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Volume 22, Issue 3
Displaying 1-9 of 9 articles from this issue
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[in Japanese], [in Japanese]2002 Volume 22 Issue 3 Pages 115-123
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (917K) -
[in Japanese]2002 Volume 22 Issue 3 Pages 124-126
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (393K) -
[in Japanese]2002 Volume 22 Issue 3 Pages 127-129
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (410K) -
A Comparison between 22-G and 20-G Safe guides®Jun HASEGAWA, Toshiyasu SUZUKI, Junichi NISHIYAMA, Mamoru TAKIGUCHI2002 Volume 22 Issue 3 Pages 130-135
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe guide wire of the 22-G Safe guide ® becomes occasionally bent and/or locked during insertion. We compared the 22-G Safe guide ® and 20-G Safe guide ® in terms of usefulness and incidence of complications during central venous catheterization. One hundred and twenty patients were randomly allocated into two groups, 60 patients in the 22-G Safe guide ® group and 60 patients in the 20-G Safe guide ® group. Central venous catheterization was performed by puncturing the right jugular vein. Back flow of blood during withdrawal of the needle appeared significantly greater with the 20-G Safe guide ® than with the 22-G Safe guide ® (I% vs 6.7%, p<0.05 ). The incidence of bending and locking during the introduction of the wire was not significant between the 22-G Safe guide ® group (16.6 %) and the 20-G Safe guide ® group (13.3%). No guide wires of 20-G Safe guide ® became bent at the insertion point during the introduction of the dilator, while 6.6% of the guide wires of the 22-G Safe guide ® became bent. The incidence of complications (accidental puncture of the carotid artery) was not significant between the two groups. In conclusion, the 22-G Safe guide ® was more useful and safer than the 20-G Safe guide ® except for the bending of the guide wire. The guide wire of the 22-G Safe guide ® was expected to be more resistant to the bending and locking which occurred during insertion.View full abstractDownload PDF (1914K) -
a Comparative Study of Oxytocin and Prostaglandin F2αTakao HIRATA, Syuichi KANEKO, Yumika KOIZUMI, Takanao MIYAZAKI, Shigek ...2002 Volume 22 Issue 3 Pages 136-140
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe retrospectively compared the effects of intravenous oxytocin (OX) with those of prostaglandin F2a (PGF2a) during elective caesarean section in 68 otherwise healthy women who were operated on under spinal anesthesia. The OX group (n=34) received intravenous infusion of OX 5U over 20 to 30 minutes and the PGF2a group (n=34) received 500μg of intramyometrial PGF2a after clamping of the umbilical cord. Demographic data were comparable in the two groups. The increase in systolic blood pressure was greater in the PGF2a group than in OX group (p<0.05). Side effects were higher in PGF2a group than in the OX group, 24 cases (71%) versus 11 cases (32%) (p<0.05). Requirement of an additional dosage of uterine constrictor was higher in the PGF2a group than in OX group, 16 patients (47%) versus 2 patients (6%) (p<0.05). We conclude that OX is a better uterine constrictor than PGF2a.View full abstractDownload PDF (566K) -
Tetsuya UCHINO, Shigekiyo MATSUMOTO, Hitoshi YAMAMOTO, Koji ITO, Hiros ...2002 Volume 22 Issue 3 Pages 141-145
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe reported a case of pulmonary embolism that occurred in a patient who underwent retroperitoneal nephrectomy under general anesthesia. A 58-year-old female was scheduled to undergo retroperitoneal nephrectomy for right renal cell carcinoma. Anesthesia was maintained using 1% isoflurane in a nitrous oxide-oxygen mixture in combination with intermittent epidural anesthesia. Approximately 4 hours after the start of the surgery oxygen saturation suddenly decreased from 98% to approximately 89% following a low end-tidal carbon dioxide. The patient was hemodynamically stable. Afterwards, her oxygenation gradually improved. Because she was welloxygenated at the end of operation, the intratracheal tube trachea was extubated and she was taken to the recovery ward. After two hours, her oxygeneration decreased again and she manifested severe dyspnea. We suspected acute pulmonary embolism and performed pulmonary scintigraphy and arteriogram. Their findings showed multiple small pulmonary emboli in the distal branches. Immediately anticoagulative and thrombolytic therapies were started. If patients who have an especially high risk for pulmonary embolism show episodes of sudden poor deoxygenation in the intraoperative period, we should observe them carefully thoroughout the perioperative period.View full abstractDownload PDF (1928K) -
Yoshihide MIURA, Masatomo YOSHIOKA, Akira KATO, Sumio AMAGASA2002 Volume 22 Issue 3 Pages 146-149
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe experienced a case of a 2-month-old female infant who had vomited during induction of general anesthesia for the repair of a bilateral inguinal hernia. Transient hypoxemia occurred due to lung aspiration. The preoperative NPO order was reported to be fulfilled. Surgery was performed when her general condition stabilized. The patient was diagnosed as having pyloric stenosis, postoperatively. The mother had noticed that the baby sometimes vomited. However, pyloric stenosis was not suspected before surgery, because her weight gain was normal. It was suggested that the diagnosis of a mild case of pyloric stenosis might be difficult. The possibility of pyloric stenosis should be considered for infants who vomit easily during preoperative anesthesia round.View full abstractDownload PDF (1096K) -
Shinji MITSUMIZO, Mikio NAKASHIMA, Ryou KATSUKI, Takashi MIYABE, Harun ...2002 Volume 22 Issue 3 Pages 150-154
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe describe 7 patients who underwent combined surgery with off-pump coronary artery bypass grafting and other non-cardiac procedures, where patients suffered from Abdominal Aortic Aneurysm(AAA), one lung cancer and the other gastric cancer. Four patients with AAA and apatient with gastric cancer were operated on uneventfully, while the ECG of the patient with AAA repair showed ventricular tachycardia. The patient who underwent right upper lobectomy of the lung hemorrhage after heparinization. We considered that bleeding was caused by adhesiotomy due to severe pleurisy and heparinization. We have to pay attention not only to cardiac events but also to the bleeding tendency, and consider separate operation and the use of cardiopulmonary bypass in the case of combined off-pump coronary artery bypass grafting and other procedures.View full abstractDownload PDF (642K) -
Masao SOUTANI, Etsuo TABO, Takumi NAGARO2002 Volume 22 Issue 3 Pages 155-157
Published: April 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSEpidural catheters are sometimes occluded byvarious causes, which prevents the injection of drugs. We experienced a case in which the catheter was occluded by kinking subcutaneously. The kinking was caused by the accidental insertion of the catheter into the subcutaneous tissue by the movement of the patient. It is recommended that the catheter is fixed near the puncture site in the sin.View full abstractDownload PDF (266K)
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