Masui. The Japanese journal of anesthesiology
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Randomized Controlled Trial
[Can preoperative administration of H2 blocker reduce the incidence of postoperative nausea and vomiting (PONV)?].
PONV is a complication that reduces a patient's quality of life (QOL). Recently, it was reported that PONV is reduced by preoperative administration of histamine receptor (H1 and H2) inhibitor. In the present study, based on the hypothesis that PONV might be reduced by preoperative administration of H2 blocker, we examined the effect of preoperative administration of H2 blocker only on the incidence of PONV. ⋯ Preoperative administration of H2 blocker tends to reduce PONV in women.
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[corrected] Epidural analgesia is one of the methods to relieve pain after the operation. In general, patient-controlled epidural analgesia (PCEA) is efficient in providing high patient's satisfaction. However, it is not clear whether the patients are really satisfied with this analgesic technique in our hospital. Therefore, we studied this issue in 70 patients who had received elective surgery and epidural analgesia postoperatively. ⋯ The limited use of PCEA may be caused by inadequate information given to the patients. Therefore, it is necessary to give more easily understandable information to the patients about this analgesic procedure for better patients' acceptance, comfort and satisfaction.
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The authors describe the pubic tubercle side approach of the obturator nerve block for the management of adductor muscle constriction associated with the transurethral resection of the lateral wall bladder tumor. ⋯ The pubic tubercle side approach of the obturator nerve was useful and without complications in comparison with the traditional approach.
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According to the instruction manual, the sniffing position (SP) and the slight lateral approach (SLA) are the recommended insertion methods using Proseal laryngeal mask airway (PLMA). However, the efficacy of these methods has not been assessed. ⋯ It was suggested that Full-SP and SLA were useful to place PLMA in patients with insertion difficulty.
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May-Hegglin anomaly (MHA) is a rare hereditary disorder characterized by thrombocytopenia and giant thrombocytes and continuous appearance of inclusion bodies (Dohle like corpuscles) in the cytoplasm of granulocytes. A 26-year-old woman with MHA underwent cesarean delivery under general anesthesia, although she had no history of bleeding. The platelet count was 4.9x10(4) microgl(-1) the day before surgery. There was no unusual bleeding during and after the operation and we did not give her platelet transfusion.