Perioperative management of patients with cancer pain treated with opioids: a retrospective study.

Purpose: We retrospectively studied perioperative management of patients receiving opioid treatment for cancer pain to facilitate establishing a standard policy for our institute.

Methods: Subjects were patients who had been administered strong opioids for cancer pain and had undergone surgery with general anesthesia. We divided the patients into groups C and D.

Esophageal submucosal hematoma developed after endovascular surgery for unruptured cerebral aneurysm under general anesthesia: a case report.

Background: Esophageal submucosal hematoma is a rare complication after endovascular surgery. We report a case of an esophageal submucosal hematoma which may have been caused by rigorous cough during extubation.

Case Presentation: A 75-year-old woman underwent endovascular treatment for unruptured cerebral aneurysm under general anesthesia.

[Metoclopramide Induced Acute Dystonia during Intravenous Patient-controlled Analgesia with Droperidol].

A patient developed acute dystonia following intravenous administration of metocroplamide 20 mg. A 34-year-old woman underwent right hepatectomy, under general anesthesia managed with desflurane, remifentanil, and rocuronium. At the start of surgery, droperidol 1.

[Two cases of medicinal treatment of diabetic post treatment painful neuropathy].

Painful diabetic neuropathy is a common, difficult-to-manage complication of diabetes. We report two case of intractable painful diabetic neuropathy which occurred after the rapid lowering of blood sugar level. Although pregabalin, antidepressants, opioid analgetics and various nerve block did not improve their pain, clomipramine dramatically reduced their pain.

[Recovery from sevoflurane anesthesia delayed in hepatectomy patients due to influence of operation].

Background: We reported that recovery from total intravenous anesthesia with propofol was delayed in hepatectomy patients, and the hazard ratio was half against controls. This study was designed to evaluate recovery from sevoflurane anesthesia in patients for hepatectomy.

Methods: Sixteen patients receiving hepatectomy and 17 patients receiving other epigastric surgeries (controls) were anesthetized with sevoflurane.

Effects of dopamine and olprinone on ventricular energetics in sevoflurane-induced acute left ventricular depression in dogs.

Objective: The purpose of this study was to compare the effects of dopamine and a new phosphodiesterase (PDE)-3 inhibitor, olprinone, on hemodynamics and myocardial energetics in dogs with acute myocardial depression.

Design: Prospective, randomized, crossover study.

Setting: University animal laboratory.

[Recovery from propofol anesthesia is delayed in hepatectomy patients due to altered pharmacodynamics].

Background: Liver dysfunction has major impacts on the pharmacokinetics and pharmacodynamics of anesthetics. This study was designed to evaluate propofol concentrations during and at the end of total intravenous anesthesia (TIVA) for hepatectomy.

Methods: Fifty patients receiving hepatectomy (n = 25) or other epigastric surgeries (controls, n = 25) were anesthetized with TIVA.

Are the incidences of cardiac events during noncardiac surgery in Japan the same as in the United States and Europe?

In Japan, an ever-present problem in the preoperative evaluation of patients with ischemic heart disease is that although such evaluations are based on Western data, these data serve as the basis for determining perioperative risk in Japanese patients. To remedy this problem, the Cardiac Ischemia and Anesthesia Research Committee was formed in 1997 and has conducted studies of perioperative complications in noncardiac surgery in Japan. In two retrospective studies in 1997, the proportions of patients with ischemic heart disease were 3.