[Protection against mismatched transfusion during operation double check system].

Background: Three mistakes in recording blood types in the operation sheets occurred at the operating room of Iwamizawa Municipal General Hospital in 3 months (June-August, 2004).

Methods: From these accidents, anesthesiologists and the staff improved the blood typing checking system to prevent mismatched transfusion during operation as follows; 1. The blood typing must be done at our out-patient's department, while the blood group compatibility test must be done at our inpatient's department.

[A case of AV block (Mobitz II type) during recovery from general anesthesia combined with epidural anesthesia].

A 59-year-old female underwent total hysterectomy for cancer of the corpus uteri. Epidural catheterization was performed at T 12/L 1 interspace. Anesthesia was induced with propofol (80 mg) and vecuronium (6 mg) and maintained with nitrous oxide (66%) and sevoflurane (0.