Summary Thoracic interfascial plane blocks are effective for post‐mastectomy acute analgesia. However, their effects on chronic pain uncertain. We randomly allocated 80 women equally to pectoral nerve‐2 (PECS 2) block or serratus block. The reduced the rate of moderate severe from 13/40 (33%) with 4/40 (10%), p = 0.03, adjusted odds ratio (95%CI) 0.23 (0.07–0.80), 0.02. rates pain‐free at six postoperative months were indeterminate, 10/40 (25%) after vs. 19/40 (48%) block, 0.06, 2.9...

Although remifentanil (RF) is not approved for use in the ICU children, its short half-life and titratability may provide advantages children requiring high doses of sedatives analgesics during prolonged mechanical ventilation. This report presents two pediatric cases which RF was administered sedation analgesia, enabling successful extubation without adverse effects. In Case 1, a four-year-old girl with multiple atypical teratoid rhabdoid tumors required ventilation due to impaired...

We previously reported an approach to ultrasound-guided thoracic paravertebral block (USG-TPVB) that used a transverse image of the space (TPVS) and in-plane needling.1 In this technique, we aimed position needle tip into lateral edge TPVS between internal intercostal membrane parietal pleura. Successful injection is confirmed by observing pleura being pressed down ventrally local anesthetic. However, steric spread anesthetic in has been unclear.

The skin-prick and intradermal tests are the main diagnostic methods used to identify causative agent in patients with suspected perioperative anaphylaxis. Although test is more sensitive than test, multiple injections can be painful for children. Here, we present case of a child autism was successfully identified using under general anesthesia.

To create and test a multistation telemedicine support system, three remote locations were connected: the homes of two patients with chronic respiratory failure, hospital attending physician, pulmonary specialist. Real-time connections set up between locations. Medical history biologic variables noninvasively recorded, including blood pressure, arterial oxygen saturation, three-lead electrocardiogram, end-tidal carbon dioxide. Both physicians shared in these data real-time. If necessary,...

In this study, the effectiveness and mechanism of combination therapy 5-aminolevulinic acid-based photodynamic (ALA-PDT) with simultaneous hyperthermia (HT) on human-derived osteosarcoma in vivo were examined. A tumor model was prepared by subcutaneously implanting human into nude mice local injection ALA selected as administration route. This study demonstrated that both ALA-PDT HT exhibited significant inhibitory effects growth. group high total energy, growth inhibition rates 52.3%...

Abstract Background Oscillometric noninvasive blood pressure and/or invasive intra‐arterial are commonly used to measure the systolic, diastolic, and mean components of pressure. Agreement between two methods has been reported in adults, children, infants, but rarely neonates, especially under general anesthesia. Aims This retrospective study compared agreement each measured value (oscillometric or monitoring) term neonates Methods Data were collected from born at ≥36 weeks gestation whose...

Thoracic paravertebral block (TPVB) is an efficient alternative to epidural anesthesia. The location of a catheter within the thoracic space (TPVS) has been examined in human cadaver studies, but it unclear how goes into TPVS during catheterization. In this report, thoracoscopy was used observe cavity real-time parasagittal in-plane approach ultrasound-guided TPVB. During thoracoscopy, we observed whether could be advanced caudally beyond ribs neighboring TPVS. Our result demonstrated that...

Intraoperative hypotension (IOH) or highly invasive surgery adversely affects postoperative clinical outcomes. It is, however, unclear whether IOH acute kidney injury (AKI) depending on the invasiveness of abdominal surgery. We speculated that in is a significant risk factor for AKI. retrospectively reviewed data 448 patients who underwent Patients were divided into 3 groups: (such as pancreaticoduodenectomy and hepatectomy), moderately (open surgery), minimally (laparoscopic surgery)...

Paravertebral catheters are generally inserted and removed without complications. However, catheter breakage occurs rarely. This is the first report describing of a thoracic paravertebral retention fragment within patient.A 65-year-old female patient complained an unusual sensation in her back during postoperative chemotherapy for lung cancer. A was identified soft tissues on computed tomography. The had been placed 2 years prior left lower lobectomy. neither neurological symptoms nor...

BACKGROUND: The estimated continuous cardiac output (esCCO) system is a hemodynamic monitor that uses electrocardiograms and pulse oximeter waves to noninvasively estimate output. coefficients for esCCO measurement have been established adult patients, but the appropriate pediatric patients are unclear. Therefore, this study determined validated accuracy tracking ability of modified system. METHODS: An initial compared measurements using transthoracic echocardiography in 60 aged <15 years...

Postoperative atrial fibrillation complicates 15-40% of cardiac surgery cases and is associated with various adverse health outcomes including high mortality. Although vasopressin administration decreases postoperative in on-pump coronary artery bypass grafting, its use off-pump grafting has not been investigated. Therefore, we evaluated the effect grafting. For this retrospective, observational study at a single-center community hospital Yokkaichi, Japan, 298 patients who had undergone...

BACKGROUND Several approaches have been proposed for ultrasound-guided thoracic paravertebral block, but the best approach remains unclear. OBJECTIVE We compared two in-plane using a microconvex probe, transverse and parasagittal. assessed whether either would facilitate successful catheter placement in space. DESIGN Randomised controlled trial. SETTING University hospital, July 2015 to March 2016. PATIENTS Sixty patients scheduled undergo thoracotomy were randomly allocated into groups....

High-dose opioids induce hyperalgesia and tolerance, which negatively affects postoperative recovery. Prolonged surgery inevitably requires higher opioid doses. Ketamine reduces perioperative consumption prevents opioid-induced tolerance. However, its effects in cases of prolonged remain unknown. This study aimed to evaluate the dose intraoperative remifentanil, an ultrashort-acting µ-opioid agonist, administered after intravenous ketamine bolus during head neck surgery. single-center,...