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Journal of Anesthesia

Keiko Yamada, Kenta Wakaizumi, Yasuhiko Kubota, Ko Matsudaira, Masahiko Shibata
PURPOSE: Pain symptom, such as that caused by musculoskeletal disorders, is a major cause of occupational disability. As nicotine intake from smoking increases pain sensitivity, smokers may experience stronger pain and be more likely to experience pain-related disability than non-smokers. The study aim was to examine whether smoking was associated with pain-related occupational disability via pain intensity. METHODS: Participants were 1189 workers with pain aged 20-74 years in Japan...
July 5, 2019: Journal of Anesthesia
Kazuyoshi Hirota
No abstract text is available yet for this article.
July 4, 2019: Journal of Anesthesia
Sakura Kinjo, Kerstin Kolodzie, Katherine Dong, Alan L Zhang
PURPOSE: The Transmuscular Quadratus Lumborum block (TQLB) is one of the newest blocks and has been used as an effective analgesic option for various surgeries. However, it is still uncertain whether the TQLB provides beneficial analgesic outcomes for hip arthroscopic surgeries. Therefore, we aimed to investigate effects of the preoperative TQLB on postoperative pain levels and perioperative opioid consumption in patients who underwent outpatient arthroscopic hip surgery. METHODS: In this retrospective cohort study, patients who underwent arthroscopic hip surgery for femoroacetabular impingement (FAI) between June 1, 2017 and December 1, 2017 were included...
July 1, 2019: Journal of Anesthesia
Takahiro Tamura
No abstract text is available yet for this article.
June 24, 2019: Journal of Anesthesia
Hideki Hino, Tadashi Matsuura, Yuki Kihara, Shogo Tsujikawa, Takashi Mori, Kiyonobu Nishikawa
PURPOSE: Propofol is commonly used with remifentanil for induction of general anesthesia (GA); however, it often leads to hypotension. Intraoperative hypotension is associated with postoperative adverse events. By contrast, thiopental has less negative inotropic effects on hemodynamics compared to propofol, which could be suitable to prevent hypotension during GA induction. In the present age-stratified, randomized, assessor-blinded study, using the ClearSight® system, we compared the hemodynamic effects of propofol and thiopental during GA induction under remifentanil infusion in non-cardiac surgery...
June 21, 2019: Journal of Anesthesia
Mitsuru Ida, Hiroki Onodera, Motoo Yamauchi, Masahiko Kawaguchi
PURPOSE: Our aims were to evaluate the prevalence of preoperative acute sleep disruption in the hospital and to assess perioperative sleep quality and the effects of acute sleep disruption on postoperative functional recovery in a surgical setting. METHODS: This prospective observational study included 24 patients aged ≥ 20 years who underwent video-assisted thoracoscopic surgical lobectomy for lung cancer under general anesthesia at a tertiary hospital in Japan between October 2016 and May 2017...
June 12, 2019: Journal of Anesthesia
Kouichiro Minami, Yota Kokubo
No abstract text is available yet for this article.
May 22, 2019: Journal of Anesthesia
Sohei Hishiyama, Masakazu Kotoda, Tadahiko Ishiyama, Kazuha Mitsui, Takashi Matsukawa
PURPOSE: Ischemic-hypoxic insult leads to detrimental effects on multiple organs. The brain is especially vulnerable, and it is hard to regenerate once damaged. Currently, therapeutic options are very limited. Previous studies have reported neuroprotective effects of neurotropin, a non-protein extract derived from the inflamed skin of rabbits inoculated with vaccinia virus, using a murine model of peripheral nerve injury and cultured cell lines. However, whether neurotropin might have protective effects against brain injuries remains unclear...
May 21, 2019: Journal of Anesthesia
Adam C Adler, Arvind Chandrakantan, Frederick T Conlin
Use of diagnostic point of care ultrasound, has come to the forefront of interest within anesthesiology. Much data on the use of point of care ultrasound in emergency medicine and critical care medicine for diagnosis and treatment in acute situations exists. While use of point of care ultrasound has become more prevalent in anesthesia practice, documentation of its use and especially alteration in management based on real-time ultrasound findings in the perioperative period remains scarce. This case series discusses six pediatric patients in which real-time intra-operative use of point of care ultrasound resulted in alteration of management...
May 10, 2019: Journal of Anesthesia
An-Chih Hsu, Yu-Ting Tai, Ko-Huan Lin, Han-Yun Yao, Han-Liang Chiang, Bing-Ying Ho, Sheng-Feng Yang, Jui-An Lin, Ching-Lung Ko
Over the last decade, considerable progress has been made regarding infraclavicular brachial plexus block (ICB) in adults, especially since the introduction of ultrasound guidance. The advancements in ICB have been attributed to the development of various approaches to improve the success rate and reduce complications. This has also necessitated a unified nomenclature system to facilitate comparison among different approaches. This review aimed to propose an anatomical nomenclature system by classifying ICB approaches into proximal and distal ones to aid future research and provide practice advisories according to recent updates...
May 10, 2019: Journal of Anesthesia
Kunihisa Hotta
No abstract text is available yet for this article.
May 9, 2019: Journal of Anesthesia
Sherif M S Mowafy, Shereen E Abd Ellatif
PURPOSE: Post-dural puncture headache (PDPH) may be resulted from significant changes in cerebral blood flow, which could be visualized by Transcranial Doppler (TCD). This study was performed to investigate if TCD can be used to predict the occurrence of PDPH in high-risk patients. METHODS: This prospective observational study was conducted on ninety ASA I and II pregnant females undergoing elective cesarean section (CS) under spinal anesthesia. TCD was performed to all patients within 24 h before the operation, at 24 h and 48 h in the post-operative period to measure mean velocity (MV) and Gosling pulsatility index (PI) in the right middle cerebral artery...
May 9, 2019: Journal of Anesthesia
Takeshi Omae, Keito Koh, Masateru Kumemura, Sonoko Sakuraba, Yosuke Katsuda
The number of patients with atrial fibrillation (AF) and the number of patients indicated for anticoagulant therapy have been increasing because AF would affect patient survival due to thromboembolism. Once AF develops, following the disappearance of pulsation, the circumstances within the atrium become prothrombotic and thrombus formation within the left atrium occurs in patients with AF. In recent years, not only warfarin but also new oral anticoagulants were introduced clinically and have become used as oral anticoagulants...
May 8, 2019: Journal of Anesthesia
Shino Matsukawa, Shinichi Kai, Toshiyuki Mizota
Regional cerebral oxygen saturation (rSO2 ) measured using near-infrared spectroscopy has been reported to be significantly lower in hemodialysis (HD) patients than in non-HD ones, but the mechanisms are unknown. The aim of this prospective study was to assess the accuracy of near-infrared spectroscopy to estimate cerebral oxygenation in HD patients undergoing cardiovascular surgery. Our hypothesis was that rSO2 values would underestimate cerebral oxygenation in HD patients. This study included 113 patients (7 HD patients and 106 non-HD ones) undergoing cardiac or major aortic surgery between December 2015 and November 2017...
May 6, 2019: Journal of Anesthesia
Kanji Uchida
No abstract text is available yet for this article.
May 6, 2019: Journal of Anesthesia
Yutaka Oda
No abstract text is available yet for this article.
May 3, 2019: Journal of Anesthesia
Tadashi Nishiwada, Yoshitaka Kawaraguchi, Keiko Uemura, Masahiko Kawaguchi
PURPOSE: Although many oral cancer patients require opioids, the effects of morphine and related drugs on oral cancer progression have not been well established. Thus, we examined the effects of morphine exposure on the viability of human oral squamous carcinoma HSC-3 cells and aimed to identify the underlying mechanism. METHODS: We exposed HSC-3 cells to the various concentrations of morphine (0, 0.1, 1, 10, 100, or 1000 μmol/L) for 48 h and, subsequently, evaluated cell viability using the 3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyl tetrazolium bromide (MTT) assay and cytotoxicity using the lactate dehydrogenase (LDH) assay...
May 2, 2019: Journal of Anesthesia
Wanyu Wang, Xiaoshuang Zhou, Xinyang Liao, Bin Liu, Hai Yu
Prophylactic use of levosimendan in cardiac surgery remains controversial and no meta-analysis has been done exclusively about that in patients undergoing coronary artery bypass graft (CABG) surgery. We conducted this systematic review and meta-analysis of levosimendan in CABG using PubMed, Embase, Scopus, and Cochrane Library (till April 20, 2018). Two-hundred and forty manuscripts were identified and 21 randomized trials (1727 patients in total) investigating the effect of levosimendan on the patients undergoing CABG surgery were finally included in this analysis...
April 25, 2019: Journal of Anesthesia
Saki Shiraishi, Sungsam Cho, Daiji Akiyama, Taiga Ichinomiya, Itsuko Shibata, Osamu Yoshitomi, Takuji Maekawa, Eisuke Ozawa, Hisamitsu Miyaaki, Tetsuya Hara
PURPOSE: Ischemia-reperfusion (IR) injury is inevitable after liver transplantation and liver resection with inflow occlusion. Sevoflurane has been widely used during hepatobiliary surgery and was reported to exhibit preconditioning (PreC) properties against hepatic IR injury; however, its postconditioning (PostC) properties remain unknown. This study examined whether a clinically applicable dose of sevoflurane has PostC and PreC properties against hepatic IR injury and roles of heme oxygenase-1 (HO-1)...
June 2019: Journal of Anesthesia
Atsushi Nishigaki, Takashi Kawano, Hideki Iwata, Bun Aoyama, Daiki Yamanaka, Hiroki Tateiwa, Marie Shigematsu-Locatelli, Satoru Eguchi, Fabricio M Locatelli, Masataka Yokoyama
PURPOSE: Neuroinflammation may contribute to the pathogenesis of the cognitive symptoms of postoperative delirium (POD) and its subsequent long-term cognitive impairment. Haloperidol (HAL), a dopamine receptor antagonist, is widely used to treat POD, whereas the effects of HAL on postoperative neuroinflammation and related cognitive deficits have been underdetermined. METHODS: Aged rats underwent sham or abdominal surgery and were subcutaneously treated with either vehicle, low-dose (0...
June 2019: Journal of Anesthesia
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