Protein sparing during general anesthesia with a propofol solution containing medium-chain triglycerides for gastrectomy: comparison with sevoflurane anesthesia.

Purpose: Despite the importance of the inhibition of catabolic response to surgery, the effects of different anesthetic techniques on the catabolic response in surgical patients are controversial. This study compared the endocrine-metabolic responses and protein catabolism during gastrectomy in patients who received either sevoflurane or propofol anesthesia with remifentanil.

Methods: Thirty-seven patients (American Society of Anesthesiologists status I-III) aged 20-79 years undergoing elective gastrectomy were randomly assigned to receive sevoflurane anesthesia with remifentanil (n = 19) or intravenous propofol anesthesia (Propofol-Lipuro(®) 1 %; B.

[Intubating laryngeal mask airway for fiberoptic bronchoscopy in a woman with right bronchial tumor].

A 37-year-old woman with bronchial tumor was scheduled for the removal of the mass with fiberoptic bronchoscope. Intubating laryngeal mask airway (ILMA) was used for fiberoptic surgery. Through a size 3 ILMA, a 5.

The effect of duration of surgery on fluid balance during abdominal surgery: a mathematical model.

Background: There is controversy regarding which fluid management regimen provides the best postoperative outcome. Interstitial fluid accumulation may adversely affect postoperative outcome, but the effect of surgical duration on fluid balance is unknown. In this study, we used a mathematical model to describe fluid distribution.

[Investigation and measures for improvement of input error rate in a study of anesthesia-related critical incidents by the Japanese Society of Anesthesiologists].

Background: The Japanese Society of Anesthesiologists (JSA) started the annual survey of the critical incidents related to anesthesia in 1992. The certified anesthesia-training hospitals, which are more than 700 in Japan, send the questionnaire results to JSA every year. This is a nationwide large-scale survey, in which more than 150 million cases are analyzed per year.