A5016844071- Anesthesia and Pain Management
- Nausea and vomiting management
- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Surgical Sutures and Adhesives
- Respiratory Support and Mechanisms
- Climate Change and Health Impacts
- Enhanced Recovery After Surgery
- Thermal Regulation in Medicine
- Dental Anxiety and Anesthesia Techniques
- Prostate Cancer Diagnosis and Treatment
- Cardiovascular Issues in Pregnancy
- Shoulder Injury and Treatment
- Intestinal and Peritoneal Adhesions
- Shoulder and Clavicle Injuries
- Moyamoya disease diagnosis and treatment
- Gastric Cancer Management and Outcomes
- Neurological Complications and Syndromes
- Pediatric Pain Management Techniques
Nara Medical University
2020-2025
Nara Medical University Hospital
2021-2023
Modified thoracoabdominal nerves block through a perichondrial approach (M-TAPA) provides wide analgesic range. Herein, we examined the quality of recovery (QoR) M-TAPA for total laparoscopic hysterectomy (TLH) compared with oblique subcostal transversus abdominis plane (OSTAPB) and measured plasma levobupivacaine concentrations (PClevo). Forty female patients undergoing TLH were randomized to each group. Nerve blocks performed bilaterally 25 mL 0.25% administered per side. The primary...
Abstract Background Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) was first described as a peripheral nerve by Tulgar in 2019. This technique provides an analgesic effective range from Th7–11 with single puncture per side. Although the efficacy and duration of M-TAPA have been reported, further examination is required. Therefore, this study aimed to evaluate open gynecologic surgery. Methods Following approval, 10 adult female patients scheduled for radical...
Study objective: This study aims to assess the importance of administering opioids appropriately based on nociceptive monitoring. Design: Randomized controlled trial. Setting: Single center, operating room. Patients: The will include 75 patients scheduled undergo a robot-assisted or total laparoscopic hysterectomy (TLH). Interventions: Patients be allocated randomly receive nociception level-directed intraoperative opioid management, high-frequency variability index-directed conventional...
Background: Common regional anesthesia approaches for video-assisted thoracoscopic surgery (VATS) include paravertebral block (PVB) and erector spinae plane (ESPB). PVB is considered a deep nerve which contraindicated in antithrombotic therapy. ESPB effective when administered as bolus, well continuously. However, the recently proposed intertransverse process (ITPB) ensures more diffusion of local anesthetic into space.Case: We report cases three patients who received bolus ITPB...
terest in our case report [1].We want to reply because we believe that organizing the concept of intertransverse process block (ITPB) and discussing it Anesthesia Pain Medicine will help readers better understand process.In determining nomenclature regional anesthesia, ITPB encompasses multiple injection costotransverse block, subtransverse interligamentary plane foramen (CTFB), midpoint transverse pleura (MTPB) [2].Please note performed a 'costotransverse block' 1 [3], which is faithful...
The decrease in quadriceps strength after anterior quadratus lumborum block (AQLB) has not been quantified. This prospective cohort study investigated the incidence of weakness AQLB. We enrolled patients undergoing robot-assisted partial nephrectomy, and AQLB was performed at L2 level with 30 mL 0.375% ropivacaine. evaluated each quadriceps’ maximal voluntary isometric contraction using a handheld dynamometer preoperatively postoperatively 1 4 days. muscle defined as 25% reduction compared...
The nociception level (NOL) index discriminates noxious stimuli during surgery with high sensitivity and specificity. Although some studies have reported that a NOL-directed opioid protocol reduces intraoperative consumption, one study implied it might cause an unintended increase in the stress response. Therefore, we designed to investigate effects of measure inflammatory biomarkers.This single-centre RCT will enrol 54 patients undergoing robot-assisted laparoscopic radical prostatectomy....
There has been increasing attention regarding quadratus lumborum block (QLB) and erector spinae plane (ESPB) as effective truncal blocks. have reports of combined QLB ESPB usage in hip surgery resulting a symbiotic increase effectiveness. However, there no robot-assisted partial nephrectomy (RAPN), which requires multiple port holes ranging from near the xiphoid process to below umbilicus. We hypothesized that use was an option for anesthesia analgesia during RAPN.Anterior were applied two...
Abstract Background Klippel-Feil syndrome (KFS) occurs in 1/40,000 individuals and is characterized by cervical fusion. Thirty percent of patients with KFS present Sprengel deformity, leading to orthopedic problems limited shoulder abduction. No reports exist regarding anesthetic procedures for pediatric scapular osteotomies. Case presentation We report a case 4-year-and-7-month-old boy (95.6 cm, 14.7 kg) who underwent left osteotomy. At the age 8 months, he also right lower lobectomy due...
Abstract Background Fever and associated shivering are frequent symptoms in patients with coronavirus disease 2019 (COVID-19). High body temperature activates the immune system, which might be beneficial. However, leads to high oxygen demand. Case presentation A 38-year-old man diagnosed COVID-19 was transferred our intensive care unit (ICU). His saturation (SpO2) level approximately 92–95% managed a flow nasal cannula. Six hours after admission ICU, he started shivering, his systolic blood...
65歳女性,COVID-19肺炎に対し気管挿管と腹臥位療法を施行した.酸素化が改善し抜管を試みたが,吸気性喘鳴の聴取と痰の喀出が不十分なため再挿管となった.5日後に再度抜管を試みたが,発声困難と痰の喀出が不十分なため再び挿管となった.短期間での抜管は困難と判断し気管切開を施行した.気管切開後17日目に気管カニューレを抜去したが呼吸困難を生じカニューレを再挿入した.喉頭内視鏡検査,頚部CT検査から披裂軟骨脱臼が診断された.脱臼整復後も症状の改善が見られず,両側喉頭麻痺の合併が考えられた.長期挿管や腹臥位療法施行時には,披裂軟骨脱臼や喉頭麻痺にも注意するべきである.
<h3>Background and Aims</h3> Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) was first described as a peripheral nerve by Tulgar in 2019, which provides an analgesic effective range Th7–11 with single puncture per side<sub>1</sub>. The efficacy duration of the M-TAPA has been reported several case reports; however its effects require further examination. <h3>Methods</h3> With IRB approval (No.2700) registration (UMIN Clinical Trials Registry: UMIN000041137), 10...
Abstract BACKGROUNDː Modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) was first described as a peripheral by Tulgar in 2019. This technique provides an analgesic effective range from Th7–11 with single puncture per side. Although the efficacy and duration of M-TAPA have been reported, further examination is required. Therefore, this study aimed to evaluate open gynecologic surgery.METHODSː Following approval, 10 adult female patients scheduled for radical...