Effects of acupuncture on sensory symptoms and motor signs in patients with restless legs syndrome: A crossover randomized controlled trial.

Background: Rapid effects of acupoint injection (acuinjection) at 4 acupoints (4P) (ST36, GB41, SP6, and BL60) on legs presenting sensory symptoms and motor signs in restless legs syndrome (RLS) were first described in a case report. This study aimed to confirm the beneficial effects of acuinjection.

Methods: A randomized, controlled, single-blinded, prospective crossover study was conducted during 2018 to 2021.

Use of a Tracheal Tube as a Nasally Inserted Supraglottic Airway in a Case of Near-Fatal Airway Obstruction Caused by Epiglottitis.

Airway management is critical during near-fatal obstruction of the upper airway in epiglottitis; however, this is challenging because of the sitting posture and agitated mental status of the patient. Moreover, there is currently no established protocol for safe airway management in patients with epiglottitis. Here, we describe the use of a conventional tracheal tube as a nasolaryngeal airway to maintain airway patency at the site of airway narrowing in the supine position, which enabled alleviation of imminent airway obstruction in a patient with epiglottitis.

Adjusting Pediatric Endotracheal Tube Depths Relative to the Cricoid by Using Longitudinal Ultrasound Images of the Saline-Inflated Cuff in the Trachea: Two Case Reports.

Cuff positions of endotracheal tubes should be confirmed to ensure safe anesthesia. However, determining the cuff positions relative to the cricoid by using chest radiography or fiberoptic bronchoscopy is difficult. We identified the cephalad edges of saline-inflated pediatric endotracheal tube cuffs relative to the cricoid on longitudinal ultrasound images over the larynx and trachea in 2 children.

[Sniffing Position and i-gel Rotation Approach for i-gel Insertion under General Anesthesia].

Background: Insertion assistance techniques, such as the sniffing position (SP) and i-gel? rotation approach (RA), are recommended in the i-gel supraglottic airway device insertion manual. The usefulness of these techniques was evaluated, in this study, under general anesthesia.

Methods: In 50 adult patients, the i-gel was inserted with the patient in the mild-SP with 5 degrees head extention at first attempt.

[A comparison of patient-controlled epidural analgesia and intravenous fentanyl analgesia for laparoscopic ovarian cystectomy].

Background: Laparoscopic ovarian cystectomy (LOC) can be performed in conjunction with patient-controlled epidural analgesia (PCEA) or intravenous fentanyl analgesia (IFA). Therefore, we evaluated the postoperative pain associated with both analgesia methods.

Methods: We retrospectively evaluated the postoperative pain associated with PCEA and IEA.

[Preoperative predictive airway procedual factors influencing successful fiberoptic oral intubation under general anesthesia].

Background: Although preoperative airway assessment is important for airway management, preoperative predictive factors influencing successful fiberoptic oral intubation (FOI) have not been well investigated. Here, we assessed the factors for successful FOI.

Methods: In 30 adult patients, we assessed gender, age, snoring habit, body mass index, Mallampati classification, upper-lip-bite-tests, and length around necks.

[Investigation of the amount of blood loss in patients with ruptured and unruptured ectopic pregnancies: a 3-year comparative study].

Background: Anesthesiologists should carefully monitor clinical symptoms and hemodynamics of ectopic pregnant patients.

Methods: We retrospectively investigated the backgrounds, vital signs, and amount of blood loss during surgery of ectopic pregnant patients who visited our hospital between July 2009 and June 2012.

Results: Ultrasonic examinations revealed a ruptured ectopic pregnancy (REP) in 17 patients and unruptured ectopic pregnancy (UEP) in 19 patients.

[Incidence of insertion difficulty using Proseal LMA and the efficacy of recommended insertion maneuvers].

Background: According to the instruction manual, the sniffing position (SP) and the slight lateral approach (SLA) are the recommended insertion methods using Proseal laryngeal mask airway (PLMA). However, the efficacy of these methods has not been assessed.

Methods: The incidence and the reason of the insertion with difficulty were assessed in 50 adult patients.

[First clinical impressions of ProSeal laryngeal mask].

ProSeal laryngeal mask airway (PLMA, LMA-ProSeal) is a newly developed laryngeal mask airway intended to overcome two major disadvantages of the conventional laryngeal mask airway, i.e., poor protection of the airway from gastric regurgitation and low sealing effect around the laryngeal inlet.