Masui. The Japanese journal of anesthesiology
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Clinical Trial
[Effectiveness of underbody type forced-air warming blanket during endovascular aneurysm repair].
Intraoperative hypothermia is frequently observed during endovascular aneurysm repair (EVAR), leading to postoperative serious sequelae. We evaluated the effectiveness of underbody type forced-air warming blanket against hypothermia during EVAR. ⋯ Underbody type forced-air warming blanket is effective to prevent intraoperative hypothermia during EVAR.
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We report three cases of continuous wound infiltration (CWI) for postoperative analgesia in upper abdominal surgery using the multi-holed epidural catheter. Ropivacaine 0.2% at a rate of 8 ml x hr(-1) was administered through the catheters after surgery. Intravenous-patient controlled analgesia was used as a rescue. ⋯ The consumption of rescue morphine was little and no side effect of morphine was observed. CWI is an easy procedure and is indicated in the patients with hemostatic abnormality and a difficulty in the epidural anesthesia. CWI was an effective technique for postoperative pain control in the upper abdominal surgery patients.
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Case Reports
[Anesthetic machine leakage from vaporizer by external force derived from keyboard of electronic medical records].
We experienced the leakage from the vaporizer of the anesthetic machine despite the normalities on performing the initial leak test. The vaporizer of the anesthetic machine was compressed by computer keyboard of EMR which caused a leak from vaporizer. After computer keyboard and the vaporizer were set at normal position, the leak stopped.
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We describe a case of dextran-induced anaphylactic shock during general anesthesia. A 34-year-old woman was scheduled for partial hepatic resection under general anesthesia. General anesthesia was induced with intravenous remifentanil, thiamylal and rocuronium, and was maintained with oxygen, air, sevoflurane and remifentanil. ⋯ The patient's blood pressure and oxygen saturation immediately improved, and the operation was resumed. No postoperative complications were evident, and the postoperative course was uneventful. Although low molecular weight dextran is often used as plasma expander or to prevent thromboembolism, it can cause severe hypotension or bronchospasm during general anesthesia.