Masui. The Japanese journal of anesthesiology
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We experienced inadequate gas supply to the patients from the breathing circuit of anesthesia delivery system with APL valve at full open position. It was hardly noticed after the check-up before starting work with anesthesia delivery system. This problem was caused by the mistake in installing the one-way valve when the repair of anesthesia delivery system was done. In addition to the check-up before starting work, we should check whether gas comes out from the breathing circuit.
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The most confusing point in management of the patients with failed back surgery syndrome (FBSS) is that the presence of FBSS is judged not by the objective symptom such as neurological deficit evaluated by medical staff but by the subjective symptom including feeling of pain, disability and satisfaction on medical treatment. In this paper, diagnosis, cause and prevention of FBSS are summarized.
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To prevent peripheral nerve injury and neuropathic pain resulting from venipuncture, medical students and medical workers should be educated about the following points in clinical practice. First, the medial aspect of the antecubital fossa should not be punctured, to prevent injury to the median and medial anterobrachial cutaneous nerves. Second, the symptoms and signs of neuropathic pain resulting from venipuncture should be taught, to recognize the onset of neuropathic pain. Third, pharmacotherapy for the management of neuropathic pain should be taught to treat neuropathic pain resulting from venipuncture.