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Presynaptic M1, M2, and A1 receptors play roles in tetanic fade induced by pancuronium or cisatracuriumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The tetanic fades produced by pancuronium and cisatracurium depend on the activation of presynaptic inhibitory M2 receptors; these agents also have anticholinesterase activities. The fades induced by these agents also depend on the activation of presynaptic inhibitory A1 receptors through the activation of stimulatory M1 receptors by acetylcholine. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0790-zAuthors Elaine Campana Sanches Bornia, State University of Maringa Department of Pharmacology Paraná BrazilÉrika Bando, State University of Maringa Department of ...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Transient lower limb pain following accidental thoracic subarachnoid insertion of an epidural catheterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of transient lower limb pain following the accidental placement of an epidural catheter into the thoracic subarachnoid space. A 31-year-old woman was scheduled to undergo laparoscopic myomectomy. An epidural catheter was accidentally inserted subarachnoid at the T12–L1 intervertebral space with a 2-ml test dose of 2% lidocaine, and was promptly removed. Fulgurant pain and allodynia extending over the L2–5 areas of the left lower limb and buttock started immediately postoperatively. We treated the persistent pain in our patient with epidural infusion of local anesthetics and steroids during her hos...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Anesthetic management of a patient with hyperthyroidism due to hydatidiform moleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report here the perioperative management of hyperthyroidism due to hydatidiform mole. A 53-year-old woman underwent emergency surgery due to suspicion of hydatidiform mole. Tachycardiac atrial fibrillation was detected by electrocardiography at the preoperative examination. No abnormalities were found in blood count, coagulation, biochemical tests, chest radiographs, or respiratory function. General anesthesia with nitrous oxide, oxygen, and sevoflurane, combined with fentanyl and 1% mepivacaine, was administered intermittently from an epidural catheter. Intraoperative events included hypotension and tachycardia, a...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Postoperative analgesia with minidose intrathecal morphine for bipolar hip prosthesis in extremely elderly patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The results show that minidose intrathecal morphine provides a good analgesic effect without side effects, and it would be an effective and safe procedure for bipolar hip prosthesis in seniors. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0817-5Authors Kazunori Yamashita, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMakoto Fukusaki, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYuko Ando, Nagasaki University School of Medicine Division of Anesthesiology, Department of Translational Medical Science 1-7-1 Sakamoto Nagasaki 852-8501 ...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Effects of sepsis on the neuromuscular blocking actions of d-tubocurarine on rat adductor and abductor laryngeal musclesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our study shows that sepsis has a depressive effect on dTc-induced neuromuscular blocking actions at both the adductor and abductor muscles of vocal cords in the larynx. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0816-6Authors Kohki Nishikawa, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 JapanEichi Narimatsu, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 JapanMotohiko Igarashi, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Insertion length and resistance during advancing of epidural catheterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion At approximately 2.5 cm in the epidural space, advancing an epidural catheter causes resistance. Further advancing past this point may cause migration of the catheter into the vessels, or the coiling of the catheter. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0818-4Authors Pankaj Kundra, Jawaharlal Institute of Postgraduate Medical Education and Research (J.I.P.M.E.R) Department of Anaesthesiology and Critical Care Pondicherry IndiaSenthil Kumar Viswanath, Jawaharlal Institute of Postgraduate Medical Education and Research (J.I.P.M.E.R) Department of Anaesthe...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Comparison of placental transfer of local anesthetics in perfusates with different pH values in a human cotyledon modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our data clearly show that it is the basic uncharged concentration that mainly determines the placental transfer of amide-type local anesthetics with protein-free perfusate. This finding suggests that Rop and Bup can be used more safely than Mep in terms of placental transfer. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0815-7Authors Ryusuke Ueki, Hyogo College of Medicine Department of Anesthesiology Mukogawa-cho 1-1 Nishinomiya, Hyogo 663-8501 JapanTsuneo Tatara, Hyogo College of Medicine Department of Anesthesiology Mukogawa-cho 1-1 Nishinomiya, Hyogo 663-...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Postoperative analgesic effect of preoperative intravenous flurbiprofen in arthroscopic rotator cuff repairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion These results show that preoperative intravenous flurbiprofen facilitates the analgesic effect in the early postoperative period after arthroscopic rotator cuff repair. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0799-3Authors Masafumi Takada, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMakoto Fukusaki, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYoshiaki Terao, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanKazunori Yamashita, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMiwako Takada, Nagasaki R...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Effects of landiolol, a short-acting beta-1 blocker, on hemodynamic variables during emergence from anesthesia and tracheal extubation in elderly patients with and without hypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion This study indicates that the use of a landiolol infusion for preventing hemodynamic instability in elderly patients during the emergence period would be dependent on the presence or absence of hypertension in these patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0805-9Authors Masumi Miyazaki, Tomioka General Hospital Department of Anesthesia Tomioka JapanYuji Kadoi, Gunma University Hospital Department of Anesthesiology 3-39-22 Showa-Machi Maebashi, Gunma 371-8511 JapanShigeru Saito, Gunma University Hospital Department of Anesthesiology 3-39-22 Showa-M...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Nafamostat prevents hypothermia and improves survival time after administration of lipopolysaccharide in a mouse surgical modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated the effect of systemic administration of nafamostat on thermogenic homeostasis and survival time in a mouse surgical model. Male C57Bl/6 mice were anesthetized with sevoflurane and implanted with intraabdominal telemetry transmitters. Following the surgery, three groups of animals were administered Escherichia coli LPS (0127: B8) subcutaneously at doses of 0.3, 1.0, or 3.0 mg·kg−1, and one group received saline without LPS. Three other groups received 3 mg·kg−1 LPS with 1, 3, or 10 mg·kg−1 of nafamostat. In another grou 10 mg·kg−11 of nafamostat only was administered. The times to the...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

A comparison of intra-articular magnesium and/or morphine with bupivacaine for postoperative analgesia after arthroscopic knee surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Intra-articular administration of magnesium sulfate or morphine, with bupivacaine, had comparable analgesic effects in the doses used. Their combination provided more effective postoperative analgesia than either drug alone. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0822-8Authors Sherif Farouk, Ain-Shams University Department of Anaesthesiology, Faculty of Medicine Cairo EgyptAnsam Aly, Ain-Shams University Department of Physiology, Faculty of Medicine Cairo Egypt Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volum...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Desflurane induces airway contraction mainly by activating transient receptor potential A1 of sensory C-fibersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract We previously reported that desflurane induced airway contraction via antidromic tachykinin release from sensory C-fibers. Here, we investigated the effect of desflurane on airway lung resistance (R L) using specific receptor antagonists in C-fibers. Young guinea pigs were anesthetized and their tracheas were cannulated with an endotracheal tube via a tracheotomy. A Fleisch pneumotachograph and a differential transducer were used to monitor respiratory flow rate, intrapleural pressure, and airway pressure, and R L was calculated and recorded. A transient receptor potential A1 (TRPA1) or a transient...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Complexity of blood volume control system and its implications in perioperative fluid managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The use of fluid therapy attempts to optimize blood circulation by manipulating the circulating blood volume (BV). BV may be a key intermediate parameter between fluid therapy and the blood circulation, and it has been assumed that BV can be controlled by fluid therapy. In order to construct a fluid therapy protocol, firstly, we have to confirm whether BV can actually be controlled by fluid therapy. Volume kinetics studies and dilution techniques for BV measurements have enabled the actual effects of fluid management on BV to be analyzed in the presence of various pathological conditions. Various st...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Physiology and pathophysiology at high altitude: considerations for the anesthesiologistEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Millions of people live in, work in, and travel to areas of high altitude (HA). Skiers, trekkers, and mountaineers reach altitudes of 2500 m to more than 8000 m for recreation, and sudden ascents to high altitude without the benefits of acclimatization are increasingly common. HA significantly affects the human body, especially the cardiovascular and pulmonary systems, because of oxygen deprivation due to decreased ambient barometric pressure. Rapid ascents may lead to high-altitude diseases that sometimes have fatal consequences. Other factors, such as severe cold, dehydration, high winds, and inte...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Interactions between morphine and nitric oxide in various organsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Nitric oxide (NO) plays obligatory roles as an important intercellular messenger in the control of physiological functions and it also participates in pathophysiological interventions. This labile, gaseous molecule is also involved in mechanisms underlying the beneficial and untoward actions of therapeutic agents. Endogenous NO is formed by endothelial and neurogenic NO synthases that are constitutively present mainly in the endothelium and nervous system, respectively, and is induced by lipopolysaccharides or cytokines mainly in mitochondria, glial cells, and vascular smooth muscle cells. NO modula...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Effect of different anesthetic agents on oculocardiac reflex in pediatric strabismus surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Propofol or remifentanil anesthesia was associated with a higher incidence of OCR during pediatric strabismus surgery than sevoflurane and desflurane anesthesia, when either ketamine or midazolam was used as an induction agent. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0801-0Authors So Ron Choi, Dong-A University Hospital Department of Anesthesiology and Pain Medicine Dongdaesin-dong, Seo-gu 602-715 Busan KoreaSang Won Park, Dong-A University Hospital Department of Anesthesiology and Pain Medicine Dongdaesin-dong, Seo-gu 602-715 Busan KoreaJong Hwan Lee, Don...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Jugular bulb desaturation during off-pump coronary artery bypass surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Changes in SvO2 and PaCO2 were associated with jugular bulb oxygen saturation, and SvO2 ≤ 70%, PaCO2 ≤ 40 mmHg, and CVP ≥ 8 mmHg had a significant odds ratio for jugular bulb desaturation. We suggest that achieving normal values of SvO2 , PaCO2 , and CVP may be important to prevent cerebral desaturation during OPCAB. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0794-8Authors Norikazu Miura, National Cardiovascular Center Department of Anesthesiology 5-7-1 Fujishirodai Suita, Osaka 565-8565 JapanKenji Yoshitani, National Cardiovascula...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Transvalvular leakage after the implantation of stented bovine pericardial valves is not only centralEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0821-9Authors Takayuki Kunisawa, Asahikawa Medical College Hospital Surgical Operation Department 2-1-1-1 Midorigaoka-Higashi Asahikawa, Hokkaido 078-8510 JapanTomoki Sasakawa, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanMai Kishi, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanAkihiro Suzuki, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanOsamu Takahata, Asahi...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Operating table failure and suggested safety precautionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0820-xAuthors Hiroyuki Kinoshita, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 JapanMamoru Kawakami, Wakayama Medical University Department of Orthopedic Surgery Wakayama JapanToshiyuki Minonishi, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 JapanYoshio Hatano, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 Japan Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volum...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Capnography and oxygenation via single-use bougieEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0800-1Authors Rajesh Mahajan, ASCOMS Department of Anaesthesia Jammu, J&K IndiaAnju Sharma, ASCOMS Department of Anaesthesia Jammu, J&K IndiaFirdos Shafi, ASCOMS Department of Anaesthesia Jammu, J&K India Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23, Number 4 / November, 2009 (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Functional analysis of ryanodine receptor type 1 p.R2508C mutation in exon 47Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We demonstrated that the transfected RYR1 mutant was more sensitive to caffeine and 4CmC than wildtype RYR1. These findings suggest that the p.R2508C mutation may be pathogenetic for susceptibility to MH. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0746-3Authors Takako Migita, Hiroshima University Department of Anesthesiology and Critical Care 1-2-3 Kasumi, Minami-ku Hiroshima 734-8551 JapanKeiko Mukaida, Hiroshima Prefectural Rehabilitation Center Division of Anesthesia Higashi-Hiroshima JapanHiroshi Hamada, Hiroshima University Department of Anesthesiology an...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Interaction between midazolam and epibatidine in spinally mediated antinociception in ratsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The intrathecal combination of midazolam and epibatidine had antagonistic effects on thermal acute nociception, while the combination had synergistic effects on acute inflammatory nociception, with only additive effects on inflammatory-facilitated nociceptive responses. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0765-0Authors Tomoki Nishiyama, Kamagaya General Hospital Department of Anesthesiology and Critical Care 926-6 Hatsutomi Kamagaya 273-0121 Japan Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 2...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Effects of intravenous adenosine 5′-triphosphate on intraoperative hemodynamics and postoperative pain in patients undergoing major orofacial surgery: a double-blind placebo-controlled studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our data suggest that intraoperative ATP infusion can blunt hemodynamic responses to surgical stimuli and produce prolonged analgesia in patients undergoing major orofacial surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0751-6Authors Toshiyuki Handa, Tokyo Dental College Suidoubashi Hospital Department of Dental Anesthesia and Orofacial Pain Center 2-9-18 Misaki-cho, Chiyoda-ku Tokyo 101-0061 JapanKen-Ichi Fukuda, Tokyo Dental College Suidoubashi Hospital Department of Dental Anesthesia and Orofacial Pain Center 2-9-18 Misaki-cho, Chiyoda-ku Tokyo 101-00...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Priming with rocuronium or vecuronium prevents remifentanil-mediated muscle rigidity and difficult ventilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The present study showed that priming with rocuronium or vecuronium reduced the incidence of difficult ventilation by avoiding the muscle rigidity caused by remifentanil. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0769-9Authors Junya Nakada, Aichi Cancer Center Department of Anesthesiology 1-1 Kanokoden, Chikusa-ku Nagoya 464-8681 JapanMasao Nishira, Aichi Cancer Center Department of Anesthesiology 1-1 Kanokoden, Chikusa-ku Nagoya 464-8681 JapanRenko Hosoda, Aichi Cancer Center Department of Anesthesiology 1-1 Kanokoden, Chikusa-ku Nagoya 464-8681 JapanKazumi...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Acid-base variables in patients with acute kidney injury requiring peritoneal dialysis in the pediatric cardiac care unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Patients with AKI requiring PD in a pediatric cardiac care unit had significant metabolic acidosis compared to controls matched by the type of surgery and body weight. Hyponatremia and hypoalbuminemia were characteristics of these patients. The calculated SIDa was smaller in the PD than in the control group. Only the serum albumin had a significant prognostic value. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0747-2Authors Hiroshi Morimatsu, Okayama University Medical School Department of Anesthesiology and Resuscitology 2-5-1 Shikata-cho Okayama 700-8558 Jap...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Effects of amitriptyline, a tricyclic antidepressant, on smooth muscle reactivity in isolated rat tracheaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The results suggest that amitriptyline does not influence tracheal smooth muscle reactivity at clinical concentrations (<1 μM), but attenuates the reactivity at supraclinical concentrations (≥1 μM). The attenuated response to ACh brought about by amitriptyline is presumably due, at least in part, to the inhibition of phosphatidylinositol (PI) metabolism. The ability of amitriptyline to inhibit the calyculin Ainduced contraction suggests that amitriptyline also inhibits the Ca2+-calmodulin-myosin light chain pathway independently of the inhibition of PI metabolism. Finally, the difference bet...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Comparison of the effects of sevoflurane and isoflurane anesthesia on the maternal-fetal unit in sheepEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion A “low-dose” concentration (0.5–1.0 MAC) of sevoflurane may be safe and useful for both mother and fetus during near-term pregnancy. However, a high concentration (1.5–2.0 MAC) of sevoflurane or isoflurane may induce hemodynamic instability in the mother and fetus when administered. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0763-2Authors Toshiyuki Okutomi, Columbia University Departments of Anesthesiology and Obstetrics/Gynecology, College of Physicians and Surgeons New York NY 10032 USARobert A. Whittington, Columbia University Departments of Anest...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Anesthetic management of a patient with Alport-leiomyomatosis syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the anesthetic management of esophagectomy for a patient with Alport-leiomyomatosis syndrome. A 23-year-old woman complained of dysphagia and severe chest pain. Her chest X-ray, computed tomography (CT), and magnetic resonance imaging (MRI) showed an enlarged esophagus, in contact with the trachea, heart, aorta, and large vessels. She frequently experienced severe asthma attacks. Because various risks in both respiration and circulation, especially in anesthesia induction, were of concern, her right femoral vessels were exposed, for the emergency use of percutaneous cardiopulmonary support (PCPS), prior to an...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

A case of perineal pain related to interstitial cystitis which was supposed to be relieved with gabapentinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0774-zAuthors Junji Takatani, Oita University Faculty of Medicine Department of Anesthesiology 1-1 Idaigaoka, Hasama-machi Yufu 879-5593 JapanNaozumi Takeshima, Oita University Faculty of Medicine Department of Anesthesiology 1-1 Idaigaoka, Hasama-machi Yufu 879-5593 JapanKentaro Okuda, Oita University Faculty of Medicine Department of Anesthesiology 1-1 Idaigaoka, Hasama-machi Yufu 879-5593 JapanHiroshi Miyakawa, Oita University Faculty of Medicine Department of Anesthesiology 1-1 Idaigaoka, Hasama-machi Yufu 879-5593 JapanTakayuki Noguchi...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Atracurium during induced hyperthermiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract During hyperthermic intraperitoneal chemotherapy (HIPEC), we observed a partial recovery from neuromuscular block in a hyperthermic patient after hours of monitored adequate surgical relaxation and continuous infusion of atracurium during normothermia. This recovery is indicative of the higher clearance of atracurium during hyperthermia. This case report emphasizes the clinical relevance of the well-known temperature dependence of the Hofmann elimination of atracurium. Moreover, this report illustrates the importance of monitoring muscle relaxation during HIPEC. Clinicians should be aware that the u...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Successful extracorporeal membranous oxygenation for a patient with life-threatening transfusion-related acute lung injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A case of transfusion-related acute lung injury (TRALI) that was successfully treated with extracorporeal membranous oxygenation (ECMO) is reported. A 58-year-old male patient underwent hepatectomy, and pulmonary edema occurred after the administration of fresh-frozen plasma and packed red cells. In the postoperative period, the impaired oxygenation progressively worsened, resulting in life-threatening hypoxemia, despite vigorous treatments. ECMO was therefore applied to the patient as a method of safe emergency support. Aggressive treatments under ECMO led to the successful improvement of the impai...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Volume manipulation by phlebotomy for cesarean section in a patient with pulmonary hypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a successful case of cesarean section performed under general anesthesia in a parturient with pulmonary hypertension. A distinctive feature of our management was active blood volume manipulation by phlebotomy and reinfusion of the blood. Just after the baby was delivered, about 250 ml of blood was phlebotomized to counteract autotransfusion by the contracting uterus. We stopped phlebotomy at this volume because moderate systemic hypotension occurred. The blood was slowly infused, with transesophageal echocardiography used to evaluate right ventricle filling. The patient was hemodynamically stable during th...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Anesthetic management of a child with Langer-Giedion (TRPS II) syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the anesthetic and perioperative management of a child with Langer-Giedion syndrome (trichorhinophalangeal syndrome type II). This is a very rare genetic syndrome caused by 8q chromosome deletion. The clinical features of this syndrome include craniofacial and urogenital abnormities, variable postnatal growth deficiency with mental retardation, multiple exostoses, hyperflexible joints, and recurrent respiratory tract infections. Potential perioperative problems are highlighted. Content Type Journal ArticleCategory Clinical ReportDOI 10.1007/s00540-009-0779-7Authors Pavel Michalek, Antrim Area Hospital D...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Anesthetic management of apicoaortic bypass in patients with severe aortic stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Apicoaortic bypass (AAB), or apicoaortic conduit insertion, is a conventional surgical method that has been regaining attention due to the aging population and the increasing number of repeat surgeries. The indication for the procedure has been extended as an alternative for aortic stenosis when the usual sternotomy or aortic clamping is considered to be difficult, e.g., in patients with severe calcification of the ascending aorta (porcelain aorta), or in patients with a patent coronary artery bypass graft located adjacent to the posterior surface of the sternum. Herein, we report our recent anesthe...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Protective effects of the free radical scavenger edaravone against glutamate neurotoxicity in nearly pure neuronal cultureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Edaravone mainly showed a prophylactic effect on neurons against glutamate neurotoxicity, possibly through the inhibition of necrosis via the suppression of ROS production. However, for a protective effect, a higher, supraclinical concentration was required, compared to the concentrations producing a protective effect in glial and endothelial cells in previous studies. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0766-zAuthors Kenjiro Hisano, Hokkaido University Graduate School of Medicine Department of Anesthesiology and Critical Care Medicine N15 W7, Kita-ku...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Rapid response systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract There is growing evidence that early detection and response to physiological deterioration can improve outcomes for hospitalized infants, children, and adults. A rapid response system (RRS) is a multidisciplinary system to decrease the incidence of in-hospital cardiopulmonary arrests by detecting a crisis event and triggering a response and by dispatching a responding team. For quality improvement of the system, a review mechanism is vital to identify opportunities for preventing future events or improving response after crises occur. The whole system requires an administrative component that overse...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Dexmedetomidine-induced cerebral hypoperfusion exacerbates ischemic brain injury in ratsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Hypertension following the administration of high-dose dexmedetomidine is associated with cerebral hypoperfusion and the exacerbation of ischemic brain injury, possibly through alpha-2-induced cerebral vasoconstriction. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0777-9Authors Takaaki Nakano, Kitasato University School of Medicine Department of Anesthesiology 1-15-1 Kitasato Sagamihara 228-8555 JapanHirotsugu Okamoto, Kitasato University School of Medicine Department of Anesthesiology 1-15-1 Kitasato Sagamihara 228-8555 Japan Journal Journal of Anesthes...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

A review of perioperative complications during frameless stereotactic surgery: our institutional experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Awareness and vigilance can help in the early identification and better management of the above intraoperative complications. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0759-yAuthors Zulfiqar Ali, All India Institute of Medical Sciences Department of Neuroanaesthesiology, Neurosciences Center 7th floor New Delhi 110029 IndiaHemanshu Prabhakar, All India Institute of Medical Sciences Department of Neuroanaesthesiology, Neurosciences Center 7th floor New Delhi 110029 IndiaParmod K. Bithal, All India Institute of Medical Sciences Department of Neuroanaesthesiolog...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

The impact of two arterial catheters, different in diameter and length, on postcannulation radial artery diameter, blood flow, and occlusion in atherosclerotic patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion A 22-gauge catheter for radial arterial cannulation in patients with atherosclerosis provides unchanged postcannulated radial artery diameter, decreases postcannulation complications, and improves the first-attempt success rate. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0753-4Authors H. Evren Eker, Ankara University School of Medicine Department of Anesthesiology and ICM Ankara TurkeyAcar Tuzuner, Ankara University School of Medicine Department of General Surgery Ankara TurkeyAli Abbas Yilmaz, Ankara University School of Medicine Department of Anesthesiology...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Use of Intralipid in an infant with impending cardiovascular collapse due to local anesthetic toxicityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Local anesthetic-associated cardiac toxicity following caudal epidural blockade is, fortunately, a rare event. Prompt recognition and early treatment is the key to successful resuscitation. Early use of the lipid emulsion Intralipid in bupivacaine-induced cardiac toxicity may lead to a good outcome. Content Type Journal ArticleCategory Clinical ReportDOI 10.1007/s00540-009-0754-3Authors Shailesh Shah, Arkansas Children’s Hospital/University of Arkansas for Medical Sciences Little Rock AR USASenthil Gopalakrishnan, Arkansas Children’s Hospital/University of Arkansas for Medical Sciences Little...
Source: Journal of Anesthesia - August 14, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Low-density lipoprotein apheresis in a pediatric patient with refractory nephrotic syndrome due to focal segmental glomerulosclerosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Focal segmental glomerulosclerosis (FSGS) often leads to refractory nephrotic syndrome (NS). A high level of low-density lipoprotein (LDL) is a risk factor for the progression of NS. An 8-year-old girl presented with severe proteinuria refractory to steroid therapy. She was diagnosed with non-IgA diffuse mesangial proliferative glomerulonephritis. Oral prednisolone, methylprednisolone (mPL) pulse therapy, and cyclosporine and cyclophosphamide therapy failed to achieve remission. Follow-up renal biopsy revealed FSGS. Her serum level of LDL was high, and LDL-apheresis (LDL-A) was performed five times,...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Successful treatment with hydrocortisone for heat stroke with critical illness-related corticosteroid insufficiency: transitional changes in serum cytokine and cortisol concentrationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 37-year-old man was transferred to our emergency center because of heat stroke with circulatory shock. Despite aggressive body cooling, massive intravenous transfusion, and supply of inotropic agents, shock was persistent. To evaluate adrenal function, an adrenocorticotropic hormone stimulation test was conducted and the results indicated that he had critical illness-related corticosteroid insufficiency (CIRCI) as a result of adrenal insufficiency. Continuous hydorocortisone administration was started and he recovered from shock within a few hours. He was discharged on the thirty-seventh hospital ...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Anesthetic management for severe aortic regurgitation in an infant repaired by Ross procedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the anesthetic management of a 7-month-old male infant with severe aortic regurgitation (AR) scheduled for the Ross procedure. To the best of our knowledge, this is the first report from the viewpoint of anesthetic management for the Ross procedure performed in an infant. He had been suffering from severe AR that occurred suddenly when he was 5 months old. The cause of the AR was considered to be spontaneous rupture of a fenestrated aortic valve, owing to congenital tissue defect in part of the aortic valvular leaflet. The Ross procedure was scheduled to be performed under general anesthesia using deep hypot...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Does high-dose opioid anesthesia exacerbate ischemic spinal cord injury in rabbits?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our results suggest that neither IV fentanyl nor IV remifentanil added to 0.5 MAC isoflurane exacerbated ischemic spinal cord injury in rabbits when compared to 1 MAC isoflurane. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0741-8Authors Yumiko Shirasawa, Yamaguchi University Graduate School of Medicine Department of Anesthesiology 1-1-1 Minami-Kogushi Ube 755-8505 JapanMishiya Matsumoto, Yamaguchi University Graduate School of Medicine Department of Anesthesiology 1-1-1 Minami-Kogushi Ube 755-8505 JapanManabu Yoshimura, Yamaguchi University Graduate School of ...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Interaction between midazolam and serotonin in spinally mediated antinociception in ratsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The antinociceptive effects of intrathecal midazolam and 5-HT were additive on thermal acute and inflammatory facilitated stimuli, and synergistic on inflammatory acute stimulation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0740-9Authors T. Nishiyama, Kamagaya General Hospital Department of Anesthesiology and Intensive Care 929-6 Hatsutomi Kamagaya 273-0121 Japan Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23, Number 2 / May, 2009 (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Work stress and workload of full-time anesthesiologists in acute care hospitals in JapanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our results provide a quantitative assessment of the duties of anesthesiologists and show that work stress among anesthesiologists is related to workload and other factors. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-008-0736-xAuthors Kazuyoshi Kawasaki, Sanraku Hospital Department of Anesthesia 2-5 Kanda-Surugadai, Chiyoda-ku Tokyo 101-8326 JapanMiho Sekimoto, Kyoto University Graduate School of Medicine Department of Healthcare Economics and Quality Management Kyoto JapanTatsuro Ishizaki, Kyoto University Graduate School of Medicine Department of Healthcare Econ...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Nociceptin receptor antagonist JTC-801 inhibits nitrous oxide-induced analgesia in miceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The mechanism of the analgesic effect of nitrous oxide (N2O) has not been completely clarified. Although we have reported that the analgesic effect of N2O was significantly decreased in nociceptin-orphanin FQ (N/OFQ) receptor (NOP)-deficient mice, the effect of nociceptin receptor antagonists on N2O-induced analgesia has not been reported. In this investigation, we examined the effect of the NOP antagonist JTC-801 on N2O-induced analgesia in 129Sv mice by the writhing test and tail flick test, and demonstrated that the analgesic effect of N2O was suppressed by the intraperitoneal administration of JT...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Three-dimensional CT image analysis of a tracheal bronchus in a patient undergoing cardiac surgery with one-lung ventilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The incidence of a tracheal bronchus—that is, a congenitally abnormal bronchus originating from the trachea or main bronchi–is 0.1%–2%. Serious hypoxia and atelectasis can develop in such patients with intubation and one-lung ventilation. We experienced a remarkable decrease in peripheral oxygen saturation ( SpO2 ) and a rise in airway pressure during placement of a double-lumen endobronchial tube in a patient with patent ductus arteriosus and tracheal bronchus. Substitution of the double-lumen tube with a bronchial blocker tube provided secure isolation of the lung intraoperatively. A type ...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Low dose of fentanyl reduces predicted effect-site concentration of propofol for flexible laryngeal mask airway insertionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The propofol EC50 for FLMA insertion was decreased by supplemental 0.25 μg·kg−1 fentanyl without BIS, hemodynamic, or respiratory depression. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-008-0728-xAuthors Junko Yumura, Tokyo Dental College Department of Dental Anesthesiology 1-2-2 Masago, Mihama-ku Chiba 261-8502 JapanYoshihiko Koukita, Tokyo Dental College Department of Oral Health and Clinical Science, Division of Dental Anesthesiology Tokyo JapanKen-ichi Fukuda, Tokyo Dental College Department of Oral Health and Clinical Science, Division of Dental Anesthesio...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

Gradient of bronchial end-tidal CO2 during two-lung ventilation in lateral decubitus position is predictive of oxygenation disorder during subsequent one-lung ventilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The D- ETbrCO2 predetermined during TLV in LP could be a predictive factor for the severity of oxygenation disorder after starting OLV in LP. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-008-0737-9Authors Yosuke Yamamoto, Kurume University School of Medicine Department of Anesthesiology 67 Asahi-machi Kurume 830-0011 JapanSeiji Watanabe, Kurume University School of Medicine Department of Anesthesiology 67 Asahi-machi Kurume 830-0011 JapanTatsuhiko Kano, Kurume University School of Medicine Department of Anesthesiology 67 Asahi-machi Kurume 830-0011 Japan ...
Source: Journal of Anesthesia - May 15, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals