Masui. The Japanese journal of anesthesiology
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Comparative Study
[Comparison of performance of endotracheal intubation by senior residents in anesthesiology using Airway Scope VS Macintosh laryngoscope].
To evaluate the performance of the Airway Scope, we studied the time to complete endotracheal intubation performed by senior residents in anesthesiology. ⋯ The Airway Scope performed as well as the Macintosh laryngoscope when used by senior residents in anesthesiology on patients with normal airway.
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A 59-year-old man with poor pulmonary functions was scheduled for thoracoscopic lung resection because of right pneumothorax. In order to preserve spontaneous breathing and prevent left pneumothorax, we selected epidural anesthesia and intravenous dexmedetomidine. We could provide appropriate sedative and antianxiety effect without respiratory depression and hemodynamic change. With its unique features, dexmedetomidine is useful for thoracoscopic surgery in a patient with poor lung functions.
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Annual surveys conducted by the Japanese Society of Anesthesiologists repeatedly show that hemorrhage is the leading cause of life-threatening events in the operating room. ⋯ Undertransfusion may occur in 16.7-28.3% of cases of massive hemorrhage in the operating room, and the rate of emergency blood transfusion was much lower than this percentage. To avoid operation-associated deaths from hemorrhage, the improvement of hospital systems for emergency blood transfusion, including the active use of intraoperative blood salvage, should be promoted.
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In this special issue, the topic of sex difference in the field of anesthesiology is featured. Eight subtopics are discussed including 1) sex differences in cardiovascular medicine, 2) perioperative cardiovascular management, 3) sex differences in the respiratory functions of the upper airway, 4) sex differences in the anesthetic management, 5) sex differences in pain, 6) sex differences in laboratory medicine, 7) sex differences in pharmacokinetics of anesthetics, and 8) postoperative nausea and vomiting. Although recent clinical and experimental studies have shown the existence of sex and/or gender differences in many fields of medicine, our knowledge of sex differences in anesthesiology is apparently insufficient. I believe that anesthesiologists should pay more attention to this topic to improve our daily practice of anesthesia.