Masui. The Japanese journal of anesthesiology
-
Randomized Controlled Trial Clinical Trial
[The effect of intrathecal fentanyl added to hyperbaric bupivacaine for caesarean section].
Management of cesarean section with spinal anesthesia is often accompanied with intraoperative nausea and pain. In a randomized controlled study, we explored the effect of intrathecal fentanyl on the characteristics of subarachnoid block in patients undergoing cesarean section. ⋯ Addition of intrathecal fentanyl to hyperbaric bupivacaine in parturients undergoing cesarean section improved quality of anesthesia without producing significant side effects.
-
Randomized Controlled Trial Comparative Study Clinical Trial
[Bispectral index (BIS) in infants anesthetized with sevoflurane in nitrous oxide and oxygen].
The bispectral index (BIS) has been shown to be useful in monitoring a degree of hypnosis in anesthetized adults. Although several studies have been performed to evaluate BIS in pediatric patients, it is unclear whether BIS monitor can be applied to infants. This study was designed to evaluate if the BIS monitor can be used in infants as a measure to monitor a degree of hypnosis. ⋯ There were significant differences of BIS values between < or = 6 months and > or = 7 months old infants. BIS values should be interpreted cautiously in infants younger than 6 months.
-
We reported that the practical knowledge and skill on basic life support were not enough among nursing staffs. Therefore, to clarify the existing conditions and issues in CPR education we carried out a survey on knowledge of and experience in cardiopulmonary resuscitation (CPR) and on knowledge of the Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (ECC) established in 2000. ⋯ The results of this survey demonstrate the need to provide more education (on CPR) to nursing staff.
-
In the current anesthetic practice in the United Kingdom (UK), there are some unique characteristics that are not necessarily familiar to the Japanese anesthesiologists. The author has obtained first-hand experience in anesthesia in the UK as a qualified anesthetist through the fellowship program between the Royal College of Anaesthetists and the Japanese Society of Anesthesiologists. The major differences in the UK anesthetic practice from its Japanese counterpart include dissimilarity in the use of drugs, the existence of "anaesthetic rooms", the expertise of perfusionists and operating department practitioners, and excellent systematic support from hospital professionals such as statisticians and graphics experts. Although the UK anesthetic practice may not be perfect, it certainly provides practical wisdom that may be useful for Japanese anesthesiologists.
-
In order to know general understanding or impression of anesthesia by citizens, we performed a questionnaire survey. ⋯ We have realized through the questionnaire survey that the majority of citizens still consider an anesthesiologist as a technician merely putting patients into sleep for surgery. At the preoperative examination or round, we have to explain procedures and potential risks related to anesthesia to a patient and also have to answer patient's questions fully. We anesthesiologists should do more efforts to enlighten citizens at every opportunity so that citizens would understand our work fields and evaluate anesthesiologists correctly.