Publications by authors named "K SHIDA"
Flail chest is a life-threatening condition characterized by multiple rib fractures that result in a partially free rib cage. Thoracic paravertebral block (TPVB) allows visualization of the needle tip under ultrasound guidance and can be safely performed, unlike epidural anesthesia where the needle tip cannot be visualized. Here, we describe a case of flail chest in whom TPVB was used, as it provides the same level of analgesia as epidural anesthesia and has a perfect analgesic effect.
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- This study examines the effectiveness of different sizes of cotton swabs (large vs. fine) for nasal disinfection before nasotracheal intubation (NTI) to reduce bleeding while still sterilizing effectively.
- Researchers conducted a randomized controlled trial with 62 patients in each cotton swab group, collecting bacterial samples before and after disinfection and after surgery.
- Results showed no significant difference in bacterial reduction between the large and fine swabs, indicating that both swab sizes were comparably effective for nasal disinfection prior to NTI.
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- Postoperative complications like blood pressure spikes, agitation, and delirium can occur after modified electroconvulsive therapy (mECT), but remimazolam might help reduce these issues, despite limited reports on its use in this context.
- A 45-year-old man with severe depression and a history of postoperative agitation underwent mECT with remimazolam and suxamethonium, aiming for effective convulsions and a calm recovery.
- The patient displayed stable vital signs during the procedure and showed no postoperative agitation, suggesting that remimazolam could be beneficial, though its impact on convulsions during mECT needs further study.
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- The 2023 update from the Japan Society of Facial Nerve Research provides evidence-based recommendations for treating Bell's palsy, focusing on identifying key clinical questions.
- The guideline panel utilized a structured approach to evaluate various treatment options, including corticosteroids, antivirals, and surgical interventions.
- Strong recommendations are made for using systemic standard-dose corticosteroids, while other treatments are recommended with caution due to varying levels of supporting evidence and disease severity considerations.
Previous studies have demonstrated that soymilk and Lacticaseibacillus paracasei YIT 9029 (strain Shirota: LcS) each beneficially affect the gut microbiota and defecation habits. To investigate the effects of daily consumption of fermented soymilk containing LcS (FSM), we conducted a randomised, double-blind, placebo-controlled study of 112 healthy Japanese adults with a low faecal Bifidobacterium count. They consumed 100 ml FSM or placebo (unfermented soymilk base) once daily for 4 weeks.
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