Masui. The Japanese journal of anesthesiology
-
The effect of glucose on local anesthetic-induced neural damage has not been fully studied. We examined the effect of glucose on hemolysis induced by local anesthetics. ⋯ Glucose may have a protective role in local anesthetic-induced neural damage.
-
The quality of health information available in the World Wide Web is an important issue, but no review of the quality of such information has been performed. ⋯ Departments/divisions of anesthesiology, especially in specific functioned hospitals, should recognize an important role of web pages for medical consumers (= e-patient) and renew their web sites appropriately and opportunely.
-
Randomized Controlled Trial Comparative Study Clinical Trial
[Comparison of the effects of colloid and crystalloid solution for volume preloading on maternal hemodynamics and neonatal outcome in spinal anesthesia for cesarean section].
The role of crystalloid or colloid preloading to prevent hypotension associated with spinal anesthesia in parturients during cesarean section has recently been questioned. The aim of the current study was to investigate the effects of volume preload with either crystalloid or colloid, or with no preload on changes of maternal hemodynamics and neonatal outcomes. ⋯ In healthy patients with full-term pregnancy, volume preloading has little effect on maternal hemodynamics and neonatal outcomes, suggesting that stable perioperative management is possible with or without volume preload before spinal anesthesia. However, preloading may be needed for prevention of hypotension in emergency cases.
-
Case Reports
[Case of circulatory depression in an obese patient in prone position during general anesthesia].
A 25-year-old man [120 kg, 180 cm (body mass index=37 kg x m(-2)] underwent laminectomy and discectomy under general anesthesia in the prone position. Hall frame was used for supporting his body. In spite of a small amount of bleeding, the patient showed metabolic acidosis and hypotension with limb cyanosis one hour after changing position. ⋯ We consider that Hall frame allows patient's abdomen to hang freely, but compresses the body more strongly than expected, especially with heavy patients. It is possible for morbidly obese patients to develop seriously inhibited circulation due to Hall frame. Prone position with careful selection of support system may prevent these complications.
-
Sivelestat sodium hydrate (ELASPOL) was effective for ARDS in a fifty-year-old female patient suffering from chronic rheumatoid arthritis with acute exacerbation, after failing to respond to high dose steroid pulse therapy. In ICU, the patient had bilateral lung opacities, especially of the upper lobes, respiratory acidosis, hypercapnea (PaCO2 89 mmHg), and poor oxygenation (P/F ratio 193). High dose steroid pulse therapy had been performed, but oxygenation was not improved, and a low level of oxygenation (P/F ratio 155) persisted. ⋯ Respiratory support was terminated with P/F ratio 300. Plasma concentrations of SP-A and SP-D decreased after sivelestat administration, but concentration of KL-6 was still elevated. In this case, sivelestat was effective for ARDS in the patient not responding to steroid pulse therapy, and clinical finding and plasma concentrations of SP-A and SP-D were correlated well.