Masui. The Japanese journal of anesthesiology最新文献_第7页

[A Difficult Airway after Anesthetic Induction in a Patient with Masticatory Muscle Tendon-Aponeurosis Hyperplasia]. [咀嚼肌肌腱-腱膜增生患者麻醉诱导后气道困难]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Junichi Ishio, Junko Nakahira, Shoko Nakano, Toshiyuki Sawai, Toshiaki Minami

引用次数: 0

[A Case of Total Hip Arthroplasty with Massive Bleeding due to Metastatic Tumor]. 全髋关节置换术并发转移性肿瘤大出血1例。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Tatsuo Ohtsuka, Yutaka Kurogouchi

引用次数: 0

[Anesthetic Management of Laparoscopic Cholecystectomy in a Patient with Mitochondrial Encephalomyopathy]. [1例线粒体脑肌病患者腹腔镜胆囊切除术的麻醉管理]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Tomoe Fujita, Tamie Takenami, Seri Tsuru, Mayuko Sakai, Kazutaka Tanaka, Hirotsugu Okamoto

{"title":"[Anesthetic Management of Laparoscopic Cholecystectomy in a Patient with Mitochondrial Encephalomyopathy].","authors":"Tomoe Fujita, Tamie Takenami, Seri Tsuru, Mayuko Sakai, Kazutaka Tanaka, Hirotsugu Okamoto","doi":"","DOIUrl":"","url":null,"abstract":"We report the anesthetic management during the laparoscopic cholecystectomy in a 60-year-old woman (height 150 cm, 'Weight 46 kg) with mitochondrial encephalopathy (chronic progressive external ophthal- moplegia, or CPEO). CPEO causes a disorder of aero- bic energy metabolism in various organs due to mito- chondrial dysfunction. It is thus very important in anesthetic management to maintain energy balance of demand and supply in organs and to protect the patient's respiratory muscles. Our patient had devel- oped CPEO 46 years earlier, and at her presentation she was bedridden and receiving both respiratory assistance via tracheostomy and tube feeding. Her hearing and understanding were intact, but she was blind due to lagophthalmos. We performed intravenous anesthesia with propofol (TCI) and remifentanil com- bined with epidural anesthesia. Rocuronium was injected under a train-of-four (TOF) monitoring. The operative time for the laparoscopic cholecystectomy was 4 hours. A total of 50 mg of rocuronium and 2,050 ml of bicarbonic ringer was injected during the opera- tion. The patient's blood lactate and glucose remained at normal levels throughout the operation. Because of severe adhesion, the laparoscopic procedure was changed to a laparotomy. However, during the peri-and post-operative periods, epidural anesthesia was valuable for analgesia during the management of the patient's respiratory care with a decreasing amount of narcotic medication. Post-operatively, the patient was monitored in an intensive care unit with the spontaneous respira- tory rate of 15 · min⁻¹ under oxygen 1l without any analgesics. The day after the operation she was returned to the ward, as her general condition was satisfactory.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36622772","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

[Retrospective Evaluation of Hypoxia and Silent Regurgitation during Laparoscopic Sleeve Gastrectomy]. [腹腔镜袖式胃切除术中缺氧和无症状反流的回顾性评价]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Ryohei Miyazaki, Masumi Kawashima, Kenzo Araki, Midoriko Higashi, Sumio Hoka

{"title":"[Retrospective Evaluation of Hypoxia and Silent Regurgitation during Laparoscopic Sleeve Gastrectomy].","authors":"Ryohei Miyazaki, Masumi Kawashima, Kenzo Araki, Midoriko Higashi, Sumio Hoka","doi":"","DOIUrl":"","url":null,"abstract":"Background: The proportion of obese people is gradually increasing. In recent years, laparoscopic sleeve gastrectomy has been performed as a weight loss surgery. We reported the extent of respiratory complications and the keys of anesthetic management in this procedure.Methods: Forty consecutive morbidly obese patients received laparoscopic sleeve gastrectomy. A sample for arterial blood gas analysis was taken after intubation and at the end of the operation. Moreover, to examine the risk of silent aspiration, 16 patients were subjected to measuring the gastric juice volume and pH of the pharynx.Results: Oxygenation index (P/F ratio) after intuba- tion was markedly reduced, but there was no correla- tion with the BMI On the other hand, P/F ratio at the end of surgery improved in patients with low BMI Hypercapnia was rare after extubation, but respiratory rate was increased in the patients with high BMI Gas- tric secretion after induction was increased, but there was no overt sign of silent regurgitation of gastric juice.Conclusions: Oxygenation was extremely deterio- rated immediately after intubation in the morbidly obese patients. There is a need for aggressive respira- tory management because intraoperative oxygenation was not improved in the patients with high BMI.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36635167","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

[Benefit of Intraoperative Mannitol Use during Endoscopic Surgery for Intracerebral Hemorrhage]. [颅内出血内镜手术中术中使用甘露醇的益处]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Tatsuya Kida, Atsuhiko Kubo, Teisei Kobashi, Masakazu Sumitomo

引用次数: 0

[Successful Awake Intubation with Airway Scope? for a Difficult Airway Patient with Enormous Angioma Protruding out of the Mouth]. 气道镜下清醒插管成功吗?治疗有巨大血管瘤突出于口腔外的困难气道病人]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Sayo Ueda, Naohiro Mori, Hironobu Ueshima, Hiroshi Otake

引用次数: 0

[Undetected of Esophageal Intubation for Two Hours of Cardiopulmonary Resuscitation]. 心肺复苏2小时食管插管未检出。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Yushi Adachi

{"title":"[Undetected of Esophageal Intubation for Two Hours of Cardiopulmonary Resuscitation].","authors":"Yushi Adachi","doi":"","DOIUrl":"","url":null,"abstract":"Securing of airway is one of the most important issues during cardiopulmonary resuscitation, and oro- tracheal intubation has been a gold standard proce- dure. We experienced a case in which the esophageal intubation was overlooked for 2 hours after the intuba- tion at the bedside of general ward and in the inten- sive care unit A 71-year-old male patient without marked medical history was transferred to our hospital with severe symptom of lower gastrointestinal ileus. After admitting to the ward, transrectal drainage tube was placed. On the night of the admission, the patient called the staff from his bed ; however, he lost con- sciousness and monitoring electrocardiogram showed sudden bradycardia followed by cardiac arrest Emer- gency cardiopulmonary resuscitation was initiated and the intubation was conducted by the physician on call. The cardiovascular status was unstable despite recov- ery of spontaneous circulation (ROSC) and the patient was transferred to the intensive care unit The arrest and ROSC by resuscitation was repeated. After 2 hours from the start of resuscitation, temporal ROSC was obtained, but the absence of a wave of capnogram was identified. The observation using laryngoscopy revealed esophageal intubation and oro-tracheal intuba- tion was facilitated. Although the mechanical ventila- tion was established, the condition of the patient dete- riorated with pulseless electrical activity followed by death.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36622768","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

[Influence of Propofol and Remifentanil on Pupillary Light Reflex Assessed by a Hand-held Point-and-shoot Pupillometer]. [用手持式傻瓜瞳孔计评估异丙酚和瑞芬太尼对瞳孔光反射的影响]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Takuo Hoshi

{"title":"[Influence of Propofol and Remifentanil on Pupillary Light Reflex Assessed by a Hand-held Point-and-shoot Pupillometer].","authors":"Takuo Hoshi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Anisocoria and abnormality of pupil- lary light reflex may indicate sight-threatening or life- threatening neurological injury. Many perioperative patients are given opioids for analgesia, and opioids produce miosis and make it hard to assess anisocoria or pupillary light reflex. This study was designed to determine the influence of induction of anesthesia on pupillary light reflex assessed by a hand-held point- and-shoot pupillometer.Methods: Eighteen patients receiving general anes- thesia were enrolled. Anesthesia was inducted by remifentanil, propofol and rocuronium after' pre-oxy- genation and tracheal intubation or insertion of supra- glottic airway device. The pupillary measurement data before induction and after intubation or insertion of supraglottic airway device were taken from records.Results: With eighteen patients, thirty six eye data were compared. After intravenous injection of propofol and remifentanil infusion, pupils were constricted from 4.0±1.1 mm to 1.8±0.4 mm, and average constriction velocity (CV), neurological pupil index (NPI) measured automatically from light reflex decreased for 2.5±0.9 mm, sec⁻¹ to 0.3±0.2 mm · sec⁻¹, 4.4±0.4 to 3.9±0.4, respectively (P<0.0001).Conclusions: Propofol and remifentanil infusion in- fluence pupillary light reflex and decreases values of NPI and CV. When using these drugs, it is necessary to perform neurologic evaluation using NPI and CV.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36623220","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

[Prevention of Postoperative Delirium and Agitation in a Patient with Anti-NMDA Receptor Encephalitis: A Case Report]. [抗nmda受体脑炎术后谵妄和躁动的预防:1例报告]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Tomomi Ogihara, Ryohei Serita, Toru Kaneda, Kyotaro Koshika, Takashi Ouchi, Toshiya Koitabashi

{"title":"[Prevention of Postoperative Delirium and Agitation in a Patient with Anti-NMDA Receptor Encephalitis: A Case Report].","authors":"Tomomi Ogihara, Ryohei Serita, Toru Kaneda, Kyotaro Koshika, Takashi Ouchi, Toshiya Koitabashi","doi":"","DOIUrl":"","url":null,"abstract":"A 41-year-old woman with anti-N-methyl-D-aspartate (NMDA) receptor encephalitis, characterized by vari- ous psychiatric disturbances, was scheduled for laparo- scopic salpingo-oophorectomy. Anesthesia was induced with fentanyl, propofol and rocuronium, and maintained with intravenous propofol combined with epidural anesthesia (T10-11). The patient received 20 mEq of MgSO4 after induction. MgSO4 administrations were repeated at the end of surgery and every 12 hours for 48 hours after the operation. The operation was per- formed successfully, without any troubles. Trachea was extubated in the operating room. The cognitive dys- function was not observed postoperatively. There was no complication and no unexpected event postopera- tively. One month after surgery, the patient's clinical symptom began to improve. The resection of tumor is recommended as a thera- peutic treatment ; however, there has been few report of the management of postoperative cognitive dysfunc- tion for patients with NMDA receptor antibodies. These patients were more likely to experience a post- operative cognitive dysfunction associated with a poor outcome. We, therefore, administered magnesium sul- fate, NMDA antagonist to prevent postoperative delir- ium. In the present case, magnesium sulfate might have prevented the incidence of postoperative delirium without any complications. The prophylactic magne- sium administration could prevent postoperative delir- ium and agitation safely.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36623222","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

[Plain X-ray or Computed Tomography Image of Epidural Catheters with Various Materials]. 不同材质硬膜外导管的x线平片或计算机断层成像。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Arisa Tanaka, Yasuhiro Inoue, Toshiharu Miyoshi, Yuko Yamada, Kumiko Tanabe, Hiroki Iida

{"title":"[Plain X-ray or Computed Tomography Image of Epidural Catheters with Various Materials].","authors":"Arisa Tanaka, Yasuhiro Inoue, Toshiharu Miyoshi, Yuko Yamada, Kumiko Tanabe, Hiroki Iida","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although breakage of the epidural catheter inside patients is a rare complication, plain X-ray or computed tomography (CT) image is useful for diagnosis of catheter remnant However, it is not well known whether the catheter materials are visible in these images.Methods: We examined 3 types of X-ray permeabil- ity catheters and 6 types of X-ray impermeability cath- eters available in Japan. We obtained plain X-ray images of catheters alone, plain X-ray images of cathe- ters with bone dummy and CT images of catheters in the model of epidural space.Results: On plain X-ray images of catheters alone, we could confirm all 6 types of X-ray impermeability catheters. However, on plain X-ray images of catheters with bone dummy, we could confirm only 3 types of catheters among 6 X-ray impermeability catheters. On CT images, we could confirm all 6 types of X-ray impermeability catheters, but not X-ray permeability catheters.Conclusions: Plain X-ray image can not provide the detection for some X-ray impermeability catheters. CT image is useful- for diagnosis of X-ray impermeability catheters.","PeriodicalId":18254,"journal":{"name":"Masui. The Japanese journal of anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36623225","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