Masui. The Japanese journal of anesthesiology
-
[corrected] Epidural analgesia is one of the methods to relieve pain after the operation. In general, patient-controlled epidural analgesia (PCEA) is efficient in providing high patient's satisfaction. However, it is not clear whether the patients are really satisfied with this analgesic technique in our hospital. Therefore, we studied this issue in 70 patients who had received elective surgery and epidural analgesia postoperatively. ⋯ The limited use of PCEA may be caused by inadequate information given to the patients. Therefore, it is necessary to give more easily understandable information to the patients about this analgesic procedure for better patients' acceptance, comfort and satisfaction.
-
Not many cardiovascular surgeries of diabetic patients were performed with optimal preoperative glycemic control because there was no diabetologist in our hospital. To examine how this complication was treated in other hospitals, we conducted a questionnaire survey sent to anesthesiologists in Japan on perioperative management of diabetic patients undergoing cardiovascular surgery. ⋯ The survey showed that many anesthesiologists regarded perioperative glycemic control important and were satisfied with the present preoperative management. For better management, better cooperation between anesthesiologists, surgeons and diabetologists is needed.
-
May-Hegglin anomaly (MHA) is a rare hereditary disorder characterized by thrombocytopenia and giant thrombocytes and continuous appearance of inclusion bodies (Dohle like corpuscles) in the cytoplasm of granulocytes. A 26-year-old woman with MHA underwent cesarean delivery under general anesthesia, although she had no history of bleeding. The platelet count was 4.9x10(4) microgl(-1) the day before surgery. There was no unusual bleeding during and after the operation and we did not give her platelet transfusion.
-
The authors describe the pubic tubercle side approach of the obturator nerve block for the management of adductor muscle constriction associated with the transurethral resection of the lateral wall bladder tumor. ⋯ The pubic tubercle side approach of the obturator nerve was useful and without complications in comparison with the traditional approach.
-
A 68-year man with severe Parkinson's disease who had been implanted with deep brain stimulators into both sides, received an emergency surgery uneventfully under general anesthesia with standard monitoring. During the operation, the surgeon turned off the impulse generators and used bipolar diathermy. Postoperatively, he had transient episodes of severe Parkinson symptoms, which were controled by levodopa drugs.