Publications by authors named "Yusuke Okui"
Introduction Monitored anesthesia care (MAC) is an anesthesia management method in which anesthesiologists use the minimum necessary intravenous anesthetics to achieve sedation and pain relief while maintaining spontaneous breathing. The challenge for the anesthesiologist is to find the correct balance between inhibiting the patient's stress response to invasive treatment, maintaining intraoperative hemodynamic stability, and doing so as quickly as possible. We hypothesized that diluting remifentanil (D-remi) to 10 μg/mL and increasing the rate of administration would increase the responsiveness of the syringe pump and allow for better control of anesthetic depth.
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- The central venous catheter (CVC) has been in use for over 50 years, originally for total parenteral nutrition, but its applications have expanded to areas like chemotherapy and intensive care, accompanying increased complications.
- Despite guidelines for safe CVC insertion, the risks associated with CVC removal have been overlooked, leading to potential complications such as air embolism, airway obstruction, and neurological issues.
- A case is presented where a CVC was improperly placed in the epidural space, resulting in arterial bleeding and neurological deterioration after its removal, necessitating emergency interventions.