Masui. The Japanese journal of anesthesiology
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Case Reports Historical Article
[History of Tracheal Intubation: 1. First Application of Tracheal Intubation during General Anesthesia].
The earliest report of tracheal intubation during general anesthesia was made by Sir. William Macewen (a Scottish surgeon, 1848-1924), who performed it on 5th July, 1878. ⋯ Macewen performed tracheal intubation, instead of tracheostomy, in a patient sched- uled for resection of a large epithelioma in the mouth under general anesthesia, to prevent airway obstruc- tion and aspiration of blood. In the report, he described several advantages of tracheal intubation during gen- eral anesthesia and methods with which aspiration of blood can be prevented.
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Case Reports
[Acute Subdural Hematoma due to the Breakage of an Epidural Catheter Left for a Long Time].
Breakage of an epidural catheter occurs rarely dur- ing the insertion or removal procedures. In previous reports, the broken epidural catheter fragment need not be removed in asymptomatic patients. However, late-onset neurological symptoms might occur. ⋯ Antiplatelet therapy might lead to the hematoma because this patient took an aspirin (antiplatelet drug) for over 9 years. Antiplatelet and anticoagulant therapies are likely to be a risk of hematoma. Thus, even without neurological symptoms, it is necessary to consider the removal of the epidural catheter fragment in patients on anti- platelet and anticoagulant therapy.
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The pain of skin graft site after surgery is compara- tively severe. We present three cases of combined of ultrasound-guided femoral nerve block and lateral fem- oral cutaneous nerve block that was effective for har- vesting skin grafts. ⋯ Case 3 : a 94-year-old man had split-thickness skin grafting of acrotarsium harvested from outside of the thigh under spinal anesthesia, femoral nerve block, lat- eral femoral cutaneous nerve block and sciatic nerve block. In all cases, there was no pain just after surgery, and postoperative pain was controlled well through the hospitalization with administration of oral analgesic agents.