Masui. The Japanese journal of anesthesiology
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In recent years, workload for a doctor has been increasing, because hospital managers are trying to improve the efficiency of management. As a result, many doctors are expected to work harder. We studied how anesthesiologists are stressed by their work, especially on working overnight, using the Profile of Mood States(POMS). ⋯ We studied anesthesiologist's stress of working overnight, using the Profile of Mood States. As a result, after overnight work, fatigue, confusion and vigor scores were significantly exacerbated. We speculate that the anesthesiologists are building up so much stress when they work overnight as on call.
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We report a case showing a bispectral index (BIS) value "10" during anesthesia maintained with propofol. Vital signs of the patient including blood pressure and heart rate were stable and the depth of anesthesia was considered as adequate. The serum concentration of propofol measured later was 2.5 and 2.2 microg ml(-1) when BIS indicated 10 and 35, respectively. The age of patient was 81 and the BIS values in elderly might decrease in accordance with the reduction of brain function.
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Early detection of complications after craniotomies are important and remifentanil may be beneficial for that purpose because of the short and constant context-sensitive half time. To examine the efficacy of remifentanil in neuroanesthesia, we investigated hemodynamic properities and recovery from anesthsia in craniotomies. ⋯ Remifentanil is suitable for neuroanesthesia because of the hemodynamic stability and quick recovery from anesthesia.
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The pain associated with spinal puncture is severe, and the memory of this uncomfortable procedure often deters patients from undergoing the procedure again. Therefore, it is important to make the patient as comfortable as possible when this procedure is performed. ⋯ In the patients aged <70 years, intravenous administration of 0.023-0.044 mg x kg(-1) of midazolam was very effective in preventing a bad memory concerning the spinal-tap procedure; however, it is important to note that the number of side effects associated with this procedure increases in patients aged > or =60 years.
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The Airway Scope (AWS) is a new videolaryngoscope which consists of an optical system and a single-use blade. The blade of the device is designed according with the pharyngeal anatomy, and thus the AWS is expected to have a role in the management of difficult airway. ⋯ The AWS provides a view of the glottis with Cormack-Lehane grade 1 and resulted in successful intubation in the 15 patients. The AWS is useful for the management of difficult airway.