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Volume 4 (1984)
- Issue 3 Pages 235-
- Issue 2 Pages 127-
- Issue 1 Pages 1-
Volume 4, Issue 2
Displaying 1-18 of 18 articles from this issue
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[in Japanese], [in Japanese]1984 Volume 4 Issue 2 Pages 127-137
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese]1984 Volume 4 Issue 2 Pages 138-148
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese]1984 Volume 4 Issue 2 Pages 149-152
Published: April 15, 1984
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[in Japanese]1984 Volume 4 Issue 2 Pages 153-161
Published: April 15, 1984
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[in Japanese]1984 Volume 4 Issue 2 Pages 162-164
Published: April 15, 1984
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[in Japanese]1984 Volume 4 Issue 2 Pages 165-168
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese]1984 Volume 4 Issue 2 Pages 169-172
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1984 Volume 4 Issue 2 Pages 173-177
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese]1984 Volume 4 Issue 2 Pages 178-181
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese]1984 Volume 4 Issue 2 Pages 182-184
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese]1984 Volume 4 Issue 2 Pages 185-188
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1984 Volume 4 Issue 2 Pages 189-192
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
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Jiro SATOH, Kazuaki HIRAGA, Tatsuo YAMAMOTO, Rikako EZAWA, Nobuko YOKO ...1984 Volume 4 Issue 2 Pages 193-197
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe experienced one case of hyperkalemia assumed to be caused by the clamping of both the right hepatic artery and the right portal vein during the right hepatic segmentectomy. The clamping was performed repeatedly about five times for 122 minutes during the surgery. Just before the end of final clamping, the patient showed sudden change of ECG findings such as high T wave, prolonged QT interval, and PVCs and showed both increased serum potassium concentration about 6.0mEq/L and hyperglycemia more than 400mg/dl. Immediately the patient was treated with furosemide and insulin intravenously. About 30 minutes after the administration, the abnormal findings of ECG were diminished and also the serum potassium concentration returned to normal about 4.2mEq/L.
It may be concluded that the cause of the hyperkalemia was due to the massive potassium release from the liver cells of the clamped lobe. So we must take care of the occurence of the hyperkalemia during hepatic surgery with the repeated clamping of the vessels.View full abstractDownload PDF (488K) -
Masaharu MIYAMOTO, Hiroshi IWASAKI, Tetsuo OMOTE, Akiyoshi NAMIKI, Eij ...1984 Volume 4 Issue 2 Pages 198-202
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSAn obturator nerve block was performed with 1-2% lidocine 10-20ml to prevent violent muscle movement due to electrocautery during transurethral resection of bladder tumor.
In this study, however, we tried to limit the volume and concentration of lidocaine as low as possible. After preliminary survey, 3ml of 0.5-2% lidocaine was used in forty five patients, aged 43 to 84 years. These patients were divided into three groups; group A with 2% lidocaine, group B with 1%, and group C with 0.5%. The needle was connected to an electrical nerve stimulator to make the block accurate and easy. Electrical stimulation of 100mV was applied to measure the onset and duration time of blocks in these three groups.
Results showed the average onset time of the block to be within lmin. in group A, 7min. in group B, and 10min. in group C. The duration time of the block were 211±0.7 (SD) min. in group A, 183±9.3min. in group B and 102±11.2min. in group C. The difference of these values was statistically significant each other. No adductor muscle contraction was observed during surgery in these three groups.
These results show that an obturator nerve block with 3ml of 0.5% lidocaine is sufficient for transurethral resection of bladder tumors under spinal anethesia.View full abstractDownload PDF (506K) -
Hidefumi OBARA, Harumi HOSHINA, Aiko MARUKAWA, Osamu TANAKA, Riichiro ...1984 Volume 4 Issue 2 Pages 203-208
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe examined the changes in plasma vitamin E and lipoperoxide levels at the preoperative and postoperative periods in fifteen neonates within 10 days after birth, twelve infants ranging in age from one month to one year and eight children ranging from one to five years old. Plasma vitamin E levels slightly decreased from 3.7±0.8μg/ml to 3.5±0.6μg/ml and plasma lipoperoxide levels increased from 1.5±0.3nmol/ml to 3.6±1. 5nmol/ml in neonates, but these changes were not statistically significant. Plasma vitamin E in infants decreased significantly from 9.7±3.5μg/ml to 7.7±3.7μg/ml and plasma lipoperoxide increased at the postoperative period, but not statistically significant. In children, plasma vitamin E increased from 9.3±1.8μg/ml to 10.9±2.2μg/ml and plasma lipoperoxide decreased significantly from 4.4±nmol/ml to 1.5±0.8nmol/ml.
Six neonates received 30mg/kg of α-tocopheryl acetate i.m. 3 hours before anesthesia. The mean plasma vitamin E increased significantly at the preoperative time, as compared with the untreated neonates.
We recommend the administration of vitamin E before operation, to prevent further reduction from occurring during anesthesia.View full abstractDownload PDF (621K) -
Hitoshi FURUYA, Yutaka KITAMURA, Shiro OKU, Kazuko SATO, Yoshihiko KIS ...1984 Volume 4 Issue 2 Pages 209-215
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSRetrospective studies were performed on 107 patients with thoracic aortic aneurysm (TAA) who had had the operation in National Cardiovascular Center from December, 1977 to June, 1983. These TAA included 36 of dissecting aneurysm, 46 of nondissecting aneurysm and 25 of AAE. Operations performed were grafting to the aorta using temporary bypass or cross clamp, extra-anatomical bypass, Bentall's operation and so on. Anesthesia was usually done with NLA. The longest anesthetic time was for extra-anatomical bypass and the shortest was grafting to the ascending aorta with AVR. The mean anesthetic time was 11 hours and 45 minutes. Preoperative complications included hypertention, aortic regurgitation, renal insufficiency and deviation of the trachea. Massive bleeding, bleeding from the airway, arrhythmias were found intraoperatively and multiple organ failures including circulatory, respiratory, cerebral, or renal were found as postoperative complications.View full abstractDownload PDF (749K) -
Masami YANO, Kiyoshi SUGIURA, Makoto HATTORI, Hiroyuki YOKOTA, Toshibu ...1984 Volume 4 Issue 2 Pages 216-224
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDuring the past five years (1979. 1-1983. 12), 2527 patients were admitted and 871 (34.5%) patients were received mechanical ventilation more than 24 hours. Out of 827 patients, 76 were treated as ARDS by means of PEEP. A total of 13 (17.1%) of the 76 ARDS were saved, and 10 (31.2%) of 32 were saved within the past two years.
The patients of ARDS were complicated by pulmonary barotrauma in nine patients, 2 (22.2%) of whom were servived. The mean PEEP value at the highest PEEP in their course was 18.7±3.7 (SD) cmH2O.
Under this condition, the mean value of Minute volume (MV), F1O2, PaO2 and PaCO2 were 15.5±3.5l/min, 0.88±0.11, 64.3±12.6torr and 44.3±5.8torr, respectively. The onset of pulmonary barotrauma was 17.6±8.2 days after their admissions.
In cases of pulmonary barotrauma following ARDS, air-way pressure is increased due to low lung compliance and condition of PEEP-pressure.
Therefore this condition requires the prolonged use of thoracotomy tubes. Thoracotomy tubes in two survivals had to be remained for 24-73 days, and they could remove due to relief of original disease.
The increase in the servival rate for ARDS in our facilities in recent two years made two survivers of barotrauma following ARDS.View full abstractDownload PDF (2077K) -
Kimiaki INOUE, Tetsuo YAMAMOTO, Nobuyuki URABE1984 Volume 4 Issue 2 Pages 225-232
Published: April 15, 1984
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSAuditory brainstem response (ABR) in Total spinal block (TSB) was studied in the cases of 16 patients. ABR after TSB was rapidly changed. Latencies of each wave were prolonged and amplitudes of all waves were decreased and then disapppeared. 80-90 minutes after, at first wave V was appeared. then amplitudes of each wave were increased gradually and latencies of it were recovered slowly. Concentration of Local anesthetics placed in subarachnoid space was the higher, the sooner change of ABR was occured.
Volume of local anesthetics was the more the sooner change of ABR was occured.
And the older. the sooner change of ABR was occured.
ABR was not affected by lumbar subarachnoid block and thracic epidural block Diazepam and droperidol did not affect ABR. We are suggested that ABR is useful for monitoring of TSB.View full abstractDownload PDF (672K)
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