Masui. The Japanese journal of anesthesiology
-
Randomized Controlled Trial Clinical Trial
[The efficacy of intravenous lidocaine for acute herpetic pain--placebo controlled trial].
Acute herpetic pain (AHP) which is considered not only nociceptive pain but also neuropathic pain, is often severe and intractable. Although there have been reports of the efficacy of intravenous lidocaine (IVL) for neuropathic pain, the efficacy of lidocaine for AHP is not known. Therefore, the effect of IVL for AHP was examined. ⋯ This study demonstrates that IVL has a significant analgesic effect in patients with AHP.
-
Comparative Study
[A pilot assessment of the FloTrac cardiac output monitoring system comparing with pulmonary artery catheter method by three versions].
Clinical significance of PA catheter is controversial. FloTrac sensor bases its calculations on arterial waveform characteristics. We conducted a pilot assessment of the FloTrac sensor by three versions comparing with pulmonary artery catheter (PCA) methodology. ⋯ CO measured by a new semi-invasive arterial pressure waveform analysis device showed better agreement with pulmonary artery thermodilution measurement of the newer version.
-
Case Reports
[A case of neuropathic cancer pain in the lower extremities successfully treated with spinal cord stimulation].
A 76-year-old man was referred to our pain clinic for the treatment of bilateral lower extremity pain due to metastasis of renal cell carcinoma to the sacrum. The pain could not be controlled with narcotics, antidepressant or the epidural block. ⋯ Therefore, spinal cord stimulation (SCS) was performed, relieving the pain until death, 6 months after its induction. This case shows the usefulness of SCS for neuropathic cancer pain that shows signs similar to those of benign disease.
-
Myasthenia gravis (MG) is an autoimmune disease characterized by muscle weakness and fatigability. Women with MG have increased risk of pregnancy-related complications and an adverse pregnancy outcome. Maternal changes in pregnancy can also affect MG. ⋯ In addition to her usual medications, we performed plasmapheresis to improve her condition for the operation not with fresh frozen plasma but with albumin solution just before the operation. No obvious abnormality of coagulation system was observed, and combined spinal and epidural anesthesia was performed with no adverse outcome. We managed her perioperative period free from myasthenic crisis.
-
Case Reports
[The use of "laryngospasm notch" in two patients whose oxygen saturations dropped after tracheal extubation].
In 1998, Dr. Larson described the technique of applying pressure to the "laryngospasm notch" as the best treatment for laryngospasm. Yet, there are no case reports of using this technique in the literature. ⋯ In both cases, the patients began to breathe spontaneously shortly after using this technique and oxygen saturation increased to 100%. The incidence of laryngospasm is higher after tracheal extubation. The "laryngospasm notch" method is a good technique to treat this condition.