The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study.

Background: Ambulatory surgery, including short-stay surgery, has become a common choice in clinical practice. For the success of ambulatory surgery, perioperative care with safe and effective anesthesia and postoperative analgesia, which can reduce the occurrence of postoperative nausea and vomiting (PONV), is essential. The effect of remifentanil on the occurrence and severity of PONV has not been thoroughly examined, particularly, in an ambulatory surgery setting.

[Postextubation laryngeal edema seven years after undergoing neck dissection].

We report a case of upper airway obstruction after extubation in a 69-year-old female patient who underwent transurethral ureterolithotripsy (TUL). She had underwent bilateral modified radical neck dissection 7 years previously. TUL went smoothly in Trenderenburg position, and the extubation was performed after antagonism of neuromuscular block.

[Anesthetic management of total aortic arch reconstruction by transluminally placed Inoue endovascular branched stent graft].

Two aged patients with aortic arch aneurysm underwent total aortic arch reconstruction using three branched Inoue transluminal endovascular graft. Epidural tubes were placed for intraoperative analgesia the day before operation. General anesthesia was induced with propofol and midazolam, and maintained with sevoflurane in nitrous oxide and oxygen.

[Anesthetic management of a boy with 7 q trisomy syndrome].

A 5-year-old boy with 7 q trisomy received general anesthesia for tracheostomy. He was born with multiple morphological malformations including anomalies of ears, eyes, face and vertebral, accompanying difficulty in tracheal intubation. At first we inserted a laryngoscope under awake condition to estimate the difficulty in intubation.