Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial Clinical Trial
[Effects of olprinone hydrochloride after coronary artery bypass grafting].
We have examined the effect of olprinone hydrochloride on hemodynamics and peripheral circulation after cardiopulmonary bypass (CPB) in 56 patients who underwent coronary artery bypass grfting. ⋯ Olprinone increased CI and decreased SVRI, and it led to easy weaning from CPB, providing excellent hemodynamics after CABG. These results suggest that olprinone hydrochloride 15 micrograms.kg-1 bolus plus 0.1 microgram.kg-1.min-1 continuous administration may be effective for improvement of hemodynamics and peripheral circulation after CPB.
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Comparative Study
[Comparison of analgesics used during balanced anesthesia on the incidence of PONV].
When we make reference to the quality of anesthesia, we consider three points, early emergence, postoperative pain relief, and postoperative nausea and vomiting (PONV). Among these, PONV is comparatively neglected. Many analgesics used during anesthesia may cause PONV. ⋯ The type of analgesics used during balanced anesthesia is not important for development of PONV, but patient's factors, such as gender and BMI, are more closely associated with PONV.
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This is a report of a retained epidural catheter segment after placement of 20-G polyethylene catheter (Hakko Medical) through 17-G Tuohy needle and 25-G spinal needle (Top Company) for a patient receiving combined spinal-epidural anesthesia. Retained catheter fragment (approximately 10.6 cm) was removed easily with small incision under local anesthesia. Electron microscopic findings of the catheter showed that the catheter might have been traumatized by the Tuohy needle through which the catheter was placed or by the spinal needle for intrathecal anesthesia, resulting in having been sheared off.
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Postoperative nausea and vomiting are important complications after craniotomy. ⋯ These results indicate that the incidence of PONV after brain tumor resection is high and infratentorial surgery is a risk factor for PONV. Strategies for the prevention of PONV after craniotomy are required.
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Since the double lumen tube (DLT) for pediatric use is not commercially available, we have developed the method of differential lung ventilation using the laryngeal mask airway (LMA) and the cuffed-bronchial tube (BT) made with two conventional cuffed-tracheal tubes (Intermediate, Mallinckrodt). ⋯ Our method using the BT' (ID 3 mm, length 29 cm) with LMA size 2 could be applied to the patient aged less than 2 yr, weighing over 10 kg, and the non-cuffed BT (ID 2.5 mm, length 27.5 mm) through LMA size 1.5 could be used to those weighing over 5 kg.