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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Anaphylaxis during anesthesia is a rare but life-threatening event. Sugammadex is a recently introduced drug that was specifically designed for the reversal of rocuroium and vecuronium-induced neuromuscular block. ⋯ Initial management consisted of fluid administration and intermittent i.v. ephedrine, epinephrine, and hydrocortisone. The patients made uncomplicated recovery and were discharged.
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Comparative Study
[Bladder temperature versus tympanic temperature in patients undergoing abdominal aortic aneurysm surgery].
Inaccurate measurements of body temperature might be associated with complications during the perioperative period. We conducted a retrospective cohort study to compare the bladder temperature and the tympanic membrane temperature in patients undergoing open repair of abdominal aortic aneurysm. ⋯ The tympanic membrane might be a reliable site for core body temperature measurement in abdominal aortic aneurysm surgery patients.
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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.