Masui. The Japanese journal of anesthesiology
-
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.
-
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.
-
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.
-
Tobacco use can be the most common preventable cause of death. Smoking-related disorders such as pulmonary and cardiovascular diseases increase perioperative risk, and smoking itself could increase the risk of morbidity, which may be reduced by abstinence from smoking. ⋯ However, it is important to know the fact that some important adverse effects in pulmonary and cardiovascular system induced by nicotine and CO could be restored within 24 to 48 hours of smoking cessation. Thus, even in the brief preoperative period, it is important that medical staff (including anesthesiologists, surgeons, and nurses) should advise patients to quit tobacco use.
-
Randomized Controlled Trial Comparative Study
[Effects of intravenous vasopressor on spread of spinal anesthesia with 0.5% hyperbaric bupivacaine for caesarean delivery].
It is known that when isobaric bupivacaine is applied for Caesarean delivery, phenylephrine is superior to ephedrine in preventing rostral spread of spinal anesthesia. In this study, we prospectively investigated whether phenylephrine can prevent rostral spread of spinal hyperbaric bupivacaine. ⋯ 1. Phenylephrine prevented rostral spread of spinal hyperbaric bupivacaine. 2. Haemodynamic changes were significantly different between the two groups. 3. Umbilical artery pH was significantly higher with phenylephrine than with ephedrine.