Efficacy of endotracheal lidocaine administration with continuous infusion of remifentanil for attenuating tube-induced coughing during emergence from total intravenous anesthesia.

Purpose: Although attenuation of tube-induced coughing is necessary in specific types of surgery, the best method for such attenuation is still unclear. We studied the combined intervention of endotracheal lidocaine and intravenous remifentanil compared to intravenous remifentanil alone with respect to coughing during emergence from anesthesia.

Methods: We examined 60 ASA 1-2 patients (age, 20-69 years) undergoing tympanoplasty under general anesthesia.

[Case of pulmonary hemorrhage suspected to be caused by pulmonary artery catheter after cardiac surgery].

We report a case of pulmonary hemorrhage suspected to be caused by a pulmonary artery catheter (PAC) after cardiac surgery. An 80-year-old woman underwent aortic valve replacement, mitral valve replacement, and tricuspid annuloplasty. After anesthesia induction, a PAC was inserted from the right jugular vein and fixed at 48 cm, but it could not be wedged.

[Anesthetic management of an adult patient with Fontan circulation for laparoscopic surgery].

Advances in the surgical and medical management of children with congenital heart disease have decreased the mortality of these patients. As a result, more patients are surviving into adulthood and are presenting for noncardiac surgery. We experienced a case of anesthetic management of an adult patient with Fontan circulation for laparoscopic surgery.

[Case of paroxysmal atrial fibrillation after general anesthesia caused by undiagnosed and untreated hyperthyroidism].

A 21-year-old man was scheduled to undergo posterior cruciate ligament reconstruction under arthroscopic control. The patient did not have a previous history of thyroid disease. Low blood cholesterol was revealed in the laboratory data.

[Anesthetic management of a patient with pulmonary tuberous sclerosis complicated with renal angiomyolipoma].

A 55-year-old woman underwent total hysterectomy. She suffered from tuberous sclerosis and was complicated with lymphangioleiomyomatosis and renal angiomyolipoma. There have been only a few reports of anesthetic management on patients with these three diseases.

[Efficacy of continuous intraoperative administration of low-dose milrinone during the circumflex artery anastomosis of off-pump coronary artery bypass].

Background: We have experienced instability of hemodynamic state during off-pump coronary artery bypass (OPCAB), especially, circumflex (Cx) artery anastomosis. Although some reports have implied the efficacy of mirlinone in OPCAB anastomosis due to its characteristic inotropic effect without increasing myocardial oxygen consumption, we examined the effect of smaller doses of mirlinone during Cx anastomosis.

Methods: Fourteen patients received milrinone (M group) continuously at a rate of 0.

Lumbar epidural buprenorphine for postoperative pain relief following hepatectomy.

The induction of postoperative pain relief with lumbar epidural or intramuscular buprenorphine was studied in 30 patients undergoing hepatectomy. When patients first complained of pain after surgery, 0.06 mg or 0.