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Journal of Anesthesia

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https://www.readbyqxmd.com/read/29786115/effects-of-cardiac-output-on-the-onset-of-rocuronium-induced-neuromuscular-block-in-elderly-patients
#1
Naoki Shiraishi, Mayu Aono, Yasuhito Kameyama, Mai Yamamoto, Osamu Kitajima, Takahiro Suzuki
PURPOSE: The aim of this study was to elucidate the relationship between the onset of rocuronium-induced neuromuscular block and arterial pressure-based cardiac output (CO) in elderly patients. METHODS: Forty elderly patients aged 65-83 years were enrolled in this study. After induction of anesthesia, contractions of the adductor pollicis muscle to ulnar nerve train-of-four stimulation were acceleromyographically evaluated and 1 mg/kg rocuronium was administered following CO measurement...
May 21, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29786114/endothelium-dependent-vasodilation-in-the-cerebral-arterioles-of-rats-deteriorates-during-acute-hyperglycemia-and-then-is-restored-by-reducing-the-glucose-level
#2
Kazuhiro Kito, Kumiko Tanabe, Koji Sakata, Naokazu Fukuoka, Kiyoshi Nagase, Mami Iida, Hiroki Iida
PURPOSE: Acute hyperglycemia in patients with traumatic brain injury correlates with a poor neurological outcome. We investigated the endothelium function of rat cerebral arterioles during acute hyperglycemia and after reducing the glucose levels using insulin. We also examined whether or not oxidative stress was involved in the cerebral arteriole response to acute hyperglycemia. METHODS: In isoflurane-anesthetized, mechanically ventilated rats, we used closed cranial window preparation to measure the changes in the pial arteriolar diameter following the topical application of acetylcholine (ACh) or adenosine...
May 21, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29766277/dexmedetomidine-as-an-adjuvant-during-general-anesthesia
#3
EDITORIAL
Shinju Obara
No abstract text is available yet for this article.
May 15, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29752567/inhibiting-ezh2-rescued-bupivacaine-induced-neuronal-apoptosis-in-spinal-cord-dorsal-root-ganglia-in-mice
#4
Jinwei Zheng, Junping Chen, Guorong Wu, Chaoshuang Wu, Ruichun Wang, Wei Wang
PURPOSE: In the present work, we intended to explore the function of enhancer of zeste homolog 2 (EZH2) in modulated anesthetic reagent bupivacaine-induced neuronal apoptosis in spinal cord dorsal root ganglia (DRG). METHODS: Murine DRG explant was treated with 5 mM bupivacaine in vitro to induce neuronal apoptosis, which was examined by a TUNEL assay. Protein and mRNA expressions of EZH2 in bupivacaine-treated DRG were examined by western blot and qRT-PCR assays...
May 11, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29737410/executive-summary-of-the-clinical-guidelines-of-pharmacotherapy-for-neuropathic-pain-second-edition-by-the-japanese-society-of-pain-clinicians
#5
REVIEW
Masahiko Sumitani, Tetsuya Sakai, Yoichi Matsuda, Hiroaki Abe, Shigeki Yamaguchi, Toyoshi Hosokawa, Sei Fukui
Neuropathic pain has a substantial effect on quality of life (QOL). The Japanese Society of Pain Clinicians (JSPC) has developed clinical guidelines of pharmacotherapy for neuropathic pain. These guidelines offer clarity on recommendations based on both the most recent scientific evidence and expert opinions. Understanding the concept, disease entity, and burden of neuropathic pain, as well as its screening and diagnosis are important steps before starting pharmacotherapy. As well as other guidelines, the guidelines propose several lines of pharmacotherapies in a step-wise manner...
May 8, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29730769/reliability-and-validity-of-the-japanese-translation-of-the-dn4-diagnostic-questionnaire-in-patients-with-neuropathic-pain
#6
Yuka Matsuki, Norihiko Sukenaga, Ken Miyagi, Takashi Tsunetoh, Maki Mizogami, Kenji Shigemi, Lynn Maeda, Munetaka Hirose
BACKGROUND: The Douleur Neuropathique 4 questionnaire (DN4) is a simple and objective tool developed by the French Neuropathic Pain Group to screen for neuropathic pain. METHODS: This prospective observational study was undertaken in three hospitals to assess the validity of a Japanese translation of the DN4. We first translated the DN4 into Japanese using a forward-backward method. Pain specialists then examined patients independently and diagnosed them with neuropathic or non-neuropathic pain, according to the International Association for the Study of Pain definitions...
May 5, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29728756/postoperative-renal-function-in-parturients-with-severe-preeclampsia-who-underwent-cesarean-delivery-a-retrospective-observational-study
#7
Yusuke Mazda, Motoshi Tanaka, Katsuo Terui, Sayuri Nagashima, Rie Inoue
Although postoperative renal dysfunction is relatively rare after cesarean delivery, preeclampsia is considered as the high-risk population. On the other hand, hydroxyethyl starch (HES) administration for preventing maternal hypotension induced by spinal anesthesia for cesarean delivery is a common practice. However, the effect of HES administration during cesarean delivery on postoperative kidney function in parturients with severe preeclampsia is not well investigated. We retrospectively reviewed both medical and anesthesia records of patients with severe preeclampsia who underwent cesarean delivery from January 2011 to December 2013...
May 4, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29728755/ed50-of-remifentanil-for-providing-excellent-intubating-conditions-when-co-administered-with-a-single-standard-dose-of-propofol-without-the-use-of-muscle-relaxants-in-children-dose-finding-clinical-trial
#8
Andre Hideo Ono, Thiago Rocha Moura, Cátia Sousa Govêia, Gabriel Magalhães Nunes Guimarães, Luís Cláudio de Araújo Ladeira, Helga Bezerra Gomes da Silva
PURPOSE: Previous studies evidenced that orotracheal intubation without neuromuscular blockers is feasible in children and has some potential advantages. Remifentanil has favorable pharmacodynamic and pharmacokinetic properties as an opioid for orotracheal intubation, but its dose for excellent intubation conditions when co-administered with propofol has not been established. This study was designed to find the minimum effective dose of remifentanil for excellent intubation conditions of children when co-administered with propofol, without neuromuscular relaxant drugs...
May 4, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29728754/the-unique-action-of-nicorandil-on-cerebral-circulation
#9
LETTER
Hiroyuki Kinoshita, Shinji Kawahito, Kazumi Takaishi
No abstract text is available yet for this article.
May 4, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29725829/involvement-of-acute-neuroinflammation-in-postoperative-delirium-like-cognitive-deficits-in-rats
#10
Takashi Kawano, Daiki Yamanaka, Bun Aoyama, Hiroki Tateiwa, Marie Shigematsu-Locatelli, Atsushi Nishigaki, Hideki Iwata, Fabricio M Locatelli, Masataka Yokoyama
PURPOSE: The purpose of this study was to investigate the age-, time-, and brain region-dependent postoperative neuroinflammatory trajectory, and its association with neurocognitive outcomes in rats. METHODS: Adult and aged rats were randomly assigned to one of three groups: control, isoflurane anesthesia alone, and isoflurane anesthesia with abdominal surgery. On either postoperative day 2 (early phase) or 7 (late phase), all rats were tested for trace and context fear memory retention after acquisition of trace fear conditioning...
May 3, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29725828/comparison-of-effect-of-dexmedetomidine-and-lidocaine-on-intracranial-and-systemic-hemodynamic-response-to-chest-physiotherapy-and-tracheal-suctioning-in-patients-with-severe-traumatic-brain-injury
#11
Shalendra Singh, Rajendra Singh Chouhan, Ashish Bindra, Nayani Radhakrishna
PURPOSE: Chest physiotherapy and tracheal suction cause sympathetic stimulation and increase heart rate (HR), mean arterial pressure (MAP) and intracranial pressure (ICP) which may have deleterious effect in the head injured. We planned to compare the effect of intravenous dexmedetomidine and lidocaine on intracerebral and systemic hemodynamic response to chest physiotherapy (CP) and tracheal suctioning (TS) in patients with severe traumatic brain injury (sTBI). METHODS: Prospective, randomized study in patients with sTBI, 18-60 years of age, undergoing mechanical ventilation and intraparenchymal ICP monitoring...
May 3, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29725827/comparison-of-a-new-simplified-acid-base-tool-to-the-original-stewart-figge-approach-a-study-on-cardiac-surgical-patients
#12
Michalis Agrafiotis, Dimitrios Mpliamplias, Maria Papathanassiou, Fotini Ampatzidou, Georgios Drossos
PURPOSE: To suggest a simplified method for strong ion gap ([SIG]) calculation. PATIENTS AND METHODS: To simplify [SIG] calculation, we used the following assumptions: (1) the major determinants of apparent strong ion difference ([SIDa ]) are [Na+ ], [K+ ] and [Cl- ] (2) [Ca2+ ] and [Mg2+ ] do not contribute significantly to [SIDa ] variation and can be replaced by their reference concentrations (3) physiologically relevant pH variation is at the order of 10-2 and therefore we can assume a standard value of 7...
May 3, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29704051/correction-to-evaluation-of-pharmacokinetic-models-of-intravenous-dexmedetomidine-in-sedated-patients-under-spinal-anesthesia
#13
Shinju Obara, Tsuyoshi Imaizumi, Takahiro Hakozaki, Atsuyuki Hosono, Yuzo Iseki, Norie Sanbe, Masahiro Murakawa
Inadvertently, the reference [8] was published incorrectly in the original publication of the article. The correct reference [8] is provided below.
April 27, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29704050/the-pringle-maneuver-reduces-the-infusion-rate-of-rocuronium-required-to-maintain-surgical-muscle-relaxation-during-hepatectomy
#14
Akira Kajiura, Osamu Nagata, Masamitsu Sanui
INTRODUCTION: We investigated the continuous infusion rates of rocuronium necessary to obtain the surgical muscle relaxation before, during, and after the Pringle maneuver on patients who underwent hepatectomy. METHODS: Fifteen patients were induced by total intravenous anesthesia with propofol. After obtaining the calibration of acceleromyography, the patient was intubated with rocuronium 0.6 mg/kg. Fifteen minutes after initial rocuronium injection, the continuous infusion was started at 7...
April 27, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29700605/blind-method-regarding-the-effect-of-dexmedetomidine-on-crbd
#15
LETTER
Bailong Hu, Haiyan Zhou, Xiaohua Zou
No abstract text is available yet for this article.
April 26, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29696382/pecs-ii-block-for-intractable-postherpetic-neuralgia
#16
LETTER
Dae Seok Oh
No abstract text is available yet for this article.
April 25, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29663067/impact-of-age-on-postoperative-complication-rates-among-elderly-patients-with-hip-fracture-a-retrospective-matched-study
#17
Mitsuhiro Matsuo, Tohru Yamagami, Akiko Higuchi
This study was performed to assess the impact of age of ≥ 90 years on predicting postoperative complications. We retrospectively identified all patients aged ≥ 65 years who underwent surgical repair of hip fractures over a 4.5-year period in our hospital. In total, 261 patients were identified (mean age, 86.2 ± 6.8 years). Ninety-one patients were aged ≥ 90 years (oldest-old group), and the remaining 170 were aged < 89 years (control old group). Postoperative complications developed in 54 of 261 patients (20...
April 16, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29626267/different-ventilation-techniques-and-hemodynamic-optimization-to-maintain-regional-cerebral-oxygen-saturation-rsco-2-during-laparoscopic-bariatric-surgery-a-prospective-randomized-interventional-study
#18
Osama M Asaad
PURPOSE: The purpose of this study was to assess the changes in regional cerebral oxygen saturation (rScO2 ) in response to different ventilation strategies: inspired oxygen concentration (FiO2 ), end-tidal carbon dioxide (EtCO2 ), and positive end expiratory pressure (PEEP) in addition to optimizing mean arterial pressure (MAP) in obese patients subjected to laparoscopic bariatric surgery in the reverse trendelenburg position. METHODS: 50 obese patients were randomly assigned into one of two groups...
April 6, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29616346/in-reply-why-remifentanil
#19
LETTER
Wataru Sakai, Yusuke Yoshikawa, Michiaki Yamakage
No abstract text is available yet for this article.
April 3, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29616345/accuracy-and-trending-ability-of-the-fourth-generation-flotrac-vigileo-system%C3%A2-in-patients-undergoing-abdominal-aortic-aneurysm-surgery
#20
Takuma Maeda, Kohshi Hattori, Miho Sumiyoshi, Hiroko Kanazawa, Yoshihiko Ohnishi
PURPOSE: The fourth-generation FloTrac/Vigileo™ improved its algorithm to follow changes in systemic vascular resistance index (SVRI). This revision may improve the accuracy and trending ability of CI even in patients who undergo abdominal aortic aneurysm (AAA) surgery which cause drastic change of SVRI by aortic clamping. The purpose of this study is to elucidate the accuracy and trending ability of the fourth-generation FloTrac/Vigileo™ in patients with AAA surgery by comparing the FloTrac/Vigileo™-derived CI (CIFT ) with that measured by three-dimensional echocardiography (CI3D )...
April 3, 2018: Journal of Anesthesia
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