Masui. The Japanese journal of anesthesiology
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Clinical usefulness of PA catheter is controversial. We compared a new semi-invasive device (FloTrac/Vigileo) using arterial pressure waveform analysis for CO measurement in patients undergoing renal transplantation with bolus thermodilution method. Simultaneously CCO was measured, and we compared CCO with that obtained by bolus thermodilution method. ⋯ In renal transplantation, CO measured by a new semi-invasive arterial pressure waveform analysis device showed good agreement with the volume obtained by intermittent pulmonary artery thermodilution method.
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We report two cases for anesthetic management of gastrectomy for gastric cancer which took place after receiving coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). The first patient was a 75-year-old man after CABG using the RGEA 14 years before. He was diagnosed with gastric cancer and was scheduled for total gastrectomy. ⋯ Preoperative CAG showed the RCA partially occluded and the RGEA remaining patent. He received the scheduled surgery after confirmation of the success of PCI, performed preoperatively for reperfusion of the occluded segments. Although the RGEA was incised during the surgery, gastrectomy was accomplished without any problems in the cardiac function.
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Case Reports
[Awake fiberoptic nasal intubation using a Parker spiral tube in a patient with a giant thyroid tumor].
A 62-year-old man was scheduled for resection of a giant thyroid tumor. We planned awake fiberoptic nasotracheal intubation using a Parker spiral tube. ⋯ The operation was performed without any complications. We conclude that a Parker spiral tube is useful for fiberoptic awake nasal intubation in a patient with a giant thyroid tumor.
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Placenta accreta is a placental abnormality with a defect in decidua basalis. Villi tissue invades myometrium and it is difficult to exfoliate the placenta. Placenta percreta is a comparatively rare disorder in placenta accreta. ⋯ After the operation, we moved the patient to the angiography room to perform uterus artery embolization (UAE). While moving, we monitored maternal hemodynamics using a transportable monitor. During the cesarean section in the operation room, and in moving to the angiography room and in the angiography room, we used the same transportable monitor for secure perioperative management.
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The system for treating waste anesthetic gases, Anesclean, has been developed recently. This system can collect volatile anesthetics from waste anesthetic gases, and then decompose nitrous oxide (N2O) into N2 and O2 immediately. The purpose of this study was to investigate the efficacy of this treating system, Anesclean, on removal of greenhouse effect gases in our university hospital. ⋯ The waste anesthetic gas treating system, Anesclean, was effective to some degree in collection of sevoflurane and decomposition of N2O. However, in order to increase collection rate of sevoflurane, we need to pay more attention to minimize gas leak during anesthetic procedure.