Masui. The Japanese journal of anesthesiology
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Remifentanil has strong analgesic fore tried to use remifentanil for anesthetic management of awake craniotomy (AC) and assessed its efficacy. ⋯ Remifentanil is effective for anesthetic management of AC. However, respiratory management is necessary.
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Comparative Study
[Landmark method and ultrasound-guided method of internal jugular vein puncture: comparison of residents with staffs].
We compared landmark with ultrasound-guided methods of internal jugular vein puncture in residents and staffs. ⋯ Residents need more practice of internal jugular vein puncture on a manikin before clinical practice.
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In Japan, endovascular abdominal aneurysm repair became one of the standard procedures in 2006. It has been performed in 8 patients at our hospital. ⋯ We usually use radiographic monitoring for safe and precise insertion of the catheter into the epidural space. Epidural catheterization with radiographic monitoring is useful for safe and reliable epidural analgesia.
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Randomized Controlled Trial Comparative Study
[Effects of intravenous midazolam, fentanyl or ketamine on pain relief during performance of epidural anesthesia].
Performing epidural anesthesia is accompanied by pain. The aim of this study is to examine whether intravenous administration of a sedative, an opioid, or an anesthetic eliminates pain score during the epidural procedure. ⋯ The findings obtained from this study suggest that the analgesic action of the drug is not essential to the pain relief and the anxiolytic action is important for the epidural procedure.
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Case Reports
[Case of failed spinal anesthesia for cesarean section caused by spinal arachnoid cyst].
A 27-year-old pregnant woman was scheduled for cesarean section under spinal anesthesia. Although there was no trouble in three repeated spinal punctures, the anesthetic effect was insufficient. ⋯ Postoperatively, spinal arachnoid cyst was found by MRI. The cyst was thought to have caused insufficient analgesic effect of spinal anesthesia in this patient.