Journal of Anesthesia

Chikashi Takeda, Masato Takeuchi, Yohei Kawasaki, Hiroshi Yonekura, Isao Nahara, Aki Kuwauchi, Satomi Yoshida, Shiro Tanaka, Koji Kawakami
In the original version of the article, the Tables 2 and 3 was published incorrectly. The correct version of Tables 2 and 3 are given below.
January 14, 2020: Journal of Anesthesia
Takashige Yamada, Daisuke Nishimura, Kei Inoue, Jungo Kato, Hiroshi Morisaki, Yoshifumi Kotake
Ringer's ethyl pyruvate solution (REPS) has been protective against experimental renal, intestinal, and spinal ischemia and may be useful for organ protection in major vascular surgery. The purpose of this study was to investigate whether REPS attenuates organ injury in a rabbit model of supraceliac aortic cross-clamp that simulates thoracoabdominal aortic surgery. Following the Institutional Animal Care and Use Committee's approval, 20 rabbits were undergone cross-clamping of the supraceliac thoracic aorta for 30 min, and observed for 180 min after reperfusion...
January 9, 2020: Journal of Anesthesia
Hyerim Kim, Jee-Eun Chang, Jung-Man Lee, Dongwook Won, Hyo Jun Yang, Jin-Young Hwang
PURPOSE: An endoscopic bite block is a device to ensure that the patient's mouth remains wide open during endoscopic procedures. Wide opening of the mouth may facilitate the efficiency of one-handed mask ventilation. We evaluated the effect of an endoscopic bite block on mask ventilation among three ventilation techniques: one-handed ventilation, one-handed ventilation with an endoscopic bite block, and two-handed ventilation. METHODS: Fifty-nine anesthetized and paralyzed patients were included...
January 8, 2020: Journal of Anesthesia
Koichi Suehiro
No abstract text is available yet for this article.
January 7, 2020: Journal of Anesthesia
Masafumi Suga, Daisuke Kawakami, Hiroshi Ueta, Takahiro Shimozono, Jiro Ito, Ryutaro Seo, Yuki Nakamori, Akira Korenaga, Takeshi Morimoto, Hiroyuki Mima
PURPOSE: We evaluated whether longer term hemodialysis (HD) is associated with a higher incidence of vasoplegic syndrome (VS) after cardiac surgery. METHODS: This retrospective, single-center cohort study included 562 consecutive patients who underwent cardiac surgery in a tertiary hospital from January 2015 to December 2016. We assessed VS occurrence and its relationship with HD duration and other risk factors. To assess the effect of the HD duration on VS occurrence, we constructed ordinal variables: HD = 0 (non-HD), 0 < HD ≤ 5 (HD ≤ 5 years), 5 < HD ≤ 10, and 10 < HD...
January 3, 2020: Journal of Anesthesia
Midoriko Higashi, Kenji Shigematsu, Kenji Tominaga, Kazuya Murayama, Daisuke Seo, Toshikazu Tsuda, Gen Maruta, Kohei Iwashita, Ken Yamaura
PURPOSE: Left ventricular diastolic dysfunction is an independent risk factor for adverse cardiovascular morbidities and mortalities in cardiovascular and high-risk surgical patients. However, there were only a few investigations among intermediate-risk surgical patients. This study aimed to investigate postoperative heart failure (HF) in intermediate-risk surgical patients who had preoperative diastolic dysfunction with preserved ejection fraction (EF). METHODS: Consecutive patients underwent intermediate-risk surgery between January 2016 and December 2018 were retrospectively evaluated...
January 2, 2020: Journal of Anesthesia
Aaron Lazorwitz, Eva Dindinger, Natasha Aguirre, Jeanelle Sheeder
Sugammadex is a steroid binder and can potentially bind the estrogens and progestins contained within hormonal contraception. Therefore, the FDA label for sugammadex contains a drug-drug interaction warning between this medication and hormonal contraception, advising that women taking hormonal contraception use a backup contraceptive method or abstinence for seven days after exposure to sugammadex. However, given concerns that this warning may not be appropriately provided to at-risk patients, we conducted a retrospective chart review to identify women administered sugammadex while using hormonal contraception to identify documented counseling on this drug-drug interaction prior to implementation of a formalized counseling process...
December 21, 2019: Journal of Anesthesia
Yu-Yu Li, Yan-Syun Zeng, Jen-Yin Chen, Kuei-Fen Wang, Chung-Hsi Hsing, Wen-Ju Wu, Jhi-Joung Wang, Ping-Hsun Feng, Chin-Chen Chu
BACKGROUND: To evaluate the effectiveness of diphenhydramine, an antihistamine with anti-muscarinic properties, for prevention of postoperative catheter-related bladder discomfort (CRBD). METHODS: Ninety-six ASA physical status I and II adult female patients (20-60 years) scheduled for elective gynecologic laparoscopic surgery were included. Patients were randomized into two groups of 48 patients each. All patients received a detailed preoperative explanation of the possible consequences of CRBD...
December 20, 2019: Journal of Anesthesia
Maha Mostafa, Mai Saeed, Ahmed Hasanin, Sahar Badawy, Dalia Khaled
BACKGROUND: Studies of the accuracy of different airway tests are lacking in elderly. We evaluated and compared the accuracy of thyromental height in predicting difficult intubation in relation to the other traditional airway tests in elderly. METHODS: We included 120 patients aged ≥ 65 years scheduled for general anesthesia with tracheal intubation. Thyromental height, modified Mallampati test, thyromental distance and sternomental distance were evaluated...
December 19, 2019: Journal of Anesthesia
Yutaka Miura, Seiji Ishikawa, Koichi Nakazawa, Kenichi Okubo, Koshi Makita
PURPOSE: To investigate the effects of alveolar recruitment maneuver (ARM) during one-lung ventilation (OLV) on end-expiratory lung volume (EELV) of the dependent lung. METHODS: Patients who were planned to undergo lung resection surgery for lung tumors and needed OLV for at least 1 h were included in the study. After turning the patients into the lateral position under total intravenous anesthesia, OLV was commenced using a double-lumen endobronchial tube. EELV was measured using the nitrogen washout technique at 20 min after OLV started (baseline) and 15, 30, 45, 60 min after ARM was performed on the dependent lung...
December 17, 2019: Journal of Anesthesia
Keiko Yamada, Takashi Kimura, Satoyo Ikehara, Meishan Cui, Yasuhiko Kubota, Kenta Wakaizumi, Takashi Takeda, Hiroyasu Iso
PURPOSE: Analgesic medication epidemic during pregnancy is an important issue in Western countries. However, no large epidemiological study involving pregnant women with pain and their medication use has been conducted in Japan. This study examined the current situation of medication use for non-cancer pain during the perinatal period in Japan using national cohort data. METHODS: We analyzed 94,649 pregnant women who completed a self-report questionnaire investigating bodily pain and an interview-based medication use survey...
December 16, 2019: Journal of Anesthesia
Mayuko Wakimoto, Rebecca Miller, Kristin Chenault, Joseph D Tobias
While oxygen administration has been in clinical practice, the focus has generally been on avoidance of hypoxemia. More recently, renewed emphasis has been placed on the potential deleterious effects of hyperoxia. The aim of this study is to investigate the incidence of intraoperative inadvertent hyperoxia among neonate, which was defined at three different thresholds: normoxia (PaO2 60-100 mmHg), hyperoxia (PaO2 101-199 mmHg), and severe hyperoxia (PaO2  ≥ 200 mmHg). This study included 65 patients with 174 eligible arterial blood gas (ABG) samples, who were less than 60 weeks post-menstrual age and required a non-cardiac surgical procedure...
December 5, 2019: Journal of Anesthesia
Tasuku Fujii, Yasuyuki Shibata, Yasutaka Ban, Akira Shitaokoshi, Kunihiko Takahashi, Shigeyuki Matsui, Kimitoshi Nishiwaki
PURPOSE: Thoracic paravertebral block (TPVB) provides a unilateral nerve block at multiple intercostal levels allowing injection of a local anesthetic into paravertebral space (PVS) via a needle or catheter. However, the most effective injection method remains unclear. This study compared the real-time spread of ropivacaine between two paravertebral injection methods using thoracoscopy. METHODS: Thirty-four patients scheduled for thoracoscopic surgery were randomly allocated into the Needle or Catheter groups, and performed transverse in-plane ultrasound-guided TPVB...
December 4, 2019: Journal of Anesthesia
Takahiro Hirai, Yuko Konishi, Shoko Mizuno, Zhou Rui, Yao Sun, Kimitoshi Nishiwaki
The article Differential effects of sevoflurane on the growth and apoptosis of human cancer cell lines, written by Takahiro Hirai, Yuko Konishi, Shoko Mizuno, Zhou Rui, Yao Sun and Kimitoshi Nishiwaki, was originally published electronically on the publisher's internet portal (currently SpringerLink) on 31 October 2019 with open access. With the author(s)' decision to step back from Open Choice, the copyright of the article changed on 5 December 2019 to © Japanese Society of Anesthesiologists 2019 and the article is forthwith distributed under the terms of copyright...
December 3, 2019: Journal of Anesthesia
Kazuyoshi Hirota, Tetsuya Kushikata, Daiki Takekawa, Mihoko Kudo
INTRODUCTION: It is believed that neurotransmitters release modulates general anesthesia via several receptors system which are molecular targets for anesthetic agents in young-adult rats. However, middle-aged rats have rarely been used. Therefore, we studied in this age group. MATERIALS AND METHODS: After approval of our protocol by the institutional committee on animal research, 116 middle aged Sprague-Dawley rats were assigned to ketamine (K: n = 74) and propofol (P: n = 42) anesthesia groups...
December 2, 2019: Journal of Anesthesia
(no author information available yet)
Central venous catheterization is a basic skill applicable in various medical fields. However, because it may occasionally cause lethal complications, we developed this practical guide that will help a novice operator successfully perform central venous catheterization using ultrasound guidance. The focus of this practical guide is patient safety. It details the fundamental knowledge and techniques that are indispensable for performing ultrasound-guided internal jugular vein catheterization (other choices of indwelling catheters, subclavian, axillary, and femoral venous catheter, or peripherally inserted central venous catheter are also described in alternatives)...
November 30, 2019: Journal of Anesthesia
Noriya Hirose, Yuko Kondo
No abstract text is available yet for this article.
November 28, 2019: Journal of Anesthesia
Daichi Fujimoto, Moritoki Egi, Shohei Makino, Satoshi Mizobuchi
PURPOSE: Patients undergoing gynecological surgery are considered to be a high-risk cohort for postoperative nausea and vomiting (PONV). The purpose of this study was to assess the association of intraoperative end-tidal carbon dioxide (EtCO2 ) with risk of PONV in patients underwent gynecological open surgery. METHODS: In this single-center retrospective observational study, we included patients aged 20-60 years who underwent elective gynecological open surgery...
November 27, 2019: Journal of Anesthesia
Yang Hao, Zhong You, Meng-Jun Wu
No abstract text is available yet for this article.
November 26, 2019: Journal of Anesthesia
Daiki Takekawa, Junichi Saito, Hirotaka Kinoshita, Eij I Hashiba, Naoki Hirai, Yuma Yamazaki, Tetsuya Kushikata, Kazuyoshi Hirota
PURPOSE: The present case-control study was conducted to evaluate whether acute normovolemic hemodilution (ANH) can reduce the need for perioperative allogeneic blood transfusion (ABT) and affect the incidence of perioperative complications in free-flap reconstruction of the head and neck. METHODS: This single-center, retrospective, observational study included the perioperative data of 123 patients who underwent free-flap reconstruction of the head and neck following oncological surgery...
November 25, 2019: Journal of Anesthesia
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