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Im Soo Woo - One of the best experts on this subject based on the ideXlab platform.
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A Case Report of Neuroleptanesthesia in a Parturient with Sick Sinus Syndrome
Korean Journal of Anesthesiology, 1994Co-Authors: Dong Hwan Kim, Eun Mi Lee, Mi Hwa Jung, Im Soo WooAbstract:Inappropriate sinus bradycardia associated with degenerative changes in the sinoatrial node has been designated as the sick sinus syndrome. Patients can be asymptomatic but often complain of palpitations and syncopal episodes. A 30 year old parturient, whose pulse rate was about 45-55 beats/min, underwent cesarean section under Neuroleptanesthesia. Authors report this case with the review of the relevant literatures.
Matsuki A - One of the best experts on this subject based on the ideXlab platform.
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Does aging influence effect of pirenzepine alone or combination of pirenzepine and famotidine on gastric secretion during anesthesia and surgery
Masui. The Japanese journal of anesthesiology, 1995Co-Authors: Murakawa T, Ogasawara E, Satoshi Takahashi, Kenichi Sugihara, Masatoshi Muraoka, Kazuyoshi Hirota, Hiroshi Hashimoto, Asai M, Matsuki AAbstract:Effect of pirenzepine alone or the combination of pirenzepine and famotidine on gastric secretion during anesthesia and surgery was evaluated in 52 elective surgical patients ranged in age from 17 to 68 years. These patients of each group were divided into two subgroups according to their age either 40 years and under or over. The patients underwent orthopedic, ophthalmic, ENT, plastic or non-abdominal general surgery under Neuroleptanesthesia except 5 patients who had enflurane or isoflurane anesthesia. They received either pirenzepine 10 mg or the combination of pirenzepine 10 mg and famotidine 20 mg intravenously just before the induction of anesthesia. Volume and acidity of gastric juice were measured for 3 hours after the administration of these agents. Decrease in volume and acidity of gastric juice continued for more than 3 hours after the administration of pirenzepine alone or the combination of pirenzepine and famotidine, and it was more prominent in the combination group than in the pirenzepine group. There was no statistical difference in volume of gastric juice between the patients of 40 years and under in age and those over 40 years in each group. However, the intragastric pH tended to be lower in patients of 40 years and under in age than that in those over 40 years. A percentage of patients who had intragastric pH below 2.5 was larger in the pirenzepine administered patients of 40 years and under in age than that of the remaining patients.(ABSTRACT TRUNCATED AT 250 WORDS)
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Neuroleptanesthesia for a patient with mitochondrial encephalomyopathy
Masui. The Japanese journal of anesthesiology, 1994Co-Authors: Matsuno S, Hashimoto H, Matsuki AAbstract:This report describes a patient with mitochondrial encephalomyopathy who underwent an ophthalmic surgery under original Neuroleptanesthesia. This 28-year-old female patient had been suffering from bilateral external ophthalmoplegia and blepharoptosis. Her preoperative neurological examination revealed a mitochondrial encephalomyopathy. Biopsy and blepharo-elevation for her left eyelid were scheduled. Anesthesia was induced with thiopental 5 mg.kg-1 and vecuronium 0.07 mg.kg-1, and maintained with total doses of 10 mg of droperidol, 400 micrograms of fentanyl and 4 mg of vecuronium. The patient recovered from anesthesia smoothly and her postoperative course was uneventful. Anesthetic management of patients with this disease and possible complications were discussed.
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Effect of pirenzepine on gastric secretion during anesthesia and surgery
Masui. The Japanese journal of anesthesiology, 1994Co-Authors: Murakawa T, Masatou Kitayama, Iwakawa T, Hirobumi Okawa, N Otomo, Miyahara A, Matsuki AAbstract:Effect of pirenzepine on gastric secretion during anesthesia and surgery was evaluated in 46 surgical patients ranged in age from 18 to 68 years. The patients underwent orthopedic, ophthalmic, ENT, plastic or non-abdominal general surgery under Neuroleptanesthesia except two patients who had enflurane or isoflurane anesthesia. They received either pirenzepine 10 mg, 20 mg or the combination of pirenzepine 10 mg and famotidine 20 mg intravenously just before the induction of anesthesia. Volume and acidity of gastric juice were measured for 3 hours after the administration of these agents. Decrease in volume and acidity of gastric juice after pirenzepine 10 mg as well as after pirenzepine 20 mg continued for more than 3 hrs after the administration of the agents. Efficacy of the combination of pirenzepine and famotidine on gastric secretion was more prominent than that of pirenzepine alone in a double dose.
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A gastric proton pump inhibitor as preanesthetic medication
Masui. The Japanese journal of anesthesiology, 1994Co-Authors: Murakawa T, Hashimoto Y, Kudo A, Takeshi Kubota, Takagi Y, Taguchi S, Matsuki AAbstract:Effect of omeprazole, a gastric proton pump inhibitor, on gastric secretion during anesthesia and surgery was evaluated in 39 elective surgical patients ranged in age from 18 to 69 years. These patients were divided into two groups according to their age either of 40 years and under or over. The patients of both groups underwent orthopedic, ophthalmic, ENT, plastic, oral or non-abdominal surgery under Neuroleptanesthesia, enflurane anesthesia or total intravenous anesthesia with droperidol, fentanyl and ketamine. They all were administered omeprazole 20 mg orally at 21:00 the night before surgery and again at 7:00 on the morning of surgery. The volume and acidity of gastric juice were measured at anesthetic induction and emergence from anesthesia. The volume and pH of the gastric juice in patients of 40 years and under in age averaged to 9.8 +/- 3.2 (mean +/- SE) ml, 2.45 +/- 0.56 at the anesthetic induction and 9.3 +/- 4.1 ml, 4.66 +/- 0.60 at the emergence from anesthesia respectively. The mean volume and pH of the gastric juice in patients over 40 years of age were 5.0 +/- 1.7 ml, 4.68 +/- 0.56 at the anesthetic induction and 9.9 +/- 2.4 ml, 5.76 +/- 0.36 at the emergence from anesthesia respectively. Significant decrease in the volume and acidity of gastric juice was observed in the patients of both groups except that the average of intragastric pH of the patients under 40 years of age was below 2.50 at the induction of anesthesia.(ABSTRACT TRUNCATED AT 250 WORDS)
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Anesthetic experience of emergency cesarean section for a patient with myotonic dystrophy
Masui. The Japanese journal of anesthesiology, 1993Co-Authors: Ogasawara H, Matsuki A, Hashimoto Y, Hironori Ishihara, Fukushi SAbstract:We report an anesthetic experience of a 28-year-old female patient complicated with myotonic dystrophy who underwent emergency Cesarean section due to threatened abortion. Anesthesia was induced with intravenous thiopental followed by topical spray of 4% lidocaine 5 ml to intubate trachea and maintained with Neuroleptanesthesia with droperidol, fentanyl and nitrous oxide in oxygen. No muscle relaxant was used. The course of anesthesia and emergence from anesthesia were uneventful. However, the female infant, with Apgar score of 1 point at five minutes after delivery, died due to multiple organ failure three weeks after the delivery. Anesthetic management of a patient with myotonic dystrophy was also discussed with a literature review.
Dong Hwan Kim - One of the best experts on this subject based on the ideXlab platform.
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A Case Report of Neuroleptanesthesia in a Parturient with Sick Sinus Syndrome
Korean Journal of Anesthesiology, 1994Co-Authors: Dong Hwan Kim, Eun Mi Lee, Mi Hwa Jung, Im Soo WooAbstract:Inappropriate sinus bradycardia associated with degenerative changes in the sinoatrial node has been designated as the sick sinus syndrome. Patients can be asymptomatic but often complain of palpitations and syncopal episodes. A 30 year old parturient, whose pulse rate was about 45-55 beats/min, underwent cesarean section under Neuroleptanesthesia. Authors report this case with the review of the relevant literatures.
Patrick Ravussin - One of the best experts on this subject based on the ideXlab platform.
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Neuroleptanesthesia: current status
Canadian Journal of Anesthesia, 1999Co-Authors: Bruno Bissonnette, Hilton Swan, Patrick Ravussin, Victor UnAbstract:Purpose To review the current status and possible future of neuroleptanalgesia/anesthesia, techniques that may be nearly extinct. Source Articles from 1966 to present were obtained from the Current Science and Medline databases. Search terms include neurolepananalgesia/anesthesia, conscious sedation, droperidol, benzodiazepines, propofol, ketamine, and opioids. Information and abstracts obtained from meetings on this topic helped complete the collection of information. Principal findings Droperidol/fentanyl may still be clinically indicated in the management of surgical seizure therapy for electrocorticography. However, the high incidence of post-operative sedation and restlessness discourage its use for other surgical or diagnostic procedures. Many surgical interventions, once thought ideally suited for neuroleptic agents, now meet better success with newer medications. The use of midazolam and/or propofol, in association with newer opioids, provides ideal anesthetic combinations. Conclusion The advantages of newer anesthetic agents have redefined the clinical indications for Neuroleptanesthesia. In routine modern anesthesia, anxiolysis, sedation, and/or analgesia is better provided, with quicker recovery, by the new pharmacokinetic and pharmacodynamic characteristics of recent medications than by the neuroleptic component of Neuroleptanesthesia. Objectif Faire une revue de l’état actuel et de l’évolution possible de la neuroleptanalgésie qui semble maintenant presque abandonnée. Sources Des articles de 1966 à aujourd’hui ont été obtenus à partir d’une consultation de Current Science et de Medline. Les mots-clés comprenaient: neuroleptanalgésie, sédation du patient éveillé, dropéridol, benzodi-azépines, propofol, kétamine et opiacés. Les informations et les résumés provenant de séminaires sur le sujet ont permis de compléter la cueillette de données. Constatations principales La combinaison de dropéridol et d’alfentanil peut être indiquée pour l’électrocorticographie utilisée dans le traitement chirurgical de l’épilepsie. Cependant, l’importante incidence de sédation et d’agitation postopératoires décourage son utilisation pour d’autres interventions chirurgicales ou diagnostiques. Nombre d’interventions chirurgicales où on a cru que les neuroleptiques étaient les agents idéaux sont maintenant mieux réussies avec de nouveaux médicaments. L’emploi de midazolam et/ou de propofol, associés aux nouveaux opiacés, fournit les meilleures combinaisons. Conclusion Les avantages des nouveaux anesthésiques ont amené à redéfinir les indications cliniques de la neuroleptanalgésie. Dans la pratique de l’anesthésie moderne, les médicaments récents assurent mieux la réduction de l’anxiété, la sédation et/ou l’analgésie et permettent une récupération plus rapide que les composés utilisés en neuroleptanalgésie, grâce à leurs nouvelles caractéristiques pharmacocinétiques et pharmacodynamiques.
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Neuroleptanesthesia: current status.
Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1999Co-Authors: Bruno Bissonnette, Hilton D. Swan, Patrick RavussinAbstract:Purpose To review the current status and possible future of neuroleptanalgesia/anesthesia, techniques that may be nearly extinct.
Mi Hwa Jung - One of the best experts on this subject based on the ideXlab platform.
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A Case Report of Neuroleptanesthesia in a Parturient with Sick Sinus Syndrome
Korean Journal of Anesthesiology, 1994Co-Authors: Dong Hwan Kim, Eun Mi Lee, Mi Hwa Jung, Im Soo WooAbstract:Inappropriate sinus bradycardia associated with degenerative changes in the sinoatrial node has been designated as the sick sinus syndrome. Patients can be asymptomatic but often complain of palpitations and syncopal episodes. A 30 year old parturient, whose pulse rate was about 45-55 beats/min, underwent cesarean section under Neuroleptanesthesia. Authors report this case with the review of the relevant literatures.