Masui. The Japanese journal of anesthesiology
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Before emergency medical technicians are licensed to perform prehospital endotracheal intubation, they must undergo training in the operating room setting. We investigated the incidence of cases of difficult intubation classified as Cormack & Lehane grade III or IV, because such cases are considered inappropriate for training emergency medical technicians. ⋯ Patients with grade I or II view of larynx with a Macintosh blade was only 91%. In order to prepare for unexpected case of difficult intubation, it is necessary to take various measures such as having instructors perform laryngoscopy.
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Transient right bundle branch block occasionally occurs under anesthesia. We report a case of heart rate dependent right bundle branch block during sevoflurane anesthesia. A 74-year-old man was scheduled for partial hepatectomy. ⋯ There was no change in his vital signs and subjective symptoms. Serum level of creatine phosphokinase (CPK) isoenzyme was within normal ranges, and change of ventricular conduction corresponded with the change of heart rate. These observations suggest that transient CRBBB in this case was rate dependent.
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There is little information on gender related problems in medicine from a point of view of the male anesthesiologists. ⋯ More than half of male anesthesiologists felt a gender inequity especially in family responsibility. In addition, it is impressive that most of male anesthesiologists were unaware of gender inequity in promotion in face of the fact that the number of the female professors was very small. Systemic effort is required to grapple with gender inequity problems to change the social organization in the field of medicine.
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Difficult Airway Management (DAM) is one of the most important skills for medical practice, especially for anesthesiologists. A seminar of DAM was held in the 51 st annual meeting of Japan Society of Anesthesiologists. It consisted of a 60-minute lecture about ASA difficult airway management algorithm, and a 120-minute hands-on training session using a mid-fidelity human simulator. ⋯ The questionnaire revealed that the most popular technique for DAM was insertion of laryngeal mask airway (ILMA). Otherwise the invasive techniques were difficult to be experienced in the clinical practice. We suspected that the DAM seminar was useful, especially for the invasive technique without substitute training methods under clinical situation.
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Comparative Study
[Evaluation by undergraduate medical students of clinical clerkships in the department of anesthesiology--comparison with the evaluation in previous fiscal year].
Clinical Clerkships in the Department of Anesthesiology were evaluated by undergraduate medical students and compared with other clinical departments and those of previous fiscal year 2003. ⋯ Reevaluation of the educational program in our department based on the results of the survey is essential for improvement of the program, and further provision of chances, especially for physical examinations, is also needed for undergraduate students in the program by including palliative medical care program.