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Volume 9 (1989)
- Issue 5 Pages 381-
- Issue 4 Pages 275-
- Issue 3 Pages 173-
- Issue 2 Pages 75-
- Issue 1 Pages 1-
Volume 9, Issue 2
Displaying 1-16 of 16 articles from this issue
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G. ROLLY1989 Volume 9 Issue 2 Pages 75-82
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese]1989 Volume 9 Issue 2 Pages 83-94
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese]1989 Volume 9 Issue 2 Pages 95-96
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese]1989 Volume 9 Issue 2 Pages 97-101
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1989 Volume 9 Issue 2 Pages 102-104
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese]1989 Volume 9 Issue 2 Pages 105-109
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese]1989 Volume 9 Issue 2 Pages 110-115
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1989 Volume 9 Issue 2 Pages 116-122
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
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Kouji MIYASHOU1989 Volume 9 Issue 2 Pages 123-129
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSComparative effects of three different membranes (cuprophan, ethylenevinylalcohol (EVAL), polyethylmethacrylate (PMMA)) on the serum levels of complements (C3a, C4a and C5a) and neutrophil elastase, neutrophil counts and oxygenation in the lung were studied in patients with multiple organ failure during hemodialysis.
A cuprophan membrane decreased neutrophil counts 20min. after the initiation of hemodialysis. On a complement system, both cuprophan and EVAL membrane increased serum levels of C3a and C5a. With a cuprophan membrane, the level of neutrophil elastase increased significantly 60min., 120min. after hemodialysis began. Respiratory Index (RI) rose slightly 40min. after the start of hemodialysis only when a PMMA membrane was used.
Although there was no significant difference with regard to RI among three membranes, it should be advised to select a PMMA membrane, considering the other two membranes caused leukocytopenia, activation of complements and elevation of neutrophil elastase.View full abstractDownload PDF (789K) -
Chiaki TUJI1989 Volume 9 Issue 2 Pages 130-137
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSComparative effects of inhalational anesthesia and neuroleptic anesthesia on plasma creatine levels were studied in patients.
The plasma creatine and creatine kinase levels in patients undergoing minor surgery had been measured during anesthesia and postoperative twenty-four hours. These results showed that halothane and enflurane elevated plasma creatine level, with a higher level in halothane than in enflurane. And the plasma creatine level began to increase earlier than that of the plasma creatine kinase. On the other hand, neuroleptic anesthesia did not affect plasma creatine level. The succinylcholine administered during induction of anesthesia did not influence a plasma creatine level.
It is speculated that inhalational anesthetic agents caused the increase of plasma creatine level in patients either by facilitating the creatine release from skeletal muscles or by the inhibition of creatine uptake from plasma to skeletal muscles.
The above findings suggest that the measurement of plasma creatine level might be useful for early diagnosis of malignant hyperthermia.View full abstractDownload PDF (785K) -
Toshimasa KATO, Harutaka UEMATSU, Michio YAMAMOTO1989 Volume 9 Issue 2 Pages 138-142
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe effects of heat-retaining mattresses, heated huminidication of inspired gases and warmed intravenous fluids during epidural anesthesia supplemented by inhalation anesthesia on the intraoperative body temperature and postoperative complications were studied in 24 patients of upper abdominal surgery.
By the combination of these three methods, body temperature were well controlled and postoperative complications caused by heat loss were prevented.View full abstractDownload PDF (503K) -
A retrospective studyHiroshi OHNO, Sumitada KAWASAKI, Yutaka YOSHIDA1989 Volume 9 Issue 2 Pages 143-148
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe incidence of postoperative atrial fibrillation was studied retrospectively in 3, 561 patients having surgery under general anesthesia. Significantly higher incidence was observed in patients who had thoracotomy alone (7.7%) or thoracotomy with laparotomy (15.0%) in comparison to craniotomy, head and neck surgery, laparotomy or other minor surgery (0.0-0.8%).
To assess the predisposing and precipitating factors of atrial fibrillation following thoracotomy, the data of the patients with atrial fibrillation following non-cardiac thoracic surgery was compared with those without arrhythmia. Advancing age, preexisting hypertension, extrasystole on ECG and postoperative pulmonary complications were taken as the risk factors associated with a higher incidence.
In all cases who developed the atrial fibrillation post operatively, it disappeared during the first postoperative week. Furthermore, none of them died within 30 postoperative days. These findings suggest that the atrial fibrillation following thoracotomy is transient, and its prognosis is relatively good.View full abstractDownload PDF (628K) -
Junichi IKEGAKI, Yoshie KIMURA, Toshiyuki YOSHIYAMA, Makoto HASEGAWA, ...1989 Volume 9 Issue 2 Pages 149-155
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSEffects of vitamin K2 on blood coagulability were determined in 47 surgical patients who had antibiotics postoperatively. Nineteen patients (30mg group n=19) were administered 30mg vitamin K2 daily from the day of the operation to the second day postoperatively and the others (100mg group n=28) had 100mg of that on the same schedule.
Hepaplastin levels increased in the 100mg group three days after surgery, while thrombotest value decreased in both groups. On the seventh day after operation, patients whose thrombotest value were below 60% were observed more in the 30mg group than those in the 100mg group.
Not a patient in this study revealed hemorrhagic tendency nor prolonged values both in activated partial thrombin time and in prothronbin time. From the viewpoint of maintaining the coagulable state, amount required in postoperative period would be more than 30mg a day when succesively administered for three days.View full abstractDownload PDF (716K) -
Tadashi ARIMA, Miyoko OHATA, Moto MATSUURA, Kyoko KUROKI, Isao MATSUMO ...1989 Volume 9 Issue 2 Pages 156-160
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe measured urinary and plasma level of prostaglandins during cardiopulmonary bypass (CPB) and their clinical significance. The urinary levels of NAG was also measured at the same time.
Urinary and plasma levels of TXB2 and 6keto PGF1α were increased upon initiation of CPB. The urinary NAG level increased significantly (p<0.001). Plasma TXB2 levels as expected from the urinary TXB2 and 2, 3dinor-TXB2 level was higher than the measured plasma TXB2 concentration, showing increasese in TXB2 originating from the kidney. However Plasma 6ketoPGF1α as expected from the urinary 6ketoPGF1α level was same to the measured plasma 6ketoPGF1α concentration, showing no increased in 6ketoPGF1α originating from the kidney.
It is possible that the elevation of urinary TXB2 level is due to the massive increase in TXA2 originating from the kidney when a hypoxic condition is indused by hypotension and lowered perfusion in the kidney, in addition to the increased excretion of platelet derived TXA2 during CPB.
Furthermore, the significant correlation (r=0.77, p<0.01) was observed in NAG and urinary TXB2, thus the increased production of TXA2 appears to inhibit the functions of the renal proximal tubules.View full abstractDownload PDF (559K) -
Kouichi OTA, Eiji HONMA, Akiyoshi NAMIKI1989 Volume 9 Issue 2 Pages 161-165
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe effects of oral clonidine on the duration of isobaric tetracaine spinal anesthesia are unknown. A prospective controlled study was performed in 16 ASA class I patients, who scheduled for spinal anesthesia for urological and gynecological procedures. The subjects were randomly allocated into two groups. Group I (n=8) received triazolam 0.25mg orally about 1 hour prior to anesthesia. Group II (n=8) received clonidine 0.3mg orally about 1 hour prior to anesthesia. All patients received 15mg tetracaine in 3ml normal saline.
No diference was observed between mean highest levels of sensory anesthesia. The mean times to two-and four-segment regression from the highest level were significantly longer in group II than in group I. Mean times for regression to the Th10 and L1 segment were also significantly longer in group II than in group I.
These findings show us that oral clonidine premedication produces a significant prolongation of the duration of spinal anesthesia with tetracaine.View full abstractDownload PDF (459K) -
Katsuhei SUGAI, Yoriko SUGAI, Itaru YAMAMICHI, Akira SOUMA, Katsuhiko ...1989 Volume 9 Issue 2 Pages 166-170
Published: March 15, 1989
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe 77-year-old female with a giant thyroid tumor was planned to undergo decompression thyroidectomy and sternal tracheostomy prior to radiation therapy. As it was thought to be hard to ensure holding the airway with oro-tracheal intubation or cervical tracheostomy because of the location and the size of the tumor, so cardiopulmonary bypass circuit (CPB) was prepared for the surgery. The special reinforced tube was consequently intubated oro-tracheally, and the patient was managed to be ventilated and underwent the operation safely without CPB.View full abstractDownload PDF (1137K)
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