Journal of anesthesia
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Journal of anesthesia · Jan 2006
Anesthetic management for the minimally invasive Nuss procedure in 21 patients with pectus excavatum.
The aim of this study was to assess the anesthetic management and postoperative analgesic effect of continuous epidural infusion for the minimally invasive Nuss procedure. A total of 21 operated cases were analyzed retrospectively. Thoracoscopy was used in all cases. ⋯ Postoperatively, 12 (57.1%) patients required no additional analgesics, and 4 (19.0%) patients required a single dose of dicrofenac sodium or pentazocine. Although the Nuss procedure is minimally invasive, we should pay attention to the possibility of many intra- and postoperative complications. Continuous epidural infusion of fentanyl with local anesthetics provides effective postoperative pain relief and prevents complications such as bar displacement after the Nuss procedure.
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Journal of anesthesia · Jan 2006
Case ReportsPostoperative airway obstruction after airway tumor debulking.
Postoperative airway obstruction is a relatively common complication after anesthesia, occurring most often after head and neck surgery. We present a case of postoperative airway obstruction in a patient who underwent airway tumor debulking. This case demonstrates that, in high-risk patients, despite the traditional methods of determining eligibility for extubation, postoperative airway obstruction can still occur, and alternative means of extubation should be considered.
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Journal of anesthesia · Jan 2006
Effects of AM281, a cannabinoid antagonist, on circulatory deterioration and cytokine production in an endotoxin shock model: comparison with norepinephrine.
The purpose of this study was to examine the comparative effects of AM281, a cannabinoid antagonist, and norepinephrine (NE) on systemic hemodynamics, and renal and mesenteric artery blood flow in an endotoxin shock model. ⋯ Although NE and AM281 both prevented endotoxin-induced deterioration of systemic hemodynamics, AM281 yielded better preservation of mesenteric blood flow and attenuation of cytokine production than NE.