Masui. The Japanese journal of anesthesiology
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We investigated retrospectively the relationship between the intrathecal dose of 0.5% hyperbaric bupivacaine and the use of 2% mepivacaine through an epidural catheter. ⋯ Spinal anesthesia induced by 1.2 ml of 0.5% hyperbaric bupivacaine with sequential epidural block induced by 5-10 ml of 2% mepivacaine caused no hypotension during cesarean section.
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Postoperative care following ambulatory surgery is done at home. Therefore, it is important to establish qualitative clinical discharge criteria that can be used to determine when patients can go home safely for the care by friend or relative. ⋯ A discharge scoring system is effective to determine the optimal length of stay in the ambulatory surgery unit and to achieve the prompt and safe discharge of patients. In order to popularize ambulatory surgery and reduce admission rate, it is necessary for us to make an effort to change patients' mind for ambulatory surgery.
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Review Meta Analysis
[Anesthetic management of patients with hypertrophic obstructive cardiomyopathy undergoing non-cardiac surgery].
A considerable amount of data are available regarding cardiac risk in patients with coronary artery disease undergoing non-cardiac surgery, but few data are available regarding risk for patients with cardiomyopathy. ⋯ Careful planning is inevitable in anesthesia for patients with HOCM. Although the rate of major perioperative complications is relatively low, they can occur unexpectedly and resemble the natural course of HOCM. In order to clearly elucidate risk factors for adverse perioperative outcomes, further analysis will be necessary as more cases are documented.
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Randomized Controlled Trial Clinical Trial
[The influences of nitrous oxide and ketamine on electroencephalogram during propofol-anesthesia].
The influence of nitrous oxide and ketamine on electroencephalogram (EEG) during the induction of general anesthesia with propofol was quantitatively analyzed. ⋯ When anesthesia is induced with nitrous oxide and/or ketamine together with propofol, and BIS is taken as an index of depth of anesthesia, the intracerebral concentration of propofol becomes excess.
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Comparative Study
[A comparison of two methods for continuous cardiac output measurement: PulseCO VS CCO].
PulseCO (PulseCO) (PulseCO Hemodynamic Monitor, LiDCO Co., London, England) is a low invasive apparatus to measure cardiac output continuously from arterial pulse waveform. CCO (774 HF 75, Edwards Lifescience Co., California, USA) is a continuous cardiac monitor commonly used clinically. The purpose of this study is to compare the accuracy of these two methods for cardiac output measurement with the thermodilution technique (TDCO) as control. ⋯ PulseCO was low invasive, and showed a significantly better correlation with TDCO, compared with CCO.