Journal of anesthesia
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Journal of anesthesia · Dec 2018
ReviewChallenges and hurdles for patient safety in obstetric anesthesia in Japan.
The use of pain relief for labor has gained popularity in Japan. However, its acceptance is still low among laboring women: only 6.1% of Japanese parturients receive labor analgesia, in contrast with the United States, where approximately 70% receive labor analgesia. ⋯ In this review, we focus on current approaches to labor analgesia in the United States as they compare to existing practices in Japan. We discuss challenges for the introduction and implementation of standard anesthesia practice into the Labor and Delivery Room (LDR; i.e., labor and delivery ward), aiming to secure safety for both mothers and fetus in every part of Japan in the near future.
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Journal of anesthesia · Dec 2018
Observational StudyRequired cefazolin concentration to maximize diagnostic accuracy of the basophil activation test for cefazolin-induced anaphylaxis.
Identifying the causative agent of perioperative anaphylaxis is key to preventing its recurrence. Besides skin testing, the basophil activation test (BAT) is increasingly being accepted as an additional and reliable method. Cefazolin seems to be a major cause of perioperative anaphylaxis. However, few studies have described use of the BAT for cefazolin-induced anaphylaxis. In this study, we aimed to determine the optimum cefazolin concentration required in the BAT for an accurate diagnosis. ⋯ Using a higher concentration of cefazolin than previously reported for the BAT might increase the accuracy of diagnosis of cefazolin-induced anaphylaxis.
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Journal of anesthesia · Dec 2018
EditorialA good beginning makes a good ending: association between acute pain trajectory and chronic postsurgical pain.
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Journal of anesthesia · Dec 2018
Comment LetterThe necessity to use selective NADPH oxidase inhibitors.
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