Masui. The Japanese journal of anesthesiology
-
The visibility and quality of the tracheal intubation may be improved by the video intubating laryngoscope (VIL). However, the efficacy using VIL among novice residents has not been reported. ⋯ The use of VIL improved success rate of tracheal intubation compared with OL. Retrospective analysis of video image revealed their progress and characteristics features in their laryngoscopic procedure. VIL was efficient in the education of the novice residents.
-
The aortic root dilatation and its dissection are the most catastrophic events in pregnancy with Marfan syndrome as has been reported. It has been shown that prophylactic beta-adrenergic blocker is effective in reducing the aortic distensibility. However, its fetal toxicity should be considered. ⋯ We could maintain maternal hemodynamics stable and good post cesarean uterus contraction. No severe adverse effects were observed in the infant. In conclusion, it is useful for maintaining the hemodynamics stable in a pregnant woman with Marfan syndrome and keep the infant safe from any adverse effects by infusing of landiolol.
-
Case Reports
[Usefulness of intraoperative transesophageal echocardiography for pediatric patients with congenital heart disease].
This report describes usefulness of intraoperative transesophageal echocardiograpy (TEE) based on 773 cases we experienced in 7 years. We assessed residual lesions, ventricular function and preload with TEE. We found a case with stenotic lesion in her lateral tunnel which TEE revealed after Fontan procedure. ⋯ The conditions improved just after withdrawing TEE probe. Neither inadvertent tracheal extubation, nor serious complication occurred during TEE examinations. The incidence of complications during pediatric TEE is low and TEE examination is useful for pediatric patients with congenital heart disease.
-
A 38-year-old man diagnosed as esophageal achalasia developed masseter muscle rigidity after intravenous suxamethonium during anesthetic induction. Anesthesia was maintained with intravenous agents and epidural blockade, while the masseter muscle rigidity continued. ⋯ These symptoms were dissolved by dantrolene administration. He was later proved to be negative with CICR test.
-
Clinical Trial
[Application of a PDE III inhibitor, olprinone, for fast track pediatric cardiac surgery].
We examined the effects of olprinone (OLP), a PDE III inhibitor, on the time to extubation and on the hemodynamics in infants and children undergoing fast track cardiac surgery. ⋯ The administration of OLP enables us to perform an immediate early extubation and provides stable hemodynamics. OLP would be useful in children undergoing fast track cardiac surgery.