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Volume 22, Issue 4
Displaying 1-6 of 6 articles from this issue
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Katsu SAITO, Junko MOCHIZUKI, Daisuke MAEHARA, Masayuki TAGUCHI, Kan A ...2002 Volume 22 Issue 4 Pages 163-166
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe retrospectively analyzed peripartum events in 73 patients with psychiatric disorders who were scheduled for vaginal delivery. Out of 73 patients, intrapartum mental derangement occurred in 18 patients (25%). The incidence of mental derangement was significantly lower (p<0.05) in the epidural analgesia group (20%) than in the balanced/local analgesia group (46%). Recurrence of psychiatric symptoms was noted in 11 patients (15%). There was no correlation between the method of anesthesia and postpartum mental state.
In conclusion, intrapartum women with psychiatric disorders can be managed more successfully by epidural analgesia regardless of their mental state and medication during pregnancy.View full abstractDownload PDF (510K) -
Yoshiko MIZUNO, Yoshiyuki NAITO, Seiki ABE, Emi OIDA, Yuji OTSUKA, Shi ...2002 Volume 22 Issue 4 Pages 167-171
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSRecords from 3, 432 cases of anesthetic management of noncardiac surgery were reviewed to investigate the effects of preoperative treatment of hypertension on the perioperative blood pressure (BP) lability. The morbidity of hypertension was 18%, and 66% of the hypertensive patients received preoperative drug therapy with antihypertensive drugs. The systolic and diastolic BPs of these patients at the time of hospital admission were significantly lower than those of patients receiving no medication.
Then, perioperative changes of BP under general anesthesia were compared among patients receiving no antihypertensive drug (GD0), those receiving one antihypertensive drug (GD1), and those receiving two or more antihypertensive drugs (GDm). Although the diastolic BP before induction of anesthesia was significantly lower in the GD1 Group than in the GD0 Group, no significant difference was found among the three groups regarding hypertension and the requirement of vasodilators during anesthesia and surgery. These results suggest that (1) before induction of anesthesia BP may be lower in treated than untreated hypertensive patients, and (2) that preoperative treatment does not affect hemodynamic lability during anesthesia and surgery.View full abstractDownload PDF (609K) -
Izumi NOGUCHI, Mami SASAO, Rikako TANAKA, Koji TAKANO, Syunsuke SEKITA ...2002 Volume 22 Issue 4 Pages 172-177
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSIn the management of idiopathic trigeminal neuralgia of the second division, when the result of an infraorbital nerve alcohol block is unsatisfactory, a maxillary nerve block or the Gasserian ganglion block is performed. In both of these techniques, severe complications might occur. We experienced two cases of trigeminal neuralgia in which a greater palatine nerve block was effective.
A 79-year-old woman and a 66-year-old man, presented with trigeminal neuralgia of the second division. An infraorbital nerve alcohol block was unsuccessful in relieving pain in both cases. Therefore, a greater palatine nerve block was performed intraorally, which produced satisfactory results.
A greater palatine nerve block through the intraoral route has the following advantages technically the procedure is easily performed, there is less risk of severe complications, and the area of numbness is limited. When an infraorbital nerve block is unsatisfactory, a greater palatine nerve block should be applied prior to the maxillary block or the Gasserian ganglion block.View full abstractDownload PDF (2134K) -
Hiroshi SUMITA, Kumi NAKAMURA, Tomoko KATAGAWA, Saburo MIMAKI2002 Volume 22 Issue 4 Pages 178-181
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe report two cases of postoperative arytenoid dislocation (AD) that followed endotracheal intubation by a single trainee in anesthesia in 1999. The first patient was a 53-year-old ASA PS-1 man, who underwent tympanoplasty under uneventful general anesthesia. Hoarseness continued for 16 days postoperatively (POD), and the diagnosis of AD was made by computer tomography and laryngeal fiberscopic examination. Closed reduction on 16 POD successfully alleviated the symptoms. This patient was given another general anesthesia for spinal surgery in 2001 without any complications. The second patient was a 69-year-old woman with complications of depression and hypertension. She underwent sigmoidectomy and cholecystectomy under uneventful general anesthesia. Postoperatively, she complained of hoarseness, and AD was diagnosed by fiberscopic examination on 5 POD. Closed reduction was attempted on 14 POD, but her symptoms were only partially ameliorated. The two patients were intubated by the same trainee, and anesthesiologists who supervised the trainee could not find any problem in his intubation technique.View full abstractDownload PDF (1217K) -
[in Japanese], [in Japanese]2002 Volume 22 Issue 4 Pages 182
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (98K) -
[in Japanese]2002 Volume 22 Issue 4 Pages 183
Published: May 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (153K)
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