Keiko Koishi

[A Case of Suspected Delayed Postoperative Malignant Hyperthermia].

Yumiko Kohno, Keiko Koishi, Tomoki Nishiyama

Malignant hyperthermia occurred 10 hours after surgery in a 72-year-old man who had received emergency laparoscopic cholecystectomy for severe acute cholecystitis with cholelethiasis. He had a high fever (39.4 degrees C) with liver damage before surgery. Anesthesia was induced with propofol and …

[A case report of ultrasound guided peripheral nerve block for lower extremity amputation of a patient with anti-phospholipid syndrome].

Yumiko Kohno, Keiko Koishi, Tatsuya Fujii, Tomoki Nishiyama

A 60-year-old female with anti-phospholipid syndrome underwent amputation of her left lower limb. She had had a history of cerebral infarction, cerebral hemorrhage, coagulation abnormalities, thrombocytopenia, and pneumothorax, and just recovered from disseminated intravascular coagulation. After intravenous fentanyl 25 microg, ultrasound-guided sciatic, …

[A case of prolonged hypercapnea after interscalene brachial plexus block].

Yumiko Kohno, Keiko Koishi, Kazunori Watanabe, Tomoki Nishiyama

An 83-year-old woman was scheduled for surgery of the left upper and lower extremity fracture. She had past history of lung partial resection for lung cancer and rheumatoid arthritis, and recent history of pneumonia. She also had fluid retention in the thoracic …

[Repeated anesthesia for a patient with Tako-Tsubo cardiomyopathy].

Yumiko Kohno, Keiko Koishi, Masami Ozaki, Tomoki Nishiyama

An 85-year-old woman recieved emergency repair of left obturator hernia under general anesthesia. The surgery was completed uneventfully. Shortly after the admission to the recovery unit, blood pressure dropped to 80mmHg and ECG showed negative T wave. Hypotension was successfully treated with …

Usefulness of an anesthetic conserving device (AnaConDa™) in sevoflurane anesthesia.

Makoto Ozaki, Keiko Koishi

BACKGROUND: The anesthetic conserving device (AnaConDaTM) is a disposable vaporizer that can save consumption of inhalational anesthetic used in low sevoflurane concentration. This study was performed to investigate whether AnaConDa when used at high sevoflurane concentration (1.5% to 2.0%) could save sevoflurane …

Effects of antithrombin and gabexate mesilate on disseminated intravascular coagulation: a preliminary study

Tomoki Nishiyama, Yumiko Kohno, Keiko Koishi

Comparison of ear and chest probes in transcutaneous carbon dioxide pressure measurements during general anesthesia in adults

Tomoki Nishiyama, Yumiko Kohno, Keiko Koishi

Comparison of the antinociceptive potency between intrathecal ropivacaine and bupivacaine in rats

Tetsunari NISHIYAMA, Yumiko Kohno, Keiko Koishi

s and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Local and Regional Anaesthesia

Anesthesia for Bariatric Surgery

Tomoki Nishiyama, Yumiko Kohno, Keiko Koishi

Anesthesia for a 228-kg patient (body mass index, 90.6) undergoing laparoscopic sleeve gastrectomy

Tomoki Nishiyama, Yumiko Kohno, Keiko Koishi

A Case of Vaginal Vault and Complete Genital Prolapse with Rectocele, peritoneocele, Cystocele, and Sphincter Dysfunction

Keiko Maeda, MORITO MARUTA, Tsunekazu Hanai, Harunobu Sato et autres

症例は51歳の女性で,3回の分娩後13年間の腟および子宮の脱出を主訴に来院した.排尿障害および尿失禁,便秘,軟便時のsoilingも認めた.腟および子宮は腟口より約10cm突出し,肛門括約筋は分娩時の会陰裂傷のため前方で約1/4周断裂していた.排便造影ではrectoceleを認めた.腟,子宮,膀胱脱,rectoceleおよび肛門括約筋断裂による括約筋不全の診断で,腟式子宮全摘出術,前腟壁形成術,anterior levatorplasty,肛門括約筋形成術を施行した.術中,肛門近傍まで下垂した腹膜を認めたためperitoneceleと診断し,余剰の腹膜を切除縫縮した.両側附属器の切断部は最深部の腟断端に固定し,腟を通常の位置に戻した後,腟側壁の裏側を深部から5カ所肛門挙筋に固定した.術後経過はほぼ良好で,症状も消失し,術後半年後の現在,腟・子宮・膀胱脱の再発もない.

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[Respiratory muscle weakness after prolonged use of hydrocortisone and pancuronium bromide].

Keiko Koishi, Y Ooe, A Hirata, Hiroyuki Kimura et autres

A 30-year-old man was admitted because of status asthmaticus. He required 7 days of artificial ventilation and was treated with hydrocortisone 1.2 g.day-1 and bronchodilaters. Pancuronium bromide 0.08 mg.kg-1.hr-1 was given for 64 hours for the ease of artificial ventilation. On day …

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