Masui. The Japanese journal of anesthesiology最新文献_第5页

[Replacement of a Tracheal Tube by Concomitant Use of an Aintree Intubation Catheter? and a Tube Exchanger]. 用安特里插管代替气管管?和管交换器]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Tetsuro Kimura, Hirokazu Furuuchi, Kensuke Kobayashi, Soichiro Mimuro, Akira Suzuki, Yoshiki Nakajima

引用次数: 0

[Use of Nasogastric Tube does not Reduce the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing Positive-pressure Ventilation Using LMA Supreme™]. [使用鼻胃管不能减少使用LMA Supreme™正压通气患者术后恶心和呕吐的发生率]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Manabu Kimoto, Tomohiro Tanaka

{"title":"[Use of Nasogastric Tube does not Reduce the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing Positive-pressure Ventilation Using LMA Supreme™].","authors":"Manabu Kimoto, Tomohiro Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"Background: Postoperative nausea and vomiting (PONV) is a common complication of general anesthe- sia. The aim of this study was to determine whether the use of nasogastric (NG) tube can decrease the incidence of PONV in patients undergoing positive- pressure ventilation using LMA SupremeTM (SLMA).Methods: We retrospectively examined the medical records of 176 patients who had undergone orthopedic surgery under general anesthesia. SLMA was inserted after the induction of anesthesia, and positive-pressure ventilation was continued during the operation. Intra- operative NG tube was used in 89 patients (N group) but not in 87 patients, who served as the control group (C group). The incidence of PONV during 24 hours after the operation and the amount of postoperative oral intake were compared between the two groups.Results: There were no significant differences in the incidence of postoperative nausea (10.1% vs 10.3%) and vomiting (4.5% vs 4.6%) between the N group and the C group. Both groups received 'similar amount of postoperative oral intake.Conclusions: We conclude that using NG tube does not reduce the risk of PONV in patients undergoing positive-pressure ventilation using SLMA.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36633877","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

[Comparison of Perioperative Outcomes for Esophageal Cancer: Thoracoscopic Versus Thoracotomic Esophagectomy]. [食管癌围手术期疗效比较:胸腔镜与开胸食管切除术]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Reona Mori, Shogo Suzuki, Kimitoshi Nishtwai

{"title":"[Comparison of Perioperative Outcomes for Esophageal Cancer: Thoracoscopic Versus Thoracotomic Esophagectomy].","authors":"Reona Mori, Shogo Suzuki, Kimitoshi Nishtwai","doi":"","DOIUrl":"","url":null,"abstract":"Background: In our hospital, thoracoscopic surgery in the prone position for esophageal cancer has been performed since 2013. To assess the invasiveness of thoracoscopic esophagectomy in the prone position, we conducted a retrospective observational study after IRB approval.Methods: After some patients were removed for procedural reasons, 21 patients of thoracoscopic esoph- agectomy (group A, thoracoscopy group) were com- pared with 28 patients with thoracotomic esophagec- tomy (group B, thoracotomy group). We examined : operation time, amount of bleeding, percentage of blood transfused patients, intraoperative fluid balance, length of time from the end of operation to extubation, length of stay in intensive care unit (ICU) and hospital, and long-term intubation rate (> 72 hr).Results: The thoracoscopy group showed less bleeding (mean, group A, 560 g ; group B, 1,243 g, P< 0.01), a lower percentage of blood transfused patients (group A, 14% ; group B, 64%, P<0.01), lower intra- operative fluid balance (median, group A, 3,046 ml ; group B, 4,215 ml, P<0.05), shorter length of stay in ICU (mean, group A, 2.4days ; group B, 3.7days, P< 0.01) and lower long-term intubation rate (>72 hr) (group A, 0% ; group B, 32%, P<0.01) than those of the thoracotomy group.Conclusions: This study showed that the thoraco- scopic esophagectomy in the prone position is poten- tially less invasive than thoracotomic surgery. Further study based on a larger number of patients is required to confirm this finding.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36633878","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

[Thoracic Truncal Block : Trends and Future Perspectives]. [胸截骨阻滞:趋势和未来展望]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Kaoru Hara, Shinichi Sakura

{"title":"[Thoracic Truncal Block : Trends and Future Perspectives].","authors":"Kaoru Hara, Shinichi Sakura","doi":"","DOIUrl":"","url":null,"abstract":"With recent changes in surgical procedures and perioperative management, there has been a growing interest in peripheral nerve blocks of the trunk in patients undergoing thoracic and breast surgery. Tho- racic truncal blocks include paravertebral, pecs, intercostal, and retrolaminar blocks. Previous studies have demonstrated that paravertebral block provides similar analgesic effects and better hemodynamic stability compared with epidural analgesia. In addition, the results of several studies suggest that paravertebral block may improve long-term outcomes such as pre- vention of chronic pain and decrease in recurrence or metastasis after breast cancer surgery. Pecs blocks are novel ultrasound-guided blocks intended to provide analgesia of the anterior chest wall while avoiding seri- ous complications associated with epidural anesthesia and paravertebral block. The novel ultrasound-guided techniques for intercostal nerve blocks have also been reported. Although some case series support that these pecs and intercostal nerve blocks appear to be safe and effective, prospective randomized studies to confirm their clinical usefulness are lacking. Whether to con- duct these thoracic truncal blocks or not will become a standard clinical practice for thoracic and breast sur- gery is yet to be determined.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36679576","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 Case Report of Mirror Syndrome after Fetoscopic Laser Photocoagulation for Twin to Twin Transfusion Syndrome]. [胎儿镜激光光凝治疗双胎输血综合征后镜像综合征1例报告]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Manabu Yoshimura, Takashi Toriumi, Masahiko Nakata

{"title":"[A Case Report of Mirror Syndrome after Fetoscopic Laser Photocoagulation for Twin to Twin Transfusion Syndrome].","authors":"Manabu Yoshimura, Takashi Toriumi, Masahiko Nakata","doi":"","DOIUrl":"","url":null,"abstract":"Mirror syndrome is a rare obstetric condition where a mother \"mirrors\" the edema of her hydropic fetus and placenta. We present the successful resolution of mirror syndrome following fetoscopic laser photocoag- ulation for twin to twin transfusion syndrome (TTTS). A 36-year-old woman was pregnant with monocho- rionic twins. She was diagnosed with TTTS at the 23rd week of pregnancy and transported to our hospi- tal by ambulance for treatment Her human chorionic gonadotropin serum concentration was 144,437 IU - ml'. Fetoscopic laser photocoagulation was performed under local anesthesia with dexmedetomidine. How- ever, her restlessness disturbed the procedure and conversion to general anesthesia was required, which facilitated successful completion of the surgical proce- dure. Postoperatively, her vital signs were stable, and after 30 min, the saturation decreased to 80%. She was intubated, sedated with propofol, and transported to the intensive care unit A transthoracic ultrasound examination showed no cardiomyopathy. A chest X-ray suggested pulmonary edema. Pulmonary edema disap- peared immediately, and she was extubated after 36 hr. Postoperatively, the twins had a good prognosis. There are several reports of mirror syndrome after fetoscopic laser photocoagulation for TTTS. Recovery from mirror syndrome can improve following the reso- lution of fetal hydrops in TTTS using fetoscopic laser photocoagulation.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36633884","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

[History of Resuscitation: 1. Development of Resuscitation in the Mid-18 Century-1 : Establishment of Humane Societies and List of Literature]. 复苏史:1;18世纪中期复苏术的发展(一):人文学会的建立与文献目录[j]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Takashi Asai

引用次数: 0

[The Future of Peripheral Nerve Block from the Perspective of Medical Economics]. 从医学经济学的角度看周围神经阻滞的未来。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Ritsuko Masuda, Toshiyasu Suzui

引用次数: 0

[Successful High Flow Nasal Cannula Therapy in a Patient with Myotonic Dystrophy during Perioperative Period]. [围手术期高流量鼻插管治疗肌强直性营养不良患者的成功案例]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Satoko Noguchi, Junichi Saito, Masahiro Akaishi, Daichi Ohta, Kazuyoshi Hirota

{"title":"[Successful High Flow Nasal Cannula Therapy in a Patient with Myotonic Dystrophy during Perioperative Period].","authors":"Satoko Noguchi, Junichi Saito, Masahiro Akaishi, Daichi Ohta, Kazuyoshi Hirota","doi":"","DOIUrl":"","url":null,"abstract":"A 44-year-old woman (body mass index 32) with myotonic dystrophy was admitted for bilateral para- thyroidectomy. Her risk of post-operative respiratory complications was high due to respiratory muscle weakness (%VC 52.8%) and high sputum volume. Difficulties in surgery were anticipated under local anesthesia due to obesity and bilateral tumors. There- fore, general anesthetic management without muscle relaxant was selected and early extubation conducted to prevent respiratory complications. She was extubated 1 hour after surgery in the intensive care unit (ICU) and F10₂ 0.6, 10 l · min⁻¹ oxygen mask was administrated. Paco₂ gradually increased (54 mmHg 15 minutes later, 61 mmHg 2 hours later after extubation). A high flow nasal can- nula was administered to facilitate CO₂ elimination, and Paco₂ decreased to 46 mmHg after 4 hours. An intra- pulmonary percussive ventilator was administered for the purpose of sputum discharge which facilitated effi- cient expectoration of sputum. She was discharged from the ICU on postoperative day (POD) 1 and from hospital on POD 6 without complications.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36633881","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

[The Effect of Dexamethasone on Postoperative Nausea and Vomiting in Posterior Correction and Fusion Surgery for Adolescent Idiopathic Scoliosis]. 地塞米松对青少年特发性脊柱侧凸后路矫正融合术后恶心呕吐的影响

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Hiroyuki Seki, Rie Wakamiya, Naho Ihara, Satoshi Ideno, Rie Minoshima, Reiko Murase, Misa Takagi, Kota Watanabe, Masato Sato, Hiroshi Morisaki

{"title":"[The Effect of Dexamethasone on Postoperative Nausea and Vomiting in Posterior Correction and Fusion Surgery for Adolescent Idiopathic Scoliosis].","authors":"Hiroyuki Seki, Rie Wakamiya, Naho Ihara, Satoshi Ideno, Rie Minoshima, Reiko Murase, Misa Takagi, Kota Watanabe, Masato Sato, Hiroshi Morisaki","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although dexamethasone is widely used to prevent postoperative nausea and vomiting (PONV) in both adults and children, the evidence in children is mainly from minor, short surgical proce- dures such as tonsillectomy and strabismus surgery.Methods: In this study, we reviewed medical re- cords of patients who had undergone posterior correc- tion and fusion surgery for adolescent idiopathic scoio- sis at our institution and evaluated the effect of dexa- methasone on PONV prophylaxis.Results: Four of 11(36%) patients who had received prophylactic dexamethasone and 26 of 33 (79%) pa- tients who had not received dexamethasone developed PONV during the first 72 hours of surgery (OR 0.15 [95% CI : 0.04-0.681, P=0.02). Without dexametha- sone, 76% patients developed PONV within 24 hr of surgery. Although the incidence gradually declined, 24% of patients still developed PONV even later than 48 hr after surgery. In contrast the incidence of PONV during the first 24 hr in patients who had received dexamethasone was 36%, and none of them experi- enced PONV after 24 hr.Conclusions: The results of this study suggest that dexamethasone is effective in reducing PONV in chil- dren and adolescents undergoing posterior correction and fusion surgery for scoliosis. A randomized con- trolled trial is needed to confirm the findings of this study.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36633880","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

[The History and the Future of Peripheral Nerve Block]. 【末梢神经阻滞的历史与未来】。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-03-01

Masataka Yokoyama

引用次数: 0