Journal of anesthesia
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Journal of anesthesia · Apr 2019
Factors affecting phantom limb pain in patients undergoing amputation: retrospective study.
The efficacy of preemptive analgesia for prevention of phantom limb pain has been controversial although pain management before amputation is empirically important. The aim of this study was to determine the associated factors with perioperative phantom limb pain. ⋯ The types of anesthesia and the degree of postoperative pain were not related to the development of phantom limb pain. The present data suggest that insufficient preoperative pain with NSAIDs and diabetes mellitus would give an impact on the development of phantom limb pain.
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Journal of anesthesia · Apr 2019
A survey of anesthetic preference and preoperative anxiety in hip and knee arthroplasty patients: the utility of the outpatient preoperative anesthesia appointment.
The general public's perceptions of anesthesia and the risks associated with it may be skewed. The outpatient preoperative appointment with an anesthesiologist allows for patient education regarding different anesthetic options and counseling regarding anxiety related to anesthesia and surgery. This study investigates whether the preoperative appointment for hip and knee arthroplasty alters patient preference for general or spinal anesthesia and reduces patient anxiety. ⋯ The preoperative anesthesia meeting serves an important role in educating patients regarding anesthesia, and can influence patients' choice of anesthetic while also reducing overall patient anxiety.
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Journal of anesthesia · Apr 2019
Practice GuidelineGuidelines for the use of cerebral oximetry by near-infrared spectroscopy in cardiovascular anesthesia: a report by the cerebrospinal Division of the Academic Committee of the Japanese Society of Cardiovascular Anesthesiologists (JSCVA).
Cerebral Oximetry by Near-infrared Spectroscopy (NIRS) has been used in cardiovascular anesthesia, but there was no guideline of regional cerebral oxygen saturation measured by cerebral oximetry by NIRS. This guideline provides recommendations applicable to patients at a risk of developing cerebral ischemia in cardiovascular surgery. Guidelines are intended to define practices meeting the needs of patients in most, but not all, circumstances, and should not replace clinical judgment. ⋯ Adherence to recommendations could be enhanced by shared decision making between healthcare providers and patients. This guideline was focused on cerebral oximetry of pediatric and adult cardiovascular disease. We hope this guideline would play an important role in using cerebral oximetry by measured NIRS.
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Journal of anesthesia · Apr 2019
Intraoperative vasoplegic syndrome in patients with fulminant myocarditis on ventricular assist device placement.
Fulminant myocarditis is uncommon, but life-threatening, and some patients need mechanical circulatory support. This study was performed to evaluate how different types of mechanical circulatory support-biventricular assist device (BiVAD) or left ventricular assist device (LVAD) placement-affect intraoperative hemodynamic status. ⋯ Patients with BiVAD placement required more vasoactive support to maintain optimal hemodynamic status compared with those with LVAD placement. This result indicates that BiVAD placement was more associated with vasoplegic syndrome.
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Journal of anesthesia · Apr 2019
The F Breathing Circuit, a universal single-limb breathing circuit: brief historical perspective.
This article presents a brief historical perspective of the F Breathing Circuit, a universal single-limb breathing circuit. The single-limb breathing circuit (tube within a tube configuration) comprises two tubes of sufficient size and compliance, so that either channel enables safe, unrestricted inspiration/expiration at all times in spontaneous and controlled ventilation. ⋯ Therefore, it qualifies as a universal breathing circuit. Since its first introduction in Japan (1978), which was followed by further modifications and improvements, the circuit was made available in USA and worldwide.