Masui. The Japanese journal of anesthesiology
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Preventing surgical site infection (SSI) is important in providing safe and high-quality surgical care. Antimicrobial prophylaxis is given to prevent SSI. Many reports revealed that antimicrobial prophylaxis is effective to reduce SSI rates, when its initial dose is given at proper timing and additional dose is properly given in longer operations. ⋯ In United States, Surgical Care Improvement Project (SCIP) is ongoing to reduce complications after surgery. Proper usage of antimicrobial prophylaxis is strongly recommended to reduce SSI in this project. Surgical team hopes to reduce SSI by proper administration of antimicrobial prophylaxis with the cooperatiing of anesthesiologists and operating room staffs.
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Increasing evidence indicates that the GlideScope" video laryngoscope (GVL) has an established role in endotracheal intubation. The GVL has been on the market in Japan. ⋯ In addition, the GVL has been reported to have superior performance, compared with direct laryngoscope when used for nasotracheal intubation. The GVL is a novel indirect rigid laryngoscope for routine endotracheal intubation.
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Central venous catheterization is usually done in operating theater after general anesthesia. However, life-threatening complications can occasionally occur. Recently, application of ultrasound especially ultrasound-guided venipuncture has become popular for safe and reliable procedure. ⋯ The most common ultrasound device was iLook (37% of anesthesiologists, Japan Sherwood). The survey showed that 79% of anesthesiologists apply ultrasound for central venous catheterization in the operating theater. Establishing the standard technique and training methods will be the subsequent issue.