Suspected migration of cervical epidural catheter into the brainstem after a difficult catheter insertion.

We report a case of diplopia during continuous epidural injection presumably caused by catheter migration. A 61-year-old woman underwent shoulder surgery under general anesthesia with cervical epidural anesthesia. The epidural catheter was placed in the C6-C7 epidural space with some difficulty before general anesthesia.

[A case of fulminant myocarditis successfully treated by percutaneous cardiopulmonary support after 50 minuite-cardiopulmonary resuscitation].

We report a case of an 8-year-old girl with fulminant myocarditis successfully treated with percutaneous cardiopulmonary support (PCPS). She was first taken to our hospital for treatment of suspected infective enterocolitis since her main symptoms were fever, vomiting and diarrhea. On day 2 after admission, her ECG showed wide QRS and echocardiography demonstrated severe hypokinesis.

[Changes in palmar skin blood flow, perfusion index and temperature during endoscopic thoracic sympathectomy].

Background: In endoscopic thoracic sympathectomy (ETS), it is required to perform accurate cautery of the sympathetic trunk. Monitoring of palmar skin blood flow and temperature has been used to assess the efficacy of ETS. This study investigated whether Perfusion Index (PI) is useful in assessing palmar skin blood flow and temperature in ETS.

[Effects of bicarbonated Ringer's solution for infants and children undergoing open-heart surgery].

Background: There is no study on the use of bicarbonated Ringer's solution (BR) for pediatric patients. We evaluated the effect of BR on infants and children undergoing open-heart surgery, compared with acetated Ringer's solution (AR).

Methods: The records of 18 pediatric patients with congenital heart disease who had undergone elective open-heart surgeries with cardiopulmonary bypass (CPB) were reviewed retrospectively.