Masui. The Japanese journal of anesthesiology
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Acute changes in air temperature in the vicinity of the patents' forehead may impair clinical usefulness of the forehead deep-tissue thermometry. We thus investigated usefulness of monitoring the forehead deep-tissue temperature as an index of core temperature in 12 adult patients undergoing laparotomies in operating rooms with air-movement control system using vertical flow. ⋯ The forehead deep-tissue temperature has sufficient accuracy and precision for clinical use in operating rooms with air-movement control system using vertical flow. However, the core temperature appears to be slightly underestimated with the forehead deep-tissue thermometry.
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Sevoflurane is known as a useful and safe anesthetic because of its properties of fast uptake and elimination at the lungs and of no effects on hepatic function. In this study we examined the effect of repeated sevoflurane anesthesia on hepatic function and immunological system. ⋯ Our results suggest that sevoflurane is not likely to provide adverse effects on the liver and to suppress the production of complements accompanied by the surgical stress.
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A 62-yr-old man presented with intractable pain due to sciatic and iliac bone fractures with metastasis of carcinoma. We treated this symptom using epidural infusion of ropivacaine over 8 weeks. He developed no complications related to epidural infusion of ropivacaine. Continuous epidural infusion of ropivacaine is useful for the management of pain from invasive carcinoma.