Masui. The Japanese journal of anesthesiology
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The aim of the present study was to evaluate the suitability of Airtraq optical laryngoscope for the tracheal intubation in children. ⋯ The Airtraq optical laryngoscope might be an alternative apparatus for endotracheal intubation in pediatric patients.
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Retroperitoneal laparoscopic surgery has recently become a common procedure for urological fields. We investigated the incidence of respiratory complications and their background during retroperitoneal laparoscopic surgical procedures performed in the kidney position. ⋯ Respiratory complications, such as atelectasis or pneumomediastinum, occurred in more than half of the patients after urological retroperitoneal laparoscopic surgical procedures in the kidney position. Careful perioperative management and postoperative CXR examinations are essential for early detection of such potentially life-threatening complications.
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Case Reports
[Case report of endotracheal intubation using AirWay Scope (Pentax-AWS) in a Forestier's disease patient].
A Forestier's disease patient was scheduled for endoscopic mucosal resection under general anesthesia, because of his hypoxic episode during gastric endoscopy. Endotracheal intubation was planned while awake, because he was suspected as a case of difficult airway. ⋯ The procedure was successful with no complications. AWS seems to be a useful device for endotracheal intubation in Forestier's disease.
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We administered anesthesia for a 20-month-old boy with non-bullous ichthyosiform erythroderma who underwent orthopedic syndactyly repair on two occasions. Anesthetic considerations include the difficult fixation of the tracheal tube and iv cannulas and the risk of hypothermia. Intravenous access placement was also difficult due to the hyperkeratosis and the deformity of extremities. ⋯ To maintain body temperature we used forced air warming device Bair Huggar, which was very useful to avoid hypothermia but resulting in a rather high body temperature. In conclusion, a tube holder was an effective device to fix the tracheal tube in this patient. Forced air warming device was useful to prevent hypothermia.
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Case Reports
[Case of anesthesia for laparoscopic cholecystectomy in a patient with a history of frequent anaphylaxis].
Idiopathic anaphylaxis is a rare disease that induces anaphylactic shock without extrinsic incentive. We had a patient with such frequent episodes undergoing laparoscopic cholecystectomy. ⋯ Consequently, we can safety manage anesthesia without episode of anaphylactic shock. To prepare for anaphylaxis we prepared usual therapeutic drugs for shock and measured serum tryptase, which has longer half-life than that of histamine.