Masui. The Japanese journal of anesthesiology最新文献_第3页

[Comparison of Aortic Valve Replacement Combined with Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Implantation Combined with Off-pump Coronary Artery Bypass Grafting]. [主动脉瓣置换术联合冠状动脉旁路移植术与经导管主动脉瓣植入术联合非体外循环冠状动脉旁路移植术的比较]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Ryuichiro Abe, Akira Iura, Takeshi Iritakenishi, Tatsuyuki Imada, Yuji Fujino

{"title":"[Comparison of Aortic Valve Replacement Combined with Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Implantation Combined with Off-pump Coronary Artery Bypass Grafting].","authors":"Ryuichiro Abe, Akira Iura, Takeshi Iritakenishi, Tatsuyuki Imada, Yuji Fujino","doi":"","DOIUrl":"","url":null,"abstract":"Background: The purpose of this study was to compare the perioperative management of aortic valve replacement combined with coronary artery bypass grafting (AVR+CABG) and transcatheter aortic valve implantation combined with off-pump coronary artery bypass grafting (TAVI+OPCAB).Methods: A retrospective analysis was performed on patients who had undergone either AVR+CABG or TAVI+OPCAB for AS and CAD in Osaka Univer- sity Medical Hospital from January to October, 2014.Results: AVR+CABG was performed in 11 pa- tients (group A) and TAVI+OPCAB was performed in 4 patients (group T) in this period. The patients in group T was significantly older than the patients in group A. There were no significant differences in other background factors. Procedure time and postoperative mechanical ventilation time were shorter in group T than in group A. Postoperative recovery was signifi- cantly faster in group T than in group A.Conclusions: TAVI+OPCAB is less invasive than AVR+CABG and an effective treatment for high risk patient with AS and CAD.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36636307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Significance of Multi-center Respiratory Surgery Perioperative Team Training Including Various Medical Staffs]. 多中心呼吸外科围手术期团队培训的意义[j]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Nobuyasu Komasawa, Shinji Hanaoka, Mai Nakayama, Yoshio Ichihashi, Onori Mine, Takashi Cho, Isao Nishihara, Motoshige Tanaka, Toshiaki Minami

{"title":"[Significance of Multi-center Respiratory Surgery Perioperative Team Training Including Various Medical Staffs].","authors":"Nobuyasu Komasawa, Shinji Hanaoka, Mai Nakayama, Yoshio Ichihashi, Onori Mine, Takashi Cho, Isao Nishihara, Motoshige Tanaka, Toshiaki Minami","doi":"","DOIUrl":"","url":null,"abstract":"We report the development of a multi-center/multi- specialist perioperative team development training program about respiratory surgery. Participants were members of the team, including anesthesiologists, respiratory surgeons, and operation nurses. A ques- tionnaire survey was conducted prior to course partici- pation to clarify any questions team members had. The courses included a lecture and simulation training with scenario-based discussions or the use of a simulator. Scenarios included massive bleeding during pulmonary artery damage, intractable hypoxia during one lung ventilation, and severe hypotension accompanied with hypoxia after tracheal extubation. We also discussed the best method for preoperative smoking cessation for better surgery outcome. After each course, participants discussed problems associated with perioperative medi- cal safety of respiratory surgery in the context of each theme. Simulation-based perioperative team training with anesthesiologists, respiratory surgeons, and opera- tion nurses may serve as a vehicle to promote periop- erative obstetrics safety.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36637105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Two Cases of Large Gynecological Tumor Complicated by Preoperative Deep Vein Thromboembolism and Pulmonary Thromboembolism-Should We Use Inferior Vena Cava Filters ?-]. [2例妇科大肿瘤合并术前深静脉血栓栓塞和肺血栓栓塞——下腔静脉过滤器是否适用?]

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Keika Miyazawa, Yasuma Kobayashi, Fumitaka Yanase, Takeshi Nakatomi, Akira Kajiura, Yuji Ohtsuka, Yoshiki Ishiguro

引用次数: 0

[Tooth Mobility Evaluation -A Comparison with Dental Assessment-]. [牙齿活动性评估-与牙科评估-的比较]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Tomoki Ishikawa, Masahiko Oiwa, Eriko Minami, Hideyuki Mieda, Sachiko Sato, Mizue Ishii, Hiroyuki Kobayashi, Takeshi Mikane, Tomihiro Fukushima, Hiroaki Tokioka

{"title":"[Tooth Mobility Evaluation -A Comparison with Dental Assessment-].","authors":"Tomoki Ishikawa, Masahiko Oiwa, Eriko Minami, Hideyuki Mieda, Sachiko Sato, Mizue Ishii, Hiroyuki Kobayashi, Takeshi Mikane, Tomihiro Fukushima, Hiroaki Tokioka","doi":"","DOIUrl":"","url":null,"abstract":"Background: Patients with mobile teeth are at an increased risk of tooth injury related to tracheal intu- bation. Although the presence/absence of mobile teeth is confirmed through interviews during preoperative visits, patients are frequently unaware of the presence of such teeth. In our facility, dental consultation is pro- vided for all patients undergoing thoracoscopically- assisted surgery as part of the management of oral hygiene. This study examined the presence/absence of mobile teeth reported by patients during preoperative visits and those identified on dental consultation, focus- ing on the inconsistency between them.Methods: Patients who had undergone thoraco- scopically-assisted surgery in our facility between Janu- ary and October 2014 were retrospectively studied. Tooth mobility was evaluated using the Miller index.Results: Among the 76 (46 males and 30 females) patients aged 36 to 88 (mean: 67.8), mobile teeth were identified on dental consultation in 13 and reported during preoperative visits by 8.Conclusions: Based on this findings, it may be nec- essary to pay sufficient attention when inserting tubes even when mobile teeth have not been reported by patients during preoperative visits.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36635666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Massive Air Inflow into the Left Ventricle Detected by Transesophageal Echocardiography during Rastelli Coduit Re-replacement]. [Rastelli导管置换术中经食管超声心动图检测的左心室大量空气流入]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Shinnosuke Shiono, Tatsuyuki Imada, Chiho Ohta, Sho C Shibata, Yuji Fujino

引用次数: 0

[History of Resuscitation: 3. Development of Resuscitation in the Mid-18 Century-3: Artificial Respiration]. 复苏的历史:3。复苏在18世纪中期的发展[3:人工呼吸]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Takashi Asai

引用次数: 0

[A Case of Well Leg Compartment Syndrome after Robot-assisted Laparoscopic Prostatectomy]. [1例机器人辅助腹腔镜前列腺切除术后的井腿隔室综合征]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Kaoru Takech, Kazuyoshi Inoue, Masami Suzuki, Hiroyuki Kawanishi, Ai Onishi, Akihito Hirasaki

{"title":"[A Case of Well Leg Compartment Syndrome after Robot-assisted Laparoscopic Prostatectomy].","authors":"Kaoru Takech, Kazuyoshi Inoue, Masami Suzuki, Hiroyuki Kawanishi, Ai Onishi, Akihito Hirasaki","doi":"","DOIUrl":"","url":null,"abstract":"We report a case of well leg compartment syndrome (WLCS) in both legs after robot-assisted laparoscopic prostatectomy (RALP). A 65-year-old man underwent surgery for prostate cancer. He was placed in the lithotomy position and both his legs were protected with elastic stockings and intermittent pneumatic com- pression to prevent deep vein thrombosis during sur- gery. After surgery, he complained of pain in both calves. Movement and sensory disorder along with swelling were found in both legs. Computed tomogra- phy of the legs showed damage to the soleus and gas- trocnemius muscles of both legs. The creatinine phos- phokinase level had increased to 10,560 IU · l⁻¹. The patient was diagnosed with WLCS in both legs and underwent conservative treatment. Symptoms in both legs started to improve from the next day. The right leg swelling receded within 10 days, while the left leg swelling receded 67 days after surgery. WLCS in the legs after RALP is a rare but severe complication requiring early diagnosis and intervention. To prevent WLCS, it is important that we recognize this disease as a potential complication after RALP.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36680893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A Patient with Difficult Airway who Died from Acute Aortic Dissection after Intubation]. 1例气管插管后因急性主动脉夹层死亡的气道困难患者。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Yoolim Yamada, Shinichi Inomata, Makoto Tanaka

引用次数: 0

[General Anesthesia for Magnetic Navigation System-guided Catheter Ablation in a Patient with Persistent Atrial Tachycardia and an Extracardiac Total Cavopulmonary Connection]. 全麻磁导航系统引导下导管消融治疗顽固性房性心动过速合并心外全腔肺连接1例。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Kenichi Saito, Chikako Masamoto, Yumi Doi

{"title":"[General Anesthesia for Magnetic Navigation System-guided Catheter Ablation in a Patient with Persistent Atrial Tachycardia and an Extracardiac Total Cavopulmonary Connection].","authors":"Kenichi Saito, Chikako Masamoto, Yumi Doi","doi":"","DOIUrl":"","url":null,"abstract":"Atrial arrhythmia is an important prognostic factor in patients undergoing the Fontan operation. Although catheter ablation is considered to be a curative treat- ment the anatomical constraints produced by extra- cardiac total cavopulmonary connection make it diffi- cult to insert catheters towards the right atrium. Mag- netic navigation systems enable safer catheter delivery to the target site in such cases. Catheter ablation was carried out under the guidance of a magnetic naviga- tion system after the Fontan conversion operation in a 39-year-old female patient with persistent atrial tachy- cardia for the first time in Japan. During a 3-hr period of atrial tachycardia (AT), the patient's hemodynamic status was severely compromised ; her systemic blood pressure fell below 80 mmHg, and her central venous pressure increased to 26 mmHg. After the termination of AT, the patient's hemodynamic status was normal- ized without any complications. The procedure was successful, and the patient was discharged as sched- uled. The number of catheter ablation procedures in patients with arrhythmia after the Fontan procedure is expected to increase as patients with complex congen- ital heart defects are surviving longer. It is important to clarify the issues associated with this procedure and establish a safe anesthetic management strategy based on hemodynamic data.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36635669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Anesthetic Management of a Patient with von Recklinghausen Disease after Surgeries for Thoracic and Spinal Neurofibroma]. [1例胸椎神经纤维瘤术后von Recklinghausen病的麻醉处理]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Takashi Eto

{"title":"[Anesthetic Management of a Patient with von Recklinghausen Disease after Surgeries for Thoracic and Spinal Neurofibroma].","authors":"Takashi Eto","doi":"","DOIUrl":"","url":null,"abstract":"Von Recklinghausen disease is an autosomal domi- nant neurocutaneous disorder, characterized by cuta- neous neurofibromas, accompanied by café-au-lait spots. We report a case of a 51-year-old man with von Recklinghausen disease who had been operated on for thoracic and spinal neurofibroma. Exploratory thoracotomy was performed under general anesthesia combined with epidural anesthesia. After tracheal intubation with spiral tube, one lung ventilation was performed using blocker tube. General anesthesia was maintained by inhalation of oxygen, air, and desflurane and the continuous infusion of remifentanil. The opera- tive course was uneventful. The patient emerged from general anesthesia smoothly, and was extubated safely. There was no neurological abnormality after operation. Preoperative evaluation of airway status and neuro- logical findings are essential in the anesthetic management of the patient with von Recklinghausen disease. This case suggests that we must take the complication into account for anesthetic management and select the appropriate anesthetic method by routine preoperative estimation. It is of great importance that anesthesiologists evaluate the airway status and neurological find- ings of patients with von Recklinghausen disease.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36635673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0