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Volume 23, Issue 1
Displaying 1-5 of 5 articles from this issue
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Shima TSUTANI, Yasuhiro MAEHARA, Hideki FUKUDA, Masashi KAWAMOTO, Osaf ...2003 Volume 23 Issue 1 Pages 1-6
Published: January 15, 2003
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe reported anesthesia care for percutaneous vertebroplasty guided by CT and X-ray fluoroscopy. The subjects were 37 patients who had osteoporotic compression fractures, metastatic tumors, multiple myeloma, hemangioma or retrospondylolisthesis. The surgeries were performed under epidural and/or spinal anesthesia in 13 patients. Eleven of them received oxygen with a face mask, and two patients showed respiratory depression during epidural anesthesia. Twenty-four patients underwent general anesthesia with fentanyl and continuous infusion of propofol. Regarding airway management, we used a laryngeal mask airway in 22 patients, and an endotracheal tube in 2 patients. Postoperative pain was controlled with epidural analgesia in 12 patients. With respect to the frequency of analgesics used, there was no difference between regional anesthesia and general anesthesia.
Because it is important to restrict patients from moving during surgery, we should provide sufficient analgesia and sedation with firm airway management. We concluded that general anesthesia is more appropriate and safer than epidural anesthesia as anesthesia care for percutaneous vertebroplasty.View full abstractDownload PDF (739K) -
Eiji SAKAMOTO, Shunji SHIIBA, Yoshiki IMAMURA, Masatsugu IWAMOTO, Hiro ...2003 Volume 23 Issue 1 Pages 7-11
Published: January 15, 2003
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSEffect of paroxetine on traumatic trigeminal neuropathy was studied in 13 patients. 10 or 20mg of paroxetine a day was prescribed. Discomfort of neuropathy and patients' emotional statements were studied before and after administration of paroxetine. Discomfort of neuropathy was assessed with visual analogue scale (VAS). Emotional statements were assessed with self-rating depression scale (SDS) and state-trait anxiety inventory (STAI). Discomfort of neuropathy significantly improved after administration of paroxetine (VAS: from 65 to 23: p= 0.0015); however, patients' emotional statements did not significantly change (SDS: from 35 to 40, Trait-Anxiety: from 41 to 39, State-Anxiety: from 38 to 35). Our findings suggest that paroxetine may be effective on traumatic trigeminal neuropathy.View full abstractDownload PDF (564K) -
Fumiaki MIMURA, Akira KOUCHI, Yasuyoshi SAKURAI, Risa HASEGAWA2003 Volume 23 Issue 1 Pages 12-15
Published: January 15, 2003
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSPatients suffering from dyspnea due to life-threateningtracheal stenosis due to malignant tumors need immediate airway intervention. We treated seven such patients with intensive radiotherapy (20Gy•5days-1)under tracheal intubation. They needed careful airway management, because the radiotherapy might cause various complications, such as tracheal obstruction by necrotic tissue or an unsuitable tracheal tube position. Frequent bronchoscopy was mandatory to resolve the problems. In addition, we chose tracheal tubes which did not affect the radiotherapy. Six out of seven patients were able to be extubated after successful radiotherapy. Tracheostomy was necessary after extubation to prevent airway obstruction. These patients were permanently relieved from severe dyspnea.View full abstractDownload PDF (596K) -
[in Japanese]2003 Volume 23 Issue 1 Pages 16
Published: January 15, 2003
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (141K) -
[in Japanese], [in Japanese], [in Japanese]2003 Volume 23 Issue 1 Pages 17-18
Published: January 15, 2003
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (252K)
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