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Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan

Kawasaki, Kazuyoshi Sekimoto, Miho Ishizaki, Tatsuro Imanaka, Yuichi

PurposeThe number of anesthesiologists per population in Japan is small compared with that in Europe and North America. While there is a growing concern that hard work causes anesthesiologists’ fatigue and may compromise patient safety, the workload and physical stress, as well as the impact of staff support on physicians’ stress have not been asse...

Repeated shock after suspected anaphylactic reaction to a pulmonary artery catheter

Shibata, Yoshihiro Baba, Tomoko Goto, Tomoko Ogata, Kenichi

Published in Journal of Anesthesia

Combined spinal-epidural anesthesia for cesarean section; needle-through-needle approach

Tsutsui, Toshinori Nakamura, Kumiko Muranaka, Kenji

Published in Journal of Anesthesia

PurposeThe Portex “Spinal/Epidural Set” is designed for combined spinal-epidural (CSE) anesthesia by the needle-through-needle approach. We evaluated the technical and clinical usefulness of CSE with this needle set, and also isobaric tetracaine, for cesarean section.MethodsThirty patients for cesarean section were included. In the left decubitus p...

Nasal continuous positive airway pressure improves airway obstruction during midazolam-induced sedation under spinal or ...

Iwama, Hiroshi Shinoda, Mitsutaka Nakane, Masaki Terashima, Masayoshi Watanabe, Kazuhiro

Published in Journal of Anesthesia

Middle-ear pressure variations during total intravenous anesthesia with propofol, fentanyl, and ketamine

Kubota, Takeshi Hirota, Kazuyoshi Otomo, Noriaki Yasuda, Tadanobu Miyata, Akimasa Maeda, Asahei Ishihara, Hironori Matsuki, Akitomo

Published in Journal of Anesthesia

PurposeAs the middle-ear cavity is one of the noncompliant gas-filled cavities, an increase in middle-ear pressure (MEP) instead of volume expansion is observed with inhalation of nitrous oxide (N2O). Changes in MEP cause many complications, such as ear pain, temporary hearing impairment, and postoperative emesis. Therefore, we investigated changes...

An unusual cannister defect detected by an airway gas monitor

Imai, Takasuke Miyoshi, Sohtaro

Published in Journal of Anesthesia

Thoracic epidural blockade preserves left ventricular early diastolic filling assessed by transesophageal echocardiograp...

Shiga, Toshiya

Published in Journal of Anesthesia

PurposeThe objective of this study was to examine the effect of thoracic epidural anesthesia (TEA) on left ventricular systolic and diastolic function assessed by transesophageal echocardiography under general anesthesia.MethodsSixteen patients were allocated to control (n=8) and TEA (n=8) groups. We administered 1% mepivacaine (8.9±1.2 ml) into th...

Intraoperative hemodynamic management for minimally invasive direct coronary artery bypass: two case reports

Watanabe, Seiji Itou, Takahiko Kaneko, Shinya Isomura, Tadashi Kano, Tatsuhiko

Published in Journal of Anesthesia

Effects of reduction of carrier gas flow rate on sevoflurane and isoflurane consumption and costs

Tanaka, Satoru Tsuchida, Hideaki Sonoda, Hajime Namiki, Akiyoshi

Published in Journal of Anesthesia

PurposeTo evaluate whether sevoflurane and isoflurane consumption would be actually halved by halving the carrier gas flow rate, as predicted by a theoretical model, we measured the consumed volume of liquid sevoflurane and isoflurane and total costs of anesthetic gas at carrier gas flow rates of 3 and 61·min−1.MethodsEighty patients of ASA physica...

Detachment of a venous cannula into a blood vessel

Hayashi, Mary Jane Sakanashi, Yuji Shimoda, Osamu Terasaki, Hidenori

Published in Journal of Anesthesia

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