Journal of anesthesia
-
Journal of anesthesia · Jan 2003
Comparative StudyComparison of early postoperative quality of life in minimally invasive versus conventional valve surgery.
Minimally invasive cardiac surgery (MICS), an approach in which full sternotomy is avoided and the surgical incision is minimal, has been shown to produce less postoperative discomfort and to enable earlier mobilization and discharge than conventional cardiac surgery (CCS). This study was performed to retrospectively evaluate quality of life following MICS in comparison with CCS valve surgery. ⋯ Although longer aortic clamp and cardiopulmonary bypass times remain a problem in MICS procedures, our results suggest that MICS, as compared with CCS, facilitates earlier recovery of daily activities and provides improved quality of life in the early postoperative period.
-
Journal of anesthesia · Jan 2003
Newly developed T-wave inversion with cardiac wall-motion abnormality predominantly occurs in middle-aged or elderly women after noncardiac surgery.
The study was done to determine the characteristics and prevalence of myocardial ischemia with inverted T waves after noncardiac surgery. ⋯ Newly developed giant negative T waves with QT prolongation in the ECG may indicate myocardial stunning, but do not in themselves imply a poor prognosis. The marked preponderance of middle-aged and elderly women with this type of myocardial ischemia remains to be explained.
-
Journal of anesthesia · Jan 2003
Randomized Controlled Trial Clinical TrialAbsence of efficacy of ultrasonic two-way Doppler flow detector in routine percutaneous arterial cannulation.
-
Journal of anesthesia · Jan 2003
Survey of patients whose lungs could not be ventilated and whose trachea could not be intubated in university hospitals in Japan.
We conducted a survey to clarify the actual circumstances in which the lungs could not be ventilated and the trachea could not be intubated (CVCI). ⋯ This survey demonstrates that CVCI can occur in any situation in which the airway is not established. Furthermore, effective treatments may be different depending on the situation, and delayed recognition of tracheal tube misplacement may lead to a serious outcome.