Michinori Nasu, H. Yoshida, Hirofumi Oishi, R. Arai, K. Ogawa, N. Matsui
scores were also similar. IVPCA did not raise the incidence of PONV and worse postoperative pain compared to PCEA.
分数也差不多。与PCEA相比，IVPCA没有增加PONV的发生率和更严重的术后疼痛。
{"title":"Incidence of Postoperative Nausea and Vomiting after Thoracoscopic Lung Surgery：Comparison between Patient-Controlled Epidural Analgesia and Intravenous Patient-Controlled Analgesia","authors":"Michinori Nasu, H. Yoshida, Hirofumi Oishi, R. Arai, K. Ogawa, N. Matsui","doi":"10.2199/jjsca.42.125","DOIUrl":"https://doi.org/10.2199/jjsca.42.125","url":null,"abstract":"scores were also similar. IVPCA did not raise the incidence of PONV and worse postoperative pain compared to PCEA.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74478772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Factors for Opioid Dependence - Things We Should Learn from the United States of America -","authors":"T. Sakai","doi":"10.2199/jjsca.42.193","DOIUrl":"https://doi.org/10.2199/jjsca.42.193","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82860445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anesthetic Management in Pediatric Catheterization Suite There have been major technical advances in pediatric cardiac catheterization that have changed it into a therapeutic intervention tool rather than a primarily diagnostic tool. This has made pediatric cardiac catheter anesthesia more complex. This report aims to outline common issues and precau-tions in pediatric cardiac catheter anesthesia.
{"title":"Anesthetic Management in Pediatric Catheterization Suite","authors":"Yusuke Naito, M. Kawaguchi","doi":"10.2199/jjsca.42.187","DOIUrl":"https://doi.org/10.2199/jjsca.42.187","url":null,"abstract":"Anesthetic Management in Pediatric Catheterization Suite There have been major technical advances in pediatric cardiac catheterization that have changed it into a therapeutic intervention tool rather than a primarily diagnostic tool. This has made pediatric cardiac catheter anesthesia more complex. This report aims to outline common issues and precau-tions in pediatric cardiac catheter anesthesia.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81173408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acetaminophen and nonsteroidal anti-inflammatory analgesics are commonly used for postoperative pain management after neurosurgery（craniotomy）, but they often result in inadequate analgesia. Local infiltration anesthesia of the scalp and nerve blocks to the peripheral nerves distributed in the scalp（so-called scalp blocks）are classic methods that have been reported for more than 100 years. Still, they are being reevaluated as perioperative analgesia methods with the widespread use of awake craniotomy in recent years. The application of regional anesthesia to the scalp can reduce the requirement for intraoperative opioid analgesics and alleviate pain in the immediate postoperative pe-riod. At present, pain control measures are needed after the effects of local anesthetics have expired, so multimodal pain management methods should be considered.
{"title":"Practice of Postoperative Pain Management in Neurosurgery","authors":"Y. Kamiya, Shuichiro Kurita","doi":"10.2199/jjsca.42.168","DOIUrl":"https://doi.org/10.2199/jjsca.42.168","url":null,"abstract":"Acetaminophen and nonsteroidal anti-inflammatory analgesics are commonly used for postoperative pain management after neurosurgery（craniotomy）, but they often result in inadequate analgesia. Local infiltration anesthesia of the scalp and nerve blocks to the peripheral nerves distributed in the scalp（so-called scalp blocks）are classic methods that have been reported for more than 100 years. Still, they are being reevaluated as perioperative analgesia methods with the widespread use of awake craniotomy in recent years. The application of regional anesthesia to the scalp can reduce the requirement for intraoperative opioid analgesics and alleviate pain in the immediate postoperative pe-riod. At present, pain control measures are needed after the effects of local anesthetics have expired, so multimodal pain management methods should be considered.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81905384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In addi-tion, the number of difficult anesthesia cases doubled during this time. The number of large-scale surgeries for patients aged 75 years and over and 85 years and over increased 1.8-fold and 1.3-fold, respectively, during these 11 years. The number of surgeries being performed is increasing, and older patients’ADLs may deteriorate after surgery even in the absence of complications. In our investigation using the National Hospital Organization’s database of about 310,000 patients, we found that postoperative ADL deterioration rates increased significantly in patients aged 70 years and over, reaching 20% in patients aged 90 years and over. According to the current literature, it is not clear whether anesthesia techniques affect postoperative ADLs in elderly patients who have undergone hip fracture surgery, but it has been suggested that good postoperative analgesia may contribute to ADL maintenance.
{"title":"Current Status of Anesthesiology in Elderly Japanese Patients：Postoperative Activities of Daily Living and Anesthesia Techniques","authors":"Taeko Fukuda","doi":"10.2199/jjsca.42.153","DOIUrl":"https://doi.org/10.2199/jjsca.42.153","url":null,"abstract":"In addi-tion, the number of difficult anesthesia cases doubled during this time. The number of large-scale surgeries for patients aged 75 years and over and 85 years and over increased 1.8-fold and 1.3-fold, respectively, during these 11 years. The number of surgeries being performed is increasing, and older patients’ADLs may deteriorate after surgery even in the absence of complications. In our investigation using the National Hospital Organization’s database of about 310,000 patients, we found that postoperative ADL deterioration rates increased significantly in patients aged 70 years and over, reaching 20% in patients aged 90 years and over. According to the current literature, it is not clear whether anesthesia techniques affect postoperative ADLs in elderly patients who have undergone hip fracture surgery, but it has been suggested that good postoperative analgesia may contribute to ADL maintenance.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75629455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eriko Yamanaka, S. Yamaguchi, Sakiko Shiina, S. Hamaguchi
Our facility is a local base and teaching hospital and is designated as an advanced treatment hospital. In our department, we focus not only on perioperative management, but on pain clinics and palliative care as well, so we see and treat many types of pain including acute pain, chronic pain, and can-cer pain. Although there are many specialists who are familiar with perioperative management, pain clinic, palliative care and regional anesthesia, acute pain service（APS）had never been established in our facility until now. In this article, we review our activities related to postoperative pain management in the past, present and future. Furthermore, we present an outline of specialized and original APS, which is focused on total pain in our facility.
{"title":"A Dream of Acute Pain Service：Postoperative Pain Management in the Past, Present and Future","authors":"Eriko Yamanaka, S. Yamaguchi, Sakiko Shiina, S. Hamaguchi","doi":"10.2199/jjsca.42.175","DOIUrl":"https://doi.org/10.2199/jjsca.42.175","url":null,"abstract":"Our facility is a local base and teaching hospital and is designated as an advanced treatment hospital. In our department, we focus not only on perioperative management, but on pain clinics and palliative care as well, so we see and treat many types of pain including acute pain, chronic pain, and can-cer pain. Although there are many specialists who are familiar with perioperative management, pain clinic, palliative care and regional anesthesia, acute pain service（APS）had never been established in our facility until now. In this article, we review our activities related to postoperative pain management in the past, present and future. Furthermore, we present an outline of specialized and original APS, which is focused on total pain in our facility.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76678754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Yasuma, O. Nagata, Sae Sekiguchi, Y. Maehara, Y. Matsuki, K. Shigemi
This single-center prospective study with 50 participants was conducted using train-of-four val-ues obtained intraoperatively by neuromuscular monitoring and pharmacokinetics-pharmacodynam-ics（PK-PD）modeling for the rocuronium-sugammadex complex. Individual changes in the effect-site concentration of free rocuronium after administration and the effect-site concentrations of rocuronium at the time of complete recovery（Ce_r）were calculated using the model developed by Kleijn et al. When sugammadex was administered at the recommended dose stated in the package insert, me-dian Ce_r was 0.43μg/mL（interquartile range, 0.29-0.62μg/mL）. The effect-site concentration of rocuronium remained below the Ce_r value determined in each case, and none of the participants had symptoms suggestive of residual neuromuscular block or recurarization. The PK-PD model appears to be useful for predicting free rocuronium concentrations.
{"title":"Effect-Site Concentration of Rocuronium at the Time of Recovery and Risk of Recurarization in the Presence of Antagonism of Neuromuscular Block by Sugammadex","authors":"F. Yasuma, O. Nagata, Sae Sekiguchi, Y. Maehara, Y. Matsuki, K. Shigemi","doi":"10.2199/jjsca.42.7","DOIUrl":"https://doi.org/10.2199/jjsca.42.7","url":null,"abstract":"This single-center prospective study with 50 participants was conducted using train-of-four val-ues obtained intraoperatively by neuromuscular monitoring and pharmacokinetics-pharmacodynam-ics（PK-PD）modeling for the rocuronium-sugammadex complex. Individual changes in the effect-site concentration of free rocuronium after administration and the effect-site concentrations of rocuronium at the time of complete recovery（Ce_r）were calculated using the model developed by Kleijn et al. When sugammadex was administered at the recommended dose stated in the package insert, me-dian Ce_r was 0.43μg/mL（interquartile range, 0.29-0.62μg/mL）. The effect-site concentration of rocuronium remained below the Ce_r value determined in each case, and none of the participants had symptoms suggestive of residual neuromuscular block or recurarization. The PK-PD model appears to be useful for predicting free rocuronium concentrations.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85154069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Honda, Yuzo Iseki, Rieko Oishi, T. Hakozaki, Shinju Obara, Satoki Inoue
{"title":"Use of Left Ventricular Assist Device for Difficult Weaning from Cardiopulmonary Bypass after Surgical Repair of Traumatic Aortic Dissection：A Case Report","authors":"Jun Honda, Yuzo Iseki, Rieko Oishi, T. Hakozaki, Shinju Obara, Satoki Inoue","doi":"10.2199/jjsca.42.21","DOIUrl":"https://doi.org/10.2199/jjsca.42.21","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72795777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Cardiac Arrest under Spinal Anesthesia Subsequently Diagnosed with Sick Sinus Syndrome","authors":"N. Terada, A. Yamane, Takashi Goto, W. Fujinaka","doi":"10.2199/jjsca.42.32","DOIUrl":"https://doi.org/10.2199/jjsca.42.32","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73128967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radical-7®","authors":"Katsuaki Tanaka, H. Yamasaki, Takashi Mori","doi":"10.2199/jjsca.42.36","DOIUrl":"https://doi.org/10.2199/jjsca.42.36","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90843547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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