Masui. The Japanese journal of anesthesiology
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We evaluated the effect of repeated transversus abdominis plane (TAP) blocks on postoperative analgesia over the first 48 postoperative hours in the patients undergoing lower abdominal gynecological surgery. ⋯ These findings suggest that bilateral repeated TAP blocks via a placed catheter provide good analgesia without any complications in patients undergoing ovarian cystectomy.
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The risk factors for postoperative myasthenic crisis (MC) in patients with myasthenia gravis (MG) receiving preoperative corticosteroids were unknown. ⋯ Based on this study, we concluded that the existence of preoperative bulbar symptoms seems to be a predictor for the development of postoperative-MC in patients with MG undergoing a transsternal thymectomy.
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Case Reports
[Sudden increases and decreases in bispectral index values more than 30 within 1 minute during general anesthesia].
We described, in a 40-year-old man, sudden and unexpected increases in bispectral index values during the general anesthesia with total intravenous anesthesia using propofol in a dental surgery. The patient was administered continuous infusion of propofol and remifentanil, and intermittent supplementation of fentanyl. ⋯ The extent of unanticipated increase might be compatible with the duration of surgical procedure using dental air turbine. Therefore, the noise from surgical device might induce unpredictable change in bispectral index values.
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We describe anesthetic management of a patient with airway stenosis due to a tracheal tumor involving the carina. A 68-year-old man developed dyspnea and was scheduled for YAG laser surgery under general anesthesia. ⋯ The operation was completed successfully without any adverse events, and PCPS was not used. In this patient, preservation of spontaneous breathing using remifentanil was found to be useful for airway management.