THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
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Volume 23, Issue 10
Displaying 1-4 of 4 articles from this issue
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  • [title in Japanese]
    [in Japanese]
    2003 Volume 23 Issue 10 Pages 295-296
    Published: December 15, 2003
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.23.295
    JOURNAL FREE ACCESS
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  • Pharmacological Basis and Clinical Uses of Vasoactive Agents: A Review
    Koichi KAWASAKI, Yuichi KANMURA
    2003 Volume 23 Issue 10 Pages 297-307
    Published: December 15, 2003
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.23.297
    JOURNAL FREE ACCESS
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    Various vasoactive agents such as catecholamines are clinically used for circulatory management perioperatively. They may be classified into two main groups according to the effects on the vascular smooth muscle, the vasoconstrictor and the vasodilator. Although in each group they may have similar pharmacological effects on the vascular system, the mechanism of action or pharmacological effects on other organs such as the heart differs with each agent. Therefore, it should be emphasized that a clear understanding of the pharmacological properties (mechanism of action, pharmacological effects, therapeutic uses, and adverse effects) of these agents and the mechanism of the contraction/relaxation in a vascular smooth muscle are very important to safely use these agents in clinical practice. The objectives of this article are to review the mechanism of the contraction/relaxation in a vascular smooth muscle, and to provide the reader with an overview of the mechanism of action, pharmacological effects, and therapeutic uses of the main vasoactive agents.
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  • Anesthetic management of a patient with Pena-Shokeir I syndrome
    Hanako OKADA, Kazuhumi SENGOKU, Osamu TAKAHATA, Hirosi IWASAKI
    2003 Volume 23 Issue 10 Pages 308-311
    Published: December 15, 2003
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.23.308
    JOURNAL FREE ACCESS
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    A 7-month-old boy with Pena-Shokeir syndrome I underwent surgery under general anesthesia for the correction of inguinal hernia. Patients with this syndrome may present anesthetic problems involving difficulties in endotracheal intubation due to micrognathia, cleft palate and neck rigidity, as well as perioperative respiratory complications that relate to hypoplasia of the lung. General anesthesia was induced with sevoflurane (1-3%) and nitrous oxide in the oxygen, and we attempted to insert a size 1 laryngeal mask airway (LMA). The LMA was smoothly inserted and lung ventilation during the operation was assisted without any complications. After recovering from the anethetize, we removed the LMA and his postoperative recovery was uneventful. In this case, LMA is very useful for airway management.
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    2003 Volume 23 Issue 10 Pages 312-315
    Published: December 15, 2003
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.23.312
    JOURNAL FREE ACCESS
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