The Tokai journal of experimental and clinical medicine
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Tokai J. Exp. Clin. Med. · Sep 2004
Comparative StudyDeveloping and establishing an ideal method of continuous-infusion epidural analgesia for delivery using the double-catheter method.
We evaluated the efficacy of a new method of induction of epidural obstetric analgesia devised by us. The upper and lower catheters used for the epidural double-catheter method were connected to a compression-type disposable injector (Coopdech Syrinjector). 0.125 % bupivacaine + 2 microg/ml fentanyl (6 ml/h) were serially injected via the upper catheter. In the latter half of Stage 1 of labor, the same drugs were continuously infused via the lower catheter (4 ml/h). ⋯ The mean number of additional drug doses injected via the lower catheter was 0.37+/-0.57(range: 0-2). The number of additional doses in the 49 women averaged 0.16 per hour and 1.04 per delivery. Thus, good results were obtained.
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Tokai J. Exp. Clin. Med. · Sep 2004
Case ReportsAirway management during the laryngoscopic surgery for the benign laryngeal obstructive disease.
The airway management and anesthesia maintenance during the laryngoscopic surgery is essential for a safe operation. For the benign laryngeal obstructive disease such as a large mass or a foreign body of the upper airway, it is difficult to secure the airway. ⋯ They were successfully operated on with laryngomicrosurgery under neuroleptanalgesia (NLA) without intubation. The choice of the operation and airway management were discussed.