Anesthetic induction and endotracheal intubation in the sitting position due to the fixed forearm caught by a meat grinder.

A male patient was scheduled for urgent amputation of his right forearm. His right forearm was stuck inside the insertion slot of a meat grinder, resulting in severe pain to his injured arm. His upper body could not move to sit in a semi-upright position.

[A case where the tracheotomy tube was burned during Nd-YAG laser cautery treatment for tracheal neoplasm].

For the treatment of the residual tumor above the incision site, laser cautery was scheduled. Artificial ventilation was carried out using a tracheotomy tube, and a laser fiber was inserted orally for tumor ablation. During the procedure, white smoke appeared in the oral cavity.

[Palliative care in Seirei Mikatahara General Hospital Department of Palliative and Supportive Care, Seirei Mikatahara General Hospital].

This paper illustrates a brief review of the development process of the palliative care team at the Seirei Mikatahara General Hospital. Palliative care team has been first instituted in 2002, and currently providing general support for cancer patients receiving chemotherapy not only for terminally ill patients. In future, we would start a regional palliative care program, including community palliative care team, to provide appropriate palliative care for all cancer population.

[Severe orthostatic headache: a retrospective study on clinical presentation, radiological characteristics, and outcome in 12 patients].

To determine clinical characteristics and therapeutic outcome of severe orthostatic headache, we retrospectively studied 12 consecutive patients with severe orthostatic headache and unremarkable medical history. Headache is defined as severe when it interferes with patient's daily activities. Baseline characteristics of our patients are essentially similar to those reported in other published series of spontaneous intracranial hypotension: female preponderance; mean age of approximately 40 years; frequently associated nausea, hearing disturbances, or vertigo.

Preexisting morbidity as an independent risk factor for perioperative acute thromboembolism syndrome.

Hypothesis: Preexisting morbidities are risk factors for perioperative arterial or venous thromboembolic events and subsequent death within 30 postoperative days.

Design: Prospective cohort study.

Setting: University-affiliated general hospital.

[A case of spontaneous intracranial hypotension with multiple CSF leaks in the thoracic region].

A case of spontaneous intracranial hypotension (SIH) with multiple cerebrospinal fluid (CSF) leaks is reported. A 54-year-old man experienced a severe generalized headache associated with nausea and decreased hearing. The headache appeared when he was sitting or standing but was completely relieved by lying down.

A noninvasive partial carbon dioxide rebreathing technique for measurement of pulmonary capillary blood flow is also a useful oxygenation monitor during one-lung ventilation.

Study Objectives: To test the hypothesis that effective pulmonary capillary blood flow can be a useful indicator for estimating appropriate oxygenation and ventilation during one-lung ventilation in lung surgery.

Design: Prospective data analysis.

Setting: A 770-bed general teaching hospital.

Age- and sex-specific incidence, risk, and latency period of a perioperative acute thromboembolism syndrome (PATS).

We investigated age- and sex-specific incidence, risk factors, and latency period of a perioperative acute thromboembolism syndrome (PATS) in a large cohort study. We prospectively analyzed data on 21903 consecutive surgery patients to determine the incidence of myocardial infarction, pulmonary embolism, deep venous thrombosis, stroke, and cardiovascular death within 30 postoperative days. Among 255 (1.

Orthostatic tinnitus: an otological presentation of spontaneous intracranial hypotension.

Spontaneous intracranial hypotension (SIH) is a syndrome characterized by orthostatic headache, low cerebrospinal fluid (CSF) pressure without apparent causes for CSF loss, and diffuse pachymeningeal gadolinium enhancement on cranial MRI. Hearing is affected in some patients with SIH. A case of SIH with orthostatic tinnitus is reported.