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Journal of Anesthesia

Sun-Kyung Park, Won Ho Kim, Jin-Tae Kim
No abstract text is available yet for this article.
January 8, 2019: Journal of Anesthesia
Tiffany S Moon, Pamela E Fox, Alwin Somasundaram, Abu Minhajuddin, Michael X Gonzales, Taylor J Pak, Babatunde Ogunnaike
PURPOSE: To determine the influence of morbid obesity on the incidence of difficult mask ventilation and difficult intubation. METHODS: Over a 6-year period, all tracheal intubations in the operating room of a large tertiary teaching hospital were analyzed. A modified version of the intubation difficulty scale (mIDS) was used to define easy versus difficult intubation, where a score of two or greater was defined as difficult intubation. Difficult mask ventilation was defined as the use of one or more adjuncts to achieve successful mask ventilation...
January 8, 2019: Journal of Anesthesia
Chikashi Takeda, Masato Takeuchi, Toshiyuki Mizota, Hiroshi Yonekura, Isao Nahara, Aki Kuwauchi, Woo Jin Joo, Yohei Kawasaki, Koji Kawakami
Arterial pulse waveform analysis (APWA) is used for cardiac output monitoring. However, data on the frequency of and patient characteristics for specialized pressure transducer for APWA (S-APWA) use are lacking. We retrospectively identified 175,201 patients aged 18 years or older, who underwent non-cardiac surgery under general anesthesia with an arterial catheter from January 1, 2014, to December 31, 2016. We extracted data on patient demographics, comorbidities, surgical and anesthesia characteristics, and hospital characteristics...
January 7, 2019: Journal of Anesthesia
Tatsuya Norii, Yosuke Homma, Hiroyasu Shimizu, Hiroshi Takase, Sung-Ho Kim, Shimpei Nagata, Akihikari Shimosato, Cameron Crandall
PURPOSE: Procedural sedation and analgesia (PSA) is widely performed outside of the operating theater, often in emergency departments (EDs). The practice and safety of PSA in the ED in an aging society such as in Japan have not been well described. We aimed to characterize the practice pattern of PSA including indications, pharmacology and incidence of adverse events (AEs) in Japan. METHODS: We formed the Japanese Procedural Sedation and Analgesia Registry, a multicenter prospective observation registry of ED patients undergoing PSA...
January 7, 2019: Journal of Anesthesia
Tohru Shiratori, Kunihisa Hotta, Masaaki Satoh
Spinal myoclonus (SM) is a rare neurologic movement disorder following neuraxial anesthesia (NA). SM following NA (SM-NA) has insufficient clinical information and its pathogenesis remains to be elucidated. The aim of this review article was to summarize the past cases and consider SM-NA pathophysiology. Based on our PubMed search, it was revealed that SM-NA develops within several hours after neuraxial local anesthetic (LA) administration and resolves in a day without leaving neurologic compilations. It occurs primarily in the lower extremities, but can sometimes spread upward and affect the upper extremities and trunk...
January 6, 2019: Journal of Anesthesia
Chikashi Takeda, Masato Takeuchi, Yohei Kawasaki, Hiroshi Yonekura, Isao Nahara, Aki Kuwauchi, Satomi Yoshida, Shiro Tanaka, Koji Kawakami
PURPOSE: Transthoracic esophagectomy is an invasive surgery, and the excessive surgical stress produces inflammatory cytokines, which provoke acute respiratory distress syndrome (ARDS). Sivelestat sodium hydrate-a selective neutrophil elastase inhibitor-is used to treat or prevent ARDS in patients undergoing esophagectomy, although clear evidence is lacking. We investigated the benefits and risk of prophylactic sivelestat. METHODS: This retrospective study used an administrative claims database in Japan...
January 5, 2019: Journal of Anesthesia
Gita Raghavan, Vidur Shyam, John A C Murdoch
PURPOSE: The general public's perceptions of anesthesia and the risks associated with it may be skewed. The outpatient preoperative appointment with an anesthesiologist allows for patient education regarding different anesthetic options and counseling regarding anxiety related to anesthesia and surgery. This study investigates whether the preoperative appointment for hip and knee arthroplasty alters patient preference for general or spinal anesthesia and reduces patient anxiety. METHODS: Sixty-two patients undergoing hip or knee arthroplasty were administered two verbal questionnaires at the preoperative clinic...
January 3, 2019: Journal of Anesthesia
Ha Yeon Kim, Eung Jin Kim, Cheung Soo Shin, Jeongmin Kim
PURPOSE: To evaluate risk factors associated with improper postoperative nasal Ring-Adair-Elwyn (RAE) tube depth. METHODS: We retrospectively enrolled 133 adult patients who were admitted to the intensive care unit (ICU) with the nasal RAE tube after head and neck surgery. Postoperative chest radiography was performed to confirm nasal RAE tube depth immediately after the patient was admitted to the ICU. Proper tube depth was defined as the tube tip between 2 and 7 cm above the carina...
January 2, 2019: Journal of Anesthesia
Ji-Hoon Park, Yong-Cheol Lee, Jiwon Lee, Sangbaek Kim, Hyun-Chang Kim
PURPOSE: Tracheal intubation for general anesthesia causes postoperative sore throat. The purpose of this study was to evaluate the effect of sevoflurane and desflurane on prevalence of postoperative sore throat in patients after general anesthesia. METHODS: Ninety-six patients scheduled for orthopedic lower extremity surgery under general anesthesia were assigned to sevoflurane group or desflurane group. In the sevoflurane group (n = 48), sevoflurane was used as a maintenance anesthetic agent...
January 2, 2019: Journal of Anesthesia
Satoko Noguchi, Junichi Saito, Kishiko Nakai, Masato Kitayama, Kazuyoshi Hirota
PURPOSE: The efficacy of preemptive analgesia for prevention of phantom limb pain has been controversial although pain management before amputation is empirically important. The aim of this study was to determine the associated factors with perioperative phantom limb pain. METHODS: Following approval by the Medical Ethics Committee in our university, medical records of patients receiving limb amputation surgery in our hospital between April 1, 2013 and October 31, 2017 were retrospectively reviewed...
January 2, 2019: Journal of Anesthesia
Min Hur, Sun-Kyung Park, Hyun-Kyu Yoon, Seokha Yoo, Hyung-Chul Lee, Won Ho Kim, Jin-Tae Kim, Ja Hyeon Ku, Jae-Hyon Bahk
BACKGROUND: Although many drugs or interventions have been studied to manage catheter-related bladder discomfort (CRBD), their comparative effectiveness is unknown. We attempted to assess the comparative effectiveness of the strategies to manage CRBD in patients undergoing urologic surgery including amikacin, solifenacin, darifenacin, butylscopolamine, dexmedetomidine, gabapentin, glycopyrrolate, ketamine, oxybutynin, resiniferatoxin, tolterodine, tramadol, caudal block, dorsal penile nerve block, lidocaine-prilocaine cream...
January 2, 2019: Journal of Anesthesia
Mitsuhiro Matsuo, Fuminori Yamagishi
The aim of this study is to assess the accuracy of creatinine clearance (CCr) calculated by the Cockcroft-Gault (CG) equation for elderly patients in a Japanese hospital. This study was a retrospective chart review of patients aged ≥ 55 years with a CCr measurement by a 24-h urine collection (24-h) prior to general surgery in our hospital between April 2009 and March 2017. In total, 1028 Japanese patients were included (mean age 73.0 ± 8.9 years). The serum creatinine value was 0.82 ± 0.24 mg/dL...
January 2, 2019: Journal of Anesthesia
Takashi Ichino, Satoshi Tanaka, Ryusuke Tanaka, Naruaki Tanaka, Takashi Ishida, Yuki Sugiyama, Mikito Kawamata
PURPOSE: The aim of this study was to elucidate normative features of vagal motor-evoked potentials (MEPs) induced by transcranial electrical stimulation (TES) and to determine the influence of functional decline of the recurrent laryngeal nerve (RLN) on vagal MEPs during thyroid surgery. METHODS: A total of 54 patients undergoing elective thyroid surgery under general anesthesia were enrolled in this study. Vagal MEPs induced by TES were measured from the vocal cord using one of two types of electrodes (wire type or wide and flat type) mounted on an endotracheal tube...
January 2, 2019: Journal of Anesthesia
Ryohei Miyazaki, Sumio Hoka
In the Original publication of the article, the Table 1 was incorrectly published.
December 20, 2018: Journal of Anesthesia
Alex Ramirez, Sanjay Mohan, Rebecca Miller, Dmitry Tumin, Joshua C Uffman, Joseph D Tobias
PURPOSE: We prospectively investigated contamination of high-contact surfaces in the operating room (OR) using adenosine triphosphate (ATP) monitoring. We tested whether contamination would increase from morning (AM) to afternoon (PM), despite cleaning between cases. Second, we compared the degree of OR contamination to non-OR control sites. METHODS: ORs with high case volumes were selected for the study. Ten sites in each OR were swabbed using the AccuPoint® HC ATP Sanitation Monitoring device, which provided a numerical measure of contamination (relative light units, RLUs)...
December 11, 2018: Journal of Anesthesia
Takashi Juri, Koichi Suehiro, Kiyonobu Nishikawa
No abstract text is available yet for this article.
December 11, 2018: Journal of Anesthesia
Makiko Komori, Yuriko Samejima, Keiko Okamura, Junko Ichikawa, Mitsuharu Kodaka, Keiko Nishiyama, Yasuko Tomizawa
OBJECTIVE: The effects of hydroxyethyl starch (HES) on microcirculation, central venous oxygen saturation (ScvO2 ), and the central venous-to-arterial carbon dioxide gap (dCO2 ) are studied in a rabbit model of hemorrhagic shock for elucidating the advantages and drawbacks of resuscitation with HES compared with crystalloids. METHODS: An ear chamber and sublingual mucosa were used to examine blood vessels by intravital microscopy. Hemorrhagic shock was induced by removing nearly half of the blood volume...
December 10, 2018: Journal of Anesthesia
Yusuke Mazda
No abstract text is available yet for this article.
December 10, 2018: Journal of Anesthesia
Lutz Kaufner, A Karekla, A Henkelmann, S Welfle, K von Weizsäcker, L Hellmeyer, C von Heymann
BACKGROUND: Maternal hypotension is a common side effect of spinal anaesthesia for Caesarean section. The combination of colloid coloading and vasopressors was considered our standard for its prevention and treatment. As the safety of hydroxyethyl starch is under debate, we replaced colloid with crystalloid coloading. OBJECTIVE: We hypothesize that the mean blood pressure drop is greater when coloading with crystalloids. DESIGN: Prospective, observational clinical trial...
December 6, 2018: Journal of Anesthesia
Satoko Noguchi, Junichi Saito, Kishiko Nakai, Masato Kitayama, Kazuyoshi Hirota
PURPOSE: We retrospectively analyzed the efficacy of abdominal peripheral nerve block (PNB) and caudal block (CB) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RARP). METHODS: Patients who underwent elective RARP at our hospital (Jan. 2015-Sept. 2016) were enrolled. We reviewed the 188 patients' anesthesia charts and medical records and divided the patients into three groups based on the anesthesia used in their cases: 76 patients in the total intravenous anesthesia (TIVA) group, 51 patients in the TIVA + abdominal PNB group (TI-PB group), and 61 patients in the TIVA + abdominal PNB + CB (TI-PB-CB group)...
December 6, 2018: Journal of Anesthesia
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