[Difficult ventilation after sugammadex administration: a case report].

A 71-year-old woman was scheduled for arthroscopic knee surgery. Anesthesia was administered with sevoflurane, fentanyl, and rocuronium bromide. Total dose of fentanyl was 200 microg and total dose of rocuronium bromide was 40mg.

[TURP syndrome with severe hyponatremia (98 mEq x l(-1)): a report of a case].

We report a case of transurethral resection of prostate (TURP) syndrome with severe hyponatremia (98 mEq x l(-1)). A relatively healthy 71-year-old man (167 cm and 61 kg) with benign prostatic hypertrophy was scheduled for transurethral resection of the prostate under general anesthesia. Ninety minutes after starting the operation, electrolyte analysis revealed a decrease in serum Na concentration (Na 98 mEq x l(-1), BE -6.

[Anesthesia for a patient with stiff-person syndrome].

Stiff-person syndrome is a rare disease characterized by muscle rigidity and painful spasms in the axial and limb muscles. The authors reported here a case of an axilally lymphadenectomy in a 46-year-old woman with stiff-person syndrome. With train of four ratio (TOFR) monitoring at the ulnar nerve, general anesthesia was induced and maintained with fentanyl, vecuronium and propofol with target controlled infusion.

Intravenous anesthetics are more effective than volatile anesthetics on inhibitory pathways in rat hippocampal CA1.

In this study, we have examined the effects of both volatile and IV general anesthetics on excitatory synaptic transmission, with and without recurrent inhibition, to clarify whether excitatory or inhibitory synapses are the major targets of action. Field population spike amplitudes (fPSs) of CA1 pyramidal neurons were recorded in rat hippocampal slices. Schaffer-collateral-commissural fibers (Sch) were stimulated orthodromically, and the evoked fPSs (PS[Sch]) in CA1 area were measured.

[Effect of amino acid solution on intraoperative core temperature the influence of anesthetics].

Background: Propofol anesthesia has more thermogenic effect than isoflurane when combined with amino acid solutions. The purpose of this study is to compare the effects of intraoperative administration of amino acid solutions on intraoperative core temperature under propofol anesthesia with those under sevoflurane anesthesia.

Methods: Thirty patients scheduled for total hip arthroplasty were randomly allocated to undergo either propofol anesthesia or sevoflurane anesthesia.

[Changes in core temperature associated with lower extremity tourniquet--the influence of ambient temperature and warming equipments].

Background: We investigated changes in core temperature associated with lower extremity tourniquet (TQ) under two different ambient temperatures (1) and two different warming equipments (2) under general anesthesia combined with lumbar epidural anesthesia.

Methods: (1) The values of core temperature at ambient temperature of either 22 degrees C (n = 15) or 20 degrees C (n=15) were recorded after induction of anesthesia, at start of TQ application, at the termination of TQ application, and 14 minute after TQ release. (2) The values of core temperature using either air-forced warming or active heated i.

[Postoperative delirium after general anesthesia vs. spinal anesthesia in geriatric patients].

Background: Influence of the type of anesthesia on postoperative delirium was examined in geriatric patients with femoral neck fracture.

Methods: Forty patients aged 70 or more were randomly allocated to receive either general anesthesia (sevoflurane, nitrous oxide in oxygen, G group, n = 21) or spinal anesthesia (0.5% bupivacaine, S group, n = 19).

[Anesthetic management of a patient with dilated cardiomyopathy for left ventricular pacing lead insertion under video-assisted thoracic surgery].

A 54-year-old man with dilated cardiomyopathy treated with diuretics, alpha-beta blockers, antiarrhythmics for the previous 5 years, had the indication for biventricular pacing and was scheduled for placing of pacing leads in his left ventricular wall under video-assisted thoracic surgery. Preoperative tests revealed first degree A-V block with left bundle branch block and left ventricular dilation with an ejection fraction of 0.11 on echocardiography.