg-1•h-1. Systolic arterial pressure and heart rate increased significantly (p<0.05) after tracheal intubation in both groups, and there was no difference in the magnitude of those increases between the groups. These results indicate that ILMA does not have an advantage over direct laryngoscopy in reducing the circulatory responses to tracheal intubation.
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  • Kenichi ABE, Kouichirou MINAMI, Masahiro NISHIMURA, Miki HONDA, Takeyo ...
    2001 Volume 21 Issue 1 Pages 46-48
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
    Angelman syndrome is characterized by severe mental retardation, seizures, inappropriate outbursts of laughter, a puppet-like ataxic gait and dysmorphic facial features such as a small head and large lower jaw. There is potential difficulty with the airway management of patients with this syndrome, because of the severe mental retardation, the small head and large lower jaw, hypotonia and large tongue. We report here a case of anesthetic management for a 4-year-old boy with Angelman syndrome. He was scheduled for a tonsillectomy and adenotomy under general anesthesia for sleep apnea syndrome. Preanesthetic medication and a muscle relaxant were not administered, because he had sleep apnea and hypotonia. Anesthesia was slowly induced with sevoflurane in oxygen and maintained with sevoflurane in nitrous oxide and oxygen. There were no difficulties with the intratracheal intubation, and the anesthesia was completed uneventfully.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2001 Volume 21 Issue 1 Pages 49-51
    Published: January 15, 2001
    Released on J-STAGE: December 11, 2008
    JOURNAL FREE ACCESS
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