Masui. The Japanese journal of anesthesiology
-
Retraction Of Publication
Notice of formal retraction of articles by Dr. Yoshitaka Fujii.
-
Recent advances in pediatric airway management contribute to a significant decrease in morbidity and mortality in pediatric anesthesia. This article reviews the current concept of routine and difficult pediatric airway with special emphasis on preoperative pediatric airway assessment. ⋯ Based on the pediatric protocol recently published by the Difficult Airway Society (DAS), we discuss structured algorithms for unanticipated difficult pediatric airway. Simulation technology will aid acquisition and retention of pediatric airway management skills.
-
Preoperative fasting is principally intended to minimize the risk of pulmonary aspiration of gastric contents and facilitate the safe and efficient conduct of anesthesia. Liberalization of fasting guidelines has been implemented in most countries. In general, clear fluids are allowed up to 2h before anesthesia, and light meals up to 6h. ⋯ These guidelines apply to healthy children only. Exclusion criteria included obesity, diabetes, gastroesophageal reflux, ileus, bowel obstruction and emergency care. In particular, trauma and other emergency cases are at higher risk for aspiration regardless of fasting interval and should be managed appropriately.
-
Perioperative fluid therapy aims to provide water, electrolytes and calorie to maintain metabolic homeostasis. The landmark article in which Holliday and Segar proposed the rate and composition of parenteral maintenance fluids for hospitalized children is used to the fluid management for the pediatric surgical patient. ⋯ Routine intraoperative dextrose administration is no longer necessary. We should ultimately change our approach according to major intraoperative fluid shifts by rational, monitored, goal-directed combination of both crystalloid and colloid therapy, similar to that occurring in adult surgical patients.
-
Comparative Study
[Effect of different preoperative rehydration on sugar metabolism; comparison between Arginaid Water and OS-1].
Enhanced Recovery After Surgery (ERAS) program recommends carbohydrate load before surgery. However, the dose and dosing method of carbohydrate load are not clear. In this paper, effect of different preoperative rehydration on sugar metabolism in healthy volunteers is reported. ⋯ Optimum dosage and dosing method of preoperative carbohydrate should be scientifically verified in the future.