Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial Clinical Trial
[The efficacy of intravenous lidocaine for acute herpetic pain--placebo controlled trial].
Acute herpetic pain (AHP) which is considered not only nociceptive pain but also neuropathic pain, is often severe and intractable. Although there have been reports of the efficacy of intravenous lidocaine (IVL) for neuropathic pain, the efficacy of lidocaine for AHP is not known. Therefore, the effect of IVL for AHP was examined. ⋯ This study demonstrates that IVL has a significant analgesic effect in patients with AHP.
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Case Reports
[One case of the basilar invagination that prevented tracheal intubation by Airway Scope].
Airway Scope (AWS, Pentax, Tokyo, Japan) is a very useful intubation assistance tool in the case where intubation is difficult with normal Macintosh laryngoscope. In this case, the operation was planned by general anesthesia in a patient with basilar invagination. ⋯ However, glottis was not confirmed even with AWS in the oral cavity, and we could not intubate with AWS. Therefore, we used a fiberscope, and endotracheal intubation was successful.
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Propofol target-controlled infusion (TCI) is now commonly used for the induction and maintenance of anesthesia. In this study, we measured the propofol plasma concentrations of elderly patients to evaluate our hypothesis that propofol TCI is reliable for use in elderly patients. ⋯ We concluded that propofol TCI is a reliable method for maintaining anesthesia even in elderly patients, whereas the individual differences of the elderly patients was greater than those obtained from normal patients.
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A 73-year-old woman with bilateral internal carotid artery stenosis, 80% in the left and 70% in the right, was scheduled for a laparoscopic operation for sigmoidrectal colon cancer. During the operation, general anesthesia was maintained with propofol and fentanyl, combined with epidural analgesia. Regional cerebral oxygen saturation (rSo2) was continuously monitored throughout the operation. ⋯ Thereafter, FIo2 was maintained at 60% and the rSo, was kept at 60% to 70% to the end of the operation. Neurological dysfunctions were not observed after the operation. In order to prevent cerebral ischemic damage from the operation with TP, monitoring of rSo, maybe essential during general anesthesia.