The effectiveness of weighted blankets on sleep quality in intensive care unit patients: A prospective randomised controlled trial.

Background: Sleep deprivation is frequently observed among critically ill patients, and sleep aids still lack robust evidence of efficacy. Thus, the present randomised controlled study aimed to investigate the effectiveness of weighted blankets as non-pharmacological sleep aids for patients in the intensive care unit.

Methods: Patients scheduled to be admitted to the intensive care unit after elective hepatobiliary-pancreatic surgery were randomly assigned to one of two groups: a weighted blanket group or a normal blanket group.

Integrated Assessment of Discrepancy Between Tracheal Tube and Tube Exchanger as Advancement: A Manikin Simulation Study.

Background: Advancing a tracheal tube over a tracheal tube exchanger into the trachea frequently causes difficulties because of the tube impingement on laryngeal structures. In the present study, we measured the resistance of tube advancement both objectively and subjectively with a variety of combinations of tube exchanger sizes and tracheal tubes using a manikin simulator.

Methods: Lubricated 7.

Use of intraoperative transesophageal echocardiography and epiaortic ultrasound to diagnose false lumen enlargement of chronic aortic dissection.

In communicating aortic dissection, if only the entry or reentry is closed, residual blood flow may cause enlargement of the false lumen. In this case, surgeons were unable to occlude the entry with a stent graft due to the strong flexion of the bilateral common iliac arteries, so they closed only the reentry in the hope that blood flow from the reentry would be high. Unfortunately, due to the high blood flow from the entry, the false lumen was enlarged.

The effects of chest drainage on pressure-controlled ventilation.

Background: The use of pressure-controlled ventilation (PCV) for anesthesia management is becoming more commonly used. Chest drainage is commonly performed after thoracic surgery, and the negative pressure it generates might affect the transpulmonary pressure (TPP). In the present study, we investigated how chest drainage could affect ventilating conditions during PCV.

The use of the Sanuki airway™ in three patients with suspected difficult airway.

The Sanuki airway is a single-use intubation oral airway designed for fiberoptic bronchoscope intubation. Sanuki airway has a bite block function and a wide lumen for the tracheal tube to pass through. Here, three cases are reported in which Sanuki airway was used for oral fiberoptic bronchoscope intubation.

Correction to: Evaluation of pharmacokinetic models of intravenous dexmedetomidine in sedated patients under spinal anesthesia.

Inadvertently, the reference [8] was published incorrectly in the original publication of the article. The correct reference [8] is provided below.

Evaluation of pharmacokinetic models of intravenous dexmedetomidine in sedated patients under spinal anesthesia.

Purpose: Little information is available on the predictive ability of previously published pharmacokinetic models of dexmedetomidine in patients under spinal anesthesia. We evaluated nine published pharmacokinetic models that were constructed in different study settings.

Methods: Sixteen patients received dexmedetomidine infusions after spinal anesthesia according to the manufacturer's recommended regimen (6 µg/kg/h over 10 min followed by 0.

THE EFFECT OF OBESITY ON DOSE OF DEXMEDETOMIDINE WHEN ADMINISTERED WITH FENTANYL DURING POSTOPERATIVE MECHANICAL VENTILATION--RETROSPECTIVE.

We carried out a retrospective investigation on the effect of obesity on dexmedetomidine (DEX) requirements when administered with fentanyl (FEN) during mechanical ventilation after major surgeries. After Institutional Review Board approval, 14 obese patients with a body mass index (BMI) ≥ 30 kg/m(2) and the same number of non-obese patients with similar backgrounds to the obese patients were selected from medical records. Doses of DEX in the first 48 h or until the end of sedation or extubation were calculated for comparison.

Plasma ropivacaine concentration following ultrasound-guided subcostal transversus abdominis plane block in adults.

Ultrasound-guided subcostal transversus abdominis plane block (TAPB) is widely used for abdominal surgery; however, arterial plasma concentration of the anesthetic ropivacaine after the blockade is still unclear. We evaluated ropivacaine concentration after subcostal TAPB in adult patients undergoing upper abdominal surgery. Twelve patients with American Society of Anesthesiologists physical status 1-2 were enrolled.

Ultrasound-guided bilateral brachial plexus blockade with propofol-ketamine sedation.

We report the use of ultrasound-guided bilateral brachial plexus block in a patient with bilateral radius fractures. An axillary block was performed on the patient's right and a supraclavicular block on her left using an in-plane (long-axis) needle insertion technique. Into each side was injected 20 ml 0.

[Preoperative evaluation of liver dysfunction].

Because the liver is one of the most important vital organs, liver dysfunction/failure gives great influence on the operative prognosis. Therefore, it is necessary to evaluate the liver function preoperatively. There are many laboratory tests to evaluate hepatobiliary status, including broad categories of hepatobiliary pathology: hepatitis, hepatobiliary dysfunction, or insufficient protein synthesis.

[Comparison of performance of endotracheal intubation by senior residents in anesthesiology using Airway Scope VS Macintosh laryngoscope].

Background: To evaluate the performance of the Airway Scope, we studied the time to complete endotracheal intubation performed by senior residents in anesthesiology.

Methods: The trachea of the patient was intubated using the Airway Scope (n = 90) or the Macintosh laryngoscope (n = 81).

Results: The time to complete endotracheal intubation was 42 +/- 23 sec with the Airway Scope and 41 +/- 20 sec with the Macintosh laryngoscope.