Masui. The Japanese journal of anesthesiology
-
Case Reports
[Retrograde nasal intubation for a patient with difficult airway by using 28 Fr double lumen tube].
We experienced retrograde nasal intubation with a 28 Fr double lumen tube (DLT) in a patient with difficult airway. A 56-year-old man who had undergone an operation for carcinoma of the floor of the mouth was scheduled for right upper lobectomy with video-assisted thoracic surgery. Because of the postoperative anatomical anomaly, the usual laryngoscopy and retrograde oral intubation was not successful. ⋯ We could complete one lung ventilation. There was no trouble of inflation and deflation in anesthesia term. We conclude that 28 Fr DLT is one of the useful tools for difficult airway.
-
We investigated changes in core temperature associated with lower extremity tourniquet (TQ) under two different ambient temperatures (1) and two different warming equipments (2) under general anesthesia combined with lumbar epidural anesthesia. ⋯ Air-forced warming maintains core temperature efficiently associated with lower extremity tourniquet.
-
Comparative Study Clinical Trial
[Effects of simultaneous epidural administration of ropivacaine and morphine on the post-operative pain in the gynecologic patients].
We examined the effects of simultaneous epidural administration of ropivacaine with morphine on the level of the post-operative ⋯ These data suggested that simultaneous epidural administration of ropivacaine with morphine produces no beneficial effect as compared with morphine alone.
-
Although anesthetics have been often used clinically, the mechanisms of action of anesthetics have not yet been clarified. Recently, major advances have been made in our understanding of the physiology and pharmacology of G-protein-coupled receptor (GPCR)-mediated signaling. ⋯ Given that known GPCRs are targets for anesthetics, these oGPCRs may represent a rich group of receptor targets for anesthetics. This review highlights the effects of anesthetics on Gq-coupled receptors, and discusses whether GPCRs other than Gq-coupled receptors, and proteins that convey GPCR signals are also targets for anesthetics.
-
The authors evaluated the efficacy of anesthetic management by total intravenous anesthesia with propofol, pentazocine and ketamine. ⋯ Total intravenous anesthesia with propofol, pentazocine and ketamine would be useful to stabilize hemodynamic state, to obtain rapid recovery and to provide effective postoperative pain relief.