Masui. The Japanese journal of anesthesiology
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In pediatric renal transplantation, an adult kidney is transplanted to a small child and it may cause severe cardiovascular insufficiency. ⋯ Cardiovascular stability and good function of the transplanted kidney were maintained by appropriate monitoring and continuous intravenous infusion of dopamine and hANP. It is important to infuse enough volume of fluid and blood before recanalization.
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Randomized Controlled Trial Clinical Trial
[Intravenous anesthesia using continuous administration of propofol and fentanyl: fentanyl administration procedure and quality of awareness].
We studied total intravenous anesthesia using continuous administration of propofol and fentanyl and examined especially the method of fetanyl administration. ⋯ This continuous administration procedure of fentanyl reduced the total doses of both propofol and fentanyl, allowing high quality of awareness after the recovery.
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A 52-year-old man with Burger disease was admitted for hemorrhoidectomy. He lost upper and lower limbs 19 years earlier. We could not monitor his blood pressure with noninvasive technique. ⋯ His carotid artery was palpable and heart rate, oxygen saturation and his consciousness were stable during operation. He had an uneventful intra- and post-operative course. Preoperative evaluation of surgery and monitoring may be needed in patients with tetra-amelia.
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We evaluated the hemodynamic efficacy of combined cathecholamine and three different continuous infusion doses of olprinone (0.05, 0.1, 0.3 microgram.kg-1.min-1) in 24 cases (0.05 group: 8 cases, 0.1 group: 8 cases, 0.3 group: 8 cases) undergoing coronary artery bypass grafting (CABG). ⋯ The higher continuous infusion dose of olprinone (0.3 > 0.1 > 0.05 microgram.kg-1.min-1) can diminish the number of cases requiring combined cathecholamine administration during coronary artery bypass grafting.
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Randomized Controlled Trial Clinical Trial
[Effect of propofol on sevoflurane agitation in children].
Sevoflurane may be associated with a high incidence of agitation during recovery from anesthesia in children. We tested the hypothesis that bolus administration of propofol after sevoflurane anesthesia would reduce the incidence of recovery agitation compared with sevoflurane anesthesia alone. ⋯ Bolus administration of propofol after sevoflurane anesthesia prolonged recovery time, but did not inhibit sevoflurane agitation compared with sevoflurane anesthesia alone.