Masui. The Japanese journal of anesthesiology
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Meta Analysis Comparative Study
[Efficacy of Pentax-AWS in difficult airways: a meta-analysis of randomized controlled trials].
Increased evidence indicates that the Pentax-AWS (AWS) is useful for difficult airways. The aim of this meta-analysis was to assess the efficacy of the AWS in difficult airways, comparing that of Macintosh laryngoscopy. ⋯ There is considerable evidence that AWS has an advantage over Macintosh laryngoscope in difficult airways.
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Case Reports
[A child with Klippel-Feil syndrome in whom GlideScope was effective for tracheal intubation].
GlideScope videolaryngoscope (GlideScope, herein-after referred to as "GS", Verathon Medical, Bothell, WA, USA), with a high-resolution camera positioned on a blade, enables operators to confirm the position of the larynx and a tube through clear view, thereby conducting intubation safely in a patient whose neck is difficult to be bent back. As the blade is slim, GS is indicated for use in children whose oral cavity is narrow. We herein report safe and smooth intubation with GS in a child with Klippel-Feil syndrome in whom difficult intubation was predicted.
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Historical Article
[American contributions to Japanese anesthesiology--a historical view].
The origin of anesthesiology in Japan can be traced back to 1804, when Seishu Hanaoka administered anesthesia. However, the present day anesthesiology in Japan was shaped by two programs in the 1950s supported by the United States (US) Government. The first US program to influence anesthesiology in Japan was the Unitarian Service Committee (USC) Medical Mission. ⋯ Under this program, two Japanese physicians finished anesthesiology training in the US. Examining the history of our profession helps us understand the dedication and commitment of our pioneers, and prepares us to take on existing challenges to further the vision and goals set by our pioneers. The past provides us with a framework and understanding for how we pursue future opportunities and aspirations.
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Comparative Study
[Safety and beneficial effects of spinal morphine on the postoperative course of elderly patients undergoing surgical fixation of the femoral neck fracture].
We performed a retrospective study of the efficacy and safety of spinal anesthesia with 0.1 mg morphine in the postoperative course of elderly patients with femoral neck fracture. ⋯ The spinal administration of 0.1 mg morphine had beneficial effects and was safe in the postoperative period of elderly patients with femoral neck fracture provided that sufficient observation was given.
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Case Reports
[Anesthetic management of organ donation after brain death using continuous total hemoglobin measurement].
A 60-year-old woman declared brain dead was scheduled for organ donation. We continuously measured total hemoglobin values (SpHb) using a Radical-7 monitor (Masimo Co, Irvine, CA, USA) to maintain the functions of organs and oxygen delivery. At the start of surgery, the SpHb value was 9.3 g x dl(-1). ⋯ On cross-clamping of the aorta, the SpHb value increased up to 10.2 g x dl(-1). The heart, lungs, liver, pancreas, and kidneys were donated from the patient without organ dysfunction. The highlight of this case report is that anesthesiologists could use SpHb monitoring for management of hemodynamics in a brain-dead organ donor.