Masui. The Japanese journal of anesthesiology
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Clinical Trial
[Postoperative Analgesia in Peritonectomy for Patients with Peritoneal Surface Malignancy].
We investigated the efficacy of postoperative analgesia in peritonectomy for patients with peritoneal surface malignancy, by comparing peripheral nerve block (PNB) with intravenous patient controlled analgesia (iv-PCA) group to patient controlled epidural analgesia (PCEA) group. ⋯ PNB+iv-PCA decreased the rate of administration of flurbiprofen as compared to PCEA for postoperative pain after peritonectomy.
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The bifurcation into tibial nerve and common peroneal nerve is generally targeted for sciatic nerve block at popliteal approach. However, it is sometimes difficult to determine the exact bifurcation point in clinical situation. The mean distance between the popliteal fossa and division of sciatic nerve (DPDSN) was reported approximately 6 cm ± 2.5 cm in Caucasian cadaver study. We also studied DPDSN in Japanese cadaver to find ethnic difference. ⋯ DPDSN of Japanese cadaver is shorter than the previously reported data in Caucasian cadaver. Since the DPDSN has inter-individual and intra-individual differences, we should estimate the DPDSN carefully in each leg using ultrasonography and nerve stimulator.
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Randomized Controlled Trial
[Effect of Preoperative Oral Rehydration on Onset Time and Recovery Time of Rocuronium].
Preoperative oral rehydration solution (ORS) prevents hypovolemia. The aim of this study was to compare the effect of intubating dose of rocuronium in patients taking and those not taking preoperative ORS. ⋯ Preoperative oral rehydration possibly increases circulating blood volume, and shortens the duration of rocuronium effect.
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Case Reports
[Successful Tracheal Intubation Using Videolaryngoscope in an Infant with Massive Tongue Swelling].
We report use of videolaryngoscope for difficult airway management in an infant with severe tongue swelling after laceration repair. A 3-month-old male infant was transferred to our hospital for respiratory difficulty. He could not open his mouth sufficiently, and the examination revealed massive swelling of the left side of the tongue. ⋯ We then inserted the Pentax Airway Scope with an infant-sized Intlock (AWS-I) from the right side of the mouth and obtained a good view at laryngoscopy. A 3.5-mm tracheal tube was passed uneventfully under the view of AWS-I. The AWS-I is useful for difficult airway management in infants, preserving spontaneous ventilation.
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We evaluated whether using thromboelastometry and tranexamic acid influenced blood loss and transfusion requirements in cardiac surgery requiring cardiopulmonary bypass. ⋯ The use of ROTEM and tranexamic acid can potentially reduce blood loss and transfusion requirements in cardiac surgery.