Masui. The Japanese journal of anesthesiology
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We experienced inadequate gas supply to the patients from the breathing circuit of anesthesia delivery system with APL valve at full open position. It was hardly noticed after the check-up before starting work with anesthesia delivery system. This problem was caused by the mistake in installing the one-way valve when the repair of anesthesia delivery system was done. In addition to the check-up before starting work, we should check whether gas comes out from the breathing circuit.
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The most confusing point in management of the patients with failed back surgery syndrome (FBSS) is that the presence of FBSS is judged not by the objective symptom such as neurological deficit evaluated by medical staff but by the subjective symptom including feeling of pain, disability and satisfaction on medical treatment. In this paper, diagnosis, cause and prevention of FBSS are summarized.
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In general anesthesia for a patient with dystrophia myotonica (DM), respiratory depression and muscle weakness by opioid, as well as prolongation of the effect of muscle relaxant are seen postoperatively. Therefore it is desirable to choose agents with short duration of action and to dose these medicines to the minimum. We report a case of a 45-year-old woman with DM who underwent laparotomy for uterine cancer under general anesthesia combined with epidural anesthesia. ⋯ Recovery was smooth and fast. The respiratory depression and the muscle spasm were not noticed. RB and RE both with short duration of action, are useful in anesthesia management in DM cases.
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We report the history and current issues of anesthesia in Korea. Korean medical doctors have to take 1-year internship and 4-year residency to be qualified to take the national examination for a board-certified anesthesiologist. ⋯ The Korean government adopted nurse-anesthetists in 1973 because of shortage of board-certified anesthesiologists. The Korean Society of Anesthesiologists is now demanding its amendment.