All issues
Volume 22, Issue 1
Displaying 1-11 of 11 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese]2002 Volume 22 Issue 1 Pages 1-7
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (1824K) -
[in Japanese], [in Japanese]2002 Volume 22 Issue 1 Pages 8-11
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (549K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]2002 Volume 22 Issue 1 Pages 12-18
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (745K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2002 Volume 22 Issue 1 Pages 19-22
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (448K) -
Detected by Ventriculo-arterial CouplingTatsuhiro OKA, Yoshiko OZAWA, Yoshinori OHKUBO2002 Volume 22 Issue 1 Pages 23-28
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe assessed hemodynamic changes in elderly and younger patients after the induction of anesthesia with propofol 1.5mg•kg-1. After institutional approval and informed consent, 14 younger adults (<70yrs) and 15 elderly (>70yrs) patients were studied. All were free of significant cardiovascular disease. Before and after administration of propofol, electrocardiograms, arterial pressure, and phonocardiograms were recorded continuously. Ventriculo-arterial coupling (Ees/Ea) was calculated using the method described by Hayashi and Shigemi. In both groups mean arterial pressure (MAP) and heart rate (HR) significantly decreased after administration of propofol. Furthermore, the decrease was less in the younger group compared with the elderly group. In contrast there was no significant difference in Ees/Ea between before and after administration of propofol in either group. Our results suggest that mechanical efficiency is well maintained in elderly patients after propofol induction, whereas propofol can decrease HR and MAP.View full abstractDownload PDF (672K) -
Takafumi KATO, Shizuo TAKEYAMA, Takeshi MAEDA, Hitoshi MERA, Fumiko YO ...2002 Volume 22 Issue 1 Pages 29-33
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSTherapeutic effects of Electroconvulsive therapy were compared between thiopental anesthesia and sevoflurane-nitros oxide anesthesia by assessing the seizure duration and hemodynamic variables after Electroconvulsive therapy. The duration of seizure in the thiopental group was prolonged compared with that of the sevoflurane-nitros oxide group and the hemodynamic variables in the thiopental group were more unstable than those in the other group. When the duration of seizure is too short, the effect of the Electroconvulsive therapy is deemed to be insufficient. Therefore, thiopental anesthesia is considered to be appropriate for Electroconvulsive therapy.View full abstractDownload PDF (649K) -
Usefulness as an Alternative to a Conventional LaryngoscopeYoshitaka INOUE2002 Volume 22 Issue 1 Pages 34-38
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDirect laryngoscopy for tracheal intubation is a reliable and familiar method of securing the airway. However, as this procedure encounters difficult tracheal intubation in some cases or may entail risk in patients with cervical spine disorders, alternative methods for securing the airway are advocated.
The author investigated 614 patients retrospectively in whom tracheal intubations were performed with TrachlightTM, to estimate the usefulness as an alternative to the conventional laryngoscope in elective surgical patients.
Intubation was successful on the first attempt in 558 (90.9%) cases and on the second attempt in 44 (7.2%) cases, and failed in 9 (1.5%) cases. The mean time for successful tracheal intubation in 67 cases was 23±9 sec. Major complications did not occur during the procedure.
TrachlightTM may be applicable for orotracheal intubation as a first-choice piece of equipment in anesthesia practice with respect to the reliability, safety, rapidity, simplicity and the cost. Anesthesia providers responsible for securing the airway should consider routinely using the TrachlightTM as an alternative technique to the conventional laryngoscopy.View full abstractDownload PDF (628K) -
Mitsuyoshi YOSHIDA, Katsuhiro SEO, Miwa ITAYA, Kenji MURANAKA, Shinich ...2002 Volume 22 Issue 1 Pages 39-43
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe experienced 3 cases of pulmonary artery catheter (PAC)-induced pulmonary artery injury. All the patients were short, and the PAC may have migrated too peripherally. They were females over 60 years old female and had pulmonary hypertension. In one patient, pulmonary artery pseudoaneurysm was shown by CT scanning and pulmonary angiography, and embolization of the pseudoaneurysm was performed. The possibility of pulmonary artery injury should be kept in mind when PAC is used and we need appropriate diagnosis and treatment is neccesary if pulmonary artery injury is suspected. A pseudoaneurysm of the pulmonary artery may develop in the following days and once it ruptures it may be fatal. It is important to perform CT scanning or pulmonary angiography to examine whether there are pseudoaneurysms or not.View full abstractDownload PDF (1848K) -
Susumu KASAMA, Chieko NISHIMURA, Hideyuki NAKAGAWA, Tetsutaro OTAGIRI2002 Volume 22 Issue 1 Pages 44-47
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSA 67-year-old female with oculopharyngodistal myopathy (OPDM) underwent plastic surgery for ptosis. There have been no reports on the anesthetic management of OPDM, while there have been various reported cases concerning sensitivity to intravenous anesthetics and muscle relaxants in oculopharyngeal dystrophy and ocular myopathy as resemblance diseases. Anesthesia was therefore induced and maintained with oxygen, nitrous oxide and sevoflurane, and the trachea was intubated without muscle relaxants. In conclusion, VIMA was a useful anesthetic technique for patients with OPDM.View full abstractDownload PDF (438K) -
Mayu WAKENO, Etsuko MIYAMOTO, Shinichi NAKAO, Shinya MASUKO, Koh SHING ...2002 Volume 22 Issue 1 Pages 48-52
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe Nuss procedure is a new, minimally invasive technique for the correction of pectus excavatum using a thoracoscope. We describe the anesthetic management of nine patients (3-14yrs old) who had the Nuss procedure. We used two-lung ventilation in eight out of nine cases instead of one-lung ventilation, which most anesthesiologists have chosen in previous reports. However, no respiratory complications, such as hypoxemia and hypercapnia, occurred during the operation with a good visual field by surgeons. However, arrhythmia, premature atrial contractions, premature ventricular contractions, and ventricular tachycardia and bradycardia were observed, especially when a pectus bar was advanced in the mediastinum. In all cases, postoperative complications, such as atelectasis, pneumothorax and subcutaneous emphysema, occurred. Six out of nine cases except for the case with epidural analgesia complained of pain ranging from mild to severe. Although the Nuss procedure is "minimally invasive", anesthesiologists should be aware that many complications may occur and postoperative pain management is mandatory.View full abstractDownload PDF (572K) -
Kenichiro SAGATA, Keiji AIBARA, Koichiro NANDATE, Masahiro MURAKAMI, M ...2002 Volume 22 Issue 1 Pages 53-55
Published: January 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSBronchoperitoneal fistula is rare and only a few cases have been reported. We experienced a case of bronchoperitoneal fistula which induced right subphrenic free air under a mechanical ventilation. A 55-year-old male underwent synechotomy for repeated ileus in a local hospital. The patient's general condition deteriorated immediately after the operation. The patient was transferred to our hospital for intensive care. A chest X-ray immediately after the tracheal intubation showed an apparent right subphrenic free air. Both the air leaks synchronized with mechanical ventilation during and after the operation and the intra-bronchial leakage of normal saline with povidone-iodine injected into the intraperitoneal space confirmed the diagnosis of bronchoperitoneal fistula. In the case of an intraperitoneal free air during mechanical ventilation, we should take into account the possibility of Bronchoperitoneal fistula.View full abstractDownload PDF (1218K)
- |<
- <
- 1
- >
- >|