Masui. The Japanese journal of anesthesiology
-
Randomized Controlled Trial Meta Analysis Comparative Study
[Channeled videolaryngoscope: A meta-analysis of randomized controlled trials].
The aim of this meta-analysis was to assess the efficacy of the channeled videolaryngoscopes in routine tracheal intubation. ⋯ Compared to the Macintosh laryngoscopy, channeled videolaryngoscopy offers advantages for novice laryngoscopists, while these benefits are not seen with experts' hands in normal airways. Even with skillful hands, channeled videolaryngoscopy improves the successful first-attempt intubation in difficult intubations.
-
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.
-
Peripheral nerve block (PNB) is now widely performed in operating room by anesthesiologists. PNB is associated with multiple benefits compared to general anesthesia, but we should consider the complications of PNB. ⋯ Ultrasound guided PNB has become very popular now, and it has many potential advantages, such as direct visualization of nerves and anatomical structures, and direct and indirect visualization of spread of local anesthetics during injection with the possibility of repositioning the needle in case of maldistribution of local anesthetic. The half of these complications can be prevented by use of ultrasound guided PNB.
-
Intracranial subdural hematoma (SDH) following dural puncture (DP) is a life-threatening complication. However, the characteristics and prognosis are little-known. ⋯ Seventy per cent of SDH occured following anesthesia related procedures. Most of them had an onset within one month after DP The prognosis was relatively good as long as SDH could be diagnosed at its early stage. It was necessary to observe the disappearance of postural headache and associated symptoms carefully to avoid delayed diagnosis.
-
Review Meta Analysis
[Anesthetic management of patients with hypertrophic obstructive cardiomyopathy undergoing non-cardiac surgery].
A considerable amount of data are available regarding cardiac risk in patients with coronary artery disease undergoing non-cardiac surgery, but few data are available regarding risk for patients with cardiomyopathy. ⋯ Careful planning is inevitable in anesthesia for patients with HOCM. Although the rate of major perioperative complications is relatively low, they can occur unexpectedly and resemble the natural course of HOCM. In order to clearly elucidate risk factors for adverse perioperative outcomes, further analysis will be necessary as more cases are documented.