Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial
[Effect of continuous intravenous infusion of flurbiprofen axetil and tramadol hydrochloride for postoperative pain management of laparoscopic colectomy].
In this study, we evaluated the efficacy of continuous intravenous infusion of flurbiprofen axetil (FA) combined with tramadol hydrochloride (TH) for postoperative pain control after laparoscopic colectomy. ⋯ Continuous intravenous injection of FA plus TH is more effective than FA alone for postoperative pain management after laparoscopic colectomy.
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A 62-year-old woman was treated for schizophrenia for 40 years. When the symptoms had deteriorated and new medications had to be added, CPK rose and she malignant syndrome was suspected. The electroconvulsive therapy (ECT) was proposed because of no improvement of the symptoms. ⋯ Anesthesia was induced and maintained using target controlled infusion (TCI) of propofol. After ECT was performed, sugammadex sodium 4 mg . kg-1 was administered at 2 post-tetanic counts (PTC) and the patient could come out the operating room safely and speedy. ECT using rocuronium bromide and sugammadex sodium can be performed safely and speedily, when suxamethonium chloride cannot be used.
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Amyotrophic lateral sclerosis (ALS) is a degenerative disease involving motor neurons. The anesthetic problem is increased susceptibility to non-depolarizing muscle relaxants and the feasibility of spinal and epidural anesthesia. An 86-year-old man with ALS underwent colostomy to the ileus. ⋯ Post-operative course was uneventful. Our anesthetic management of ALS patient using sugammadex was successful. Further evidence is required to establish appropriate use of sugammadex for ALS patients.
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We report a patient with anemia and hypoalbuminemia who developed decubitus ulcer along the epidural catheter. A 35-year-old woman underwent cesarean section under combined spinal-epidural anesthesia. Erosive and erythematous skin lesions along the epidural catheter were noted 48 hours after insertion of the epidural catheter. The skin lesions were thought to be decubitus ulcer along the epidural catheter due to mechanical pressure caused by fixation of the catheter with an adhesive tape after prolonged supine position.
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We report anesthetic management of caesarean section using common iliac artery balloon occlusion in 6 patients with placenta previa. Placenta previa might induce critical hemorrhage during caesarean section. ⋯ There was no perioperative complication in these patients. Common iliac artery balloon occlusion could reduce blood loss during caesarean section in patients with placenta previa.