LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 6 of total 6

Search options

  1. Article: Accuracy of Transcutaneous Carbon Dioxide Measurement During Transcatheter Aortic Valve Replacement Under Monitored Anesthesia Care: A Prospective Observational Study.

    Okazawa, Yuki / Kataoka, Yuki / Shindo, Kazuo

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53661

    Abstract: Background Transcutaneous carbon dioxide tension ( ... ...

    Abstract Background Transcutaneous carbon dioxide tension (PtcCO
    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53661
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article: Retrolaminar Block Versus Paravertebral Block for Pain Relief After Less-Invasive Lung Surgery: A Randomized, Non-Inferiority Controlled Trial.

    Sugiyama, Takuji / Kataoka, Yuki / Shindo, Kazuo / Hino, Miki / Itoi, Kazumi / Sato, Yukihito / Tanaka, Shiro

    Cureus

    2021  Volume 13, Issue 2, Page(s) e13597

    Abstract: Introduction A retrolaminar block (RLB) is a modified paravertebral technique with a local anesthetic injected at the retrolaminar site. The aim of this non-inferiority, parallel-group, prospective, and randomized study was to compare the analgesic ... ...

    Abstract Introduction A retrolaminar block (RLB) is a modified paravertebral technique with a local anesthetic injected at the retrolaminar site. The aim of this non-inferiority, parallel-group, prospective, and randomized study was to compare the analgesic efficacy of the paravertebral block (PVB) and RLB after lung surgery. Methods Eligible subjects were patients aged more than 20 years, with American Society of Anesthesiologists physical status Ⅰ or II, who were scheduled to undergo video-assisted thoracoscopic surgery (VATS) or limited thoracotomy because of lung disease. Patients were randomly allocated to receive either a PVB or RLB using a computer-generated sequence and sealed opaque envelopes. The PVB and RLB were induced by injecting 20 mL of 0.50% ropivacaine and 40 mL 0.25% ropivacaine, respectively. As the primary outcome variable, we considered the area under the curve (AUC) of the postoperative pain intensity using the trapezoidal method. Pain intensity was assessed using an 11-point numerical rating scale (NRS). We converted the NRS (0-10) into the visual analog scale (VAS) (0-100 mm) proportionally. We compared the AUC of the converted NRS (AUC-cNRS) on coughing between one and two hours after the operation. The non-inferiority margin was set at 25 mm × h in the AUC-cNRS. Patients and nurses were blinded to group assignments. Secondary outcomes included time to perform the block, NRS for pain intensity at rest and on coughing at one, two, four, 24, and 48 hours after the operation, the incidence of postoperative nausea and vomiting, time to first morphine use after the operation, and cumulative morphine consumption at 24 and 48 hours after the operation. Results In each group, 25 patients were randomized and analyzed. No significant difference in the AUC-cNRS was noted between the groups (P = 0.117). The mean difference in the AUC-cNRS (group RLB minus group PVB) was 13.42 mm × h, 95% confidence interval, -3.48 to 30.32 mm × h. However, when patients with unexpectedly extended skin incision were excluded from the analysis, the AUC-cNRS of group RLB was significantly higher as compared to group PVB (P = 0.0388). The time to perform the block was longer in PVB as compared to the RLB group (P < 0.0001). No significant differences were noted in the remaining secondary outcomes. Conclusion The non-inferiority of RLB as compared to PVB was not confirmed. Though RLB has the advantage of a shorter time to perform, RLB is not recommended for patients undergoing VATS or limited thoracotomy because of lack of efficacy as compared to PVB.
    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.13597
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article: [Catecholamine Cardiomyopathy Presenting Inverted-takotsubo Pattern Asynergy].

    Okuno, Takuya / Hino, Miki / Kiyama, Ryosuke / Shindo, Kazuo

    Masui. The Japanese journal of anesthesiology

    2018  Volume 66, Issue 4, Page(s) 401–404

    Abstract: Pheochromocytoma is complicated with catecholamine cardiomyopathy, and preoperative care becomes considerably more difficult We report anesthetic management for an 48-year-old man brought to our hospital by ambulance and immediately hospitalized due to ... ...

    Abstract Pheochromocytoma is complicated with catecholamine cardiomyopathy, and preoperative care becomes considerably more difficult We report anesthetic management for an 48-year-old man brought to our hospital by ambulance and immediately hospitalized due to pheochromocytoma crisis complicated with catechol- amine cardiomyopathy presenting inverted-takotsubo pattern asynergy. Before surgery, α and β blocking drugs were used to control hypertension and tachycardia, and continuous hemodiafiltration was initiated and the patient was intubated for severe pulmonary edema. Seven days later, he underwent laparoscopic adrenalectomy. Total intravenous anesthesia was achieved with propofol, remifentanil, fentanyl, and rocuronium. During the operation, continuous infusion of landiolol, phentolamine, and nitroglycerin, and addi- tional bolus injections of landiolol were given to control hypertension. After severing the right adrenal vein, noradrenaline (0.15 μg · kg⁻¹ · min⁻¹), and dopamine (4μg · kg⁻¹ · min⁻¹) were started and the patient was placed in the intensive care unit Inverted-takotsubo pattern asynergy is not very common, and treatment consists of supportive care, as in the usual takotsubo. Preoperative CHDF (continuous hemodiafiltration) may be useful when it is difficult to control hypertension or tachycardia with medications.
    MeSH term(s) Adrenal Gland Neoplasms/complications ; Adrenal Gland Neoplasms/surgery ; Adrenalectomy ; Anesthesia, General/adverse effects ; Cardiomyopathies/etiology ; Catecholamines/analysis ; Humans ; Hypertension/etiology ; Male ; Middle Aged ; Pheochromocytoma/complications ; Pheochromocytoma/surgery ; Pulmonary Edema/etiology
    Chemical Substances Catecholamines
    Language Japanese
    Publishing date 2018-10-31
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 391878-6
    ISSN 0021-4892
    ISSN 0021-4892
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.B 360: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article: [General Anesthesia for Septal Myectomy in a Patient with Noonan Syndrome, Severe Hypertrophic Obstructive Cardiomyopathy and Right Ventricular Outflow Tract Obstruction].

    Tanaka, Yasutomo / Yamanaga, Osamu / Hino, Miki / Shindo, Kazuo

    Masui. The Japanese journal of anesthesiology

    2018  Volume 66, Issue 4, Page(s) 405–407

    Abstract: We report a case of an 18-year-old man with Noonan syndrome, severe hypertrophic obstructive cardiomy- opathy and right ventricular outflow tract obstruction who underwent septal myectomy under general anes- thesia. In our case, the ventricular outflow ... ...

    Abstract We report a case of an 18-year-old man with Noonan syndrome, severe hypertrophic obstructive cardiomy- opathy and right ventricular outflow tract obstruction who underwent septal myectomy under general anes- thesia. In our case, the ventricular outflow tract pres- sure gradients were 108 mmHg at left and 79 mmHg at right. General anesthesia was induced deliberately by fentanyl, midazolam and sevoflurane. Anesthesia was maintained with sevoflurane. For treatment of hypotension, we performed volume loading and admin- istration of phenylephrine. We did not use drugs that increase heart rate or contractility. Preload and after- load were well maintained, and the operation and gen- eral anesthesia were completed without serious prob- lem.
    MeSH term(s) Adolescent ; Anesthesia, General ; Cardiomyopathy, Hypertrophic/etiology ; Cardiomyopathy, Hypertrophic/physiopathology ; Cardiomyopathy, Hypertrophic/surgery ; Coronary Artery Bypass ; Heart Ventricles/surgery ; Humans ; Male ; Noonan Syndrome/complications ; Orthopedic Procedures ; Treatment Outcome
    Language Japanese
    Publishing date 2018-10-31
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 391878-6
    ISSN 0021-4892
    ISSN 0021-4892
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.B 360: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  5. Article: [A Case of Aortic Cannula Malposition Detected by Prolonged Desaturation of Regional Cerebral Oxygen Index (rcSO₂)].

    Yamasaki, Aya / Hino, Miki / Maekawa, Shun / Futsuki, Ayano / Shindo, Kazuo

    Masui. The Japanese journal of anesthesiology

    2018  Volume 66, Issue 2, Page(s) 131–134

    Abstract: A sixteen-year-old female patient with congenital aortic stenosis underwent Ross procedure. We monitored bilateral regional cerebral saturation of oxygen (rcSO₂) on the forehead at the right and left of the midline. After aortic and bicavel cannulation, ... ...

    Abstract A sixteen-year-old female patient with congenital aortic stenosis underwent Ross procedure. We monitored bilateral regional cerebral saturation of oxygen (rcSO₂) on the forehead at the right and left of the midline. After aortic and bicavel cannulation, cardiopulmonary bypass was instituted. On the mor- row of aortic cross clamping, the rcSO₂ fell from approximately 55% to below 30%. We searched the cause of this phenomenon, and detected that the tip of aortic cannula was inserted to the left subclavian artery. After repositioning, the bilateral rcSO₂ increased to above 65%. We felt keenly that the monitoring of rcSO₂ is useful to recognize corrective adjustment of the cannula ori- entation, and the avoidance of cerebral hypoperfusion during the cardiopulmonary bypass period.
    MeSH term(s) Adolescent ; Aorta, Thoracic ; Brain/metabolism ; Brain Chemistry ; Cannula ; Cardiopulmonary Bypass ; Female ; Heart Defects, Congenital/surgery ; Humans ; Monitoring, Physiologic ; Oxygen/blood ; Pulmonary Gas Exchange ; Subclavian Artery
    Chemical Substances Oxygen (S88TT14065)
    Language Japanese
    Publishing date 2018-10-31
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 391878-6
    ISSN 0021-4892
    ISSN 0021-4892
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.B 360: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  6. Article: [Anesthetic Management of Single-staged Definitive Repair of Pulmonary Atresia with Ventricular Septum Defect and Major Aorto-pulmonary Collateral Arteries (PA/VSD, MAPCA)in an Adult].

    Yamasaki, Aya / Hino, Miki / Kaneshiro, Toaki / Yamanaga, Osamu / Maekawa, Shun / Sugiyama, Takuji / Shindo, Kazuo

    Masui. The Japanese journal of anesthesiology

    2018  Volume 65, Issue 12, Page(s) 1258–1262

    Abstract: A 25-year-old woman with unrepaired pulmonary atresia, ventricular septal defect and major aorto-pul- monary collateral artery was scheduled for single- staged definitive repair. She was complicated with mod- erate pulmonary hypertension, and had 2 ... ...

    Abstract A 25-year-old woman with unrepaired pulmonary atresia, ventricular septal defect and major aorto-pul- monary collateral artery was scheduled for single- staged definitive repair. She was complicated with mod- erate pulmonary hypertension, and had 2 MAPCAs arising from the descending artery. Cardiac catheter- ization demonstrated that right ventricular pressures were approximately equal to the left ventricular pres- sure. Pre-bypass, we maintained her PVR not too high in order to maintain her pulmonary blood flow. Post- bypass, we used hemodynamic support with dopamine, olprinone and nitroglycerin, maintaining her PVR opti- mally low. We inserted a catheter introducer in her jugular vein to deal with massive hemorrhage. After the repair, her right ventricular pressures were 7/10 of systemic pressure, and her postoperative course was uneventful.
    MeSH term(s) Adult ; Anesthetics ; Female ; Heart Septal Defects, Ventricular/surgery ; Heart Ventricles ; Humans ; Postoperative Period ; Pulmonary Atresia/surgery ; Vascular Surgical Procedures
    Chemical Substances Anesthetics
    Language Japanese
    Publishing date 2018-10-31
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 391878-6
    ISSN 0021-4892
    ISSN 0021-4892
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.B 360: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top