Publications by authors named "Shizuko Kabara"

Background: There have been many reports on the use of morphine for postoperative pain relief in children, but the use of fentanyl for this purpose has not frequently been described. We clarified the details of side effects exhibited in children who had received continuous fentanyl infusion for postoperative pain relief

Methods: The subjects are 1,166 children aged between 0 and 14 years who underwent continuous fentanyl infusion for postoperative pain relief within the previous 4 years. Fentanyl was administered at a dose of 0.

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Article Synopsis
  • A 14-year-old male patient with hemophilia B is scheduled for posterior spinal fusion surgery for scoliosis, with a preoperative factor IX activity of 8.4% and no inhibitors present.
  • *A specific dosage schedule for recombinant coagulation factor IX was created to sustain factor IX levels at or below 80% for the first 6 days and at or above 40% for the following week post-surgery.
  • *The patient had a successful surgery with stable coagulation levels and did not require any blood transfusions, indicating effective management of his hemophilia during the procedure.
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Hypercapnia during laparoscopy with CO2 is predicted in the following situations: compromised pulmonary function, retroperitoneal insufflation, and subcutaneous emphysema. We present a case of sudden electroencephalogram (EEG) depression in response to severe hypercapnia during laparoscopic ureteronephrectomy in a 77-yr-old patient with chronic pulmonary emphysema. During intraperitoneal and retroperitoneal insufflation, subcutaneous emphysema and difficult ventilation occurred.

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