Search Results 1-20 of 57

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  • Usefulness of Consciousness Sedation with Dexmedetomidine and Pentazocine during Endovascular Treatment for Acute Stroke

    NII Kouhei , HANADA Hayatsura , HIRAOKA Fumihiro , ETO Ayumu , MITSUTAKE Takafumi , TSUTSUMI Masanori

    … <p>We investigated the safety and efficacy of consciousness sedation with dexmedetomidine (DEX) during the endovascular treatment of patients with acute cerebral infarction. … Between April 2014 and November 2016, 38 stroke patients underwent endovascular thrombectomy (EVT) under local anesthesia and DEX consciousness sedation. … Patients not completely immobilized received an iv bolus of pentazocine (PTZ) and/or DEX (0.5–0.6 μg/kg/h). …

    Neurologia medico-chirurgica 58(2), 79-84, 2018

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  • Intravenous Sedation for an Intellectually Disabled Patient with Diaphragmatic Hernia:A Case Report  [in Japanese]

    SENOO Miki , SASAO-TAKANO Mami , MORIYASU Katsuya , SHIBATA Yutaka , SHIBATA Eriko , SEKITA Shunsuke , ADACHI Yoshitsugu

    … 臓器が胸腔内へ脱出したもので,重篤な呼吸・循環不全を引き起こす新生児疾患の1つである.成人で診断されるDHは,きわめてまれとされている.今回,DHを合併する知的障害者の抜歯のための静脈内鎮静法(IV)を経験したので報告する.</p><p>患者は20歳の女性,知的障害と四肢体幹機能障害があった.17歳より某総合病院歯科を定期的に受診しており,18歳時にう蝕治療のため全身麻酔が計画された.術前の …

    Journal of the Japanese Society for Disability and Oral Health 38(2), 186-191, 2017

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  • Successful Reconstruction of Laryngotrachea by Partial Cricotracheal Resection for Severe Subglottic Stenosis: Case Report  [in Japanese]

    Tsugawa Jiro , Tomioka Yuichiro , Nishijima Eiji

    … 切除し内腔を確保した.気管切開孔尾側の気管断端を声門まで拳上し甲状軟骨-気管吻合を行った.吻合部のステントと気道確保を目的に頭側の断端を閉鎖したT チューブを喉頭気管の内腔に留置した.術後2 年目にT チューブの抜去に成功した.Grade III~IV の声門下腔狭窄症に対してpartial cricotracheal resection は優れた術式である.術後にT チューブを使用し,長期間の吻合部のステントと安全な気道確保が行えた.</p> …

    Journal of the Japanese Society of Pediatric Surgeons 52(7), 1315-1320, 2016

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  • Successful Emergency Carotid Endarterectomy after Thrombolysis with Intravenous Recombinant Tissue-Type Plasminogen Activator

    Yamamoto Yoko , Okazaki Toshiyuki , Yoda Keishi , Tada Yoshiteru , Nagahiro Shinji

    … Revascularization by carotid artery stenting after treatment with intravenous (iv) recombinant tissue-type plasminogen activator (rt-PA) has been documented. … However, there are few reports on emergency carotid endarterectomy (CEA) within 24 hours after the iv administration of rt-PA. … We treated a 58-year-old man with right ICA occlusion with iv rt-PA. … Thereafter his blood pressure was strictly controlled under sedation. …

    The Journal of Medical Investigation 63(3.4), 300-304, 2016

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  • Contrast enhanced ultrasonography of kidney in conscious and anesthetized beagle dogs

    CHOI Soo-Young , JEONG Woo-Chang , LEE Young-Won , CHOI Ho-Jung

    … In veterinary medicine, sedation or anesthesia may be required in uncooperative or panting patients. … The contrast agent (Sonovue<sup>®</sup>) was administered as an IV bolus. …

    Journal of Veterinary Medical Science 78(2), 239-244, 2016

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  • OBJECTIVE AND SUBJECTIVE EVALUATIONS TO DETERMINE THE MIDAZOLAM OPTIMAL DOSE IN THE DENTAL TREATMENT  [in Japanese]

    KONDO Keisuke , IKEDA Miyuki , SAMBE Takehiko , UCHIDA Naoki , IWASE Mariko , NISHIMURA Yuki , MANABE Atsuhumi , RYU Kakei , KOBAYASHI Shinichi , INADA Yoko

    ミダゾラムの静脈投与による歯科麻酔は,使用の簡便さや臨床使用経験の多さから汎用されている一方で,歯科治療時での適切な鎮静が十分に得られるまでに必要な静脈麻酔薬の至適用量と,副作用として危惧される呼吸抑制等の過度の鎮静作用発現についての詳細な検討は報告されていない.そこで今回,ミダゾラムによる静脈麻酔時の口腔内歯科治療環境の獲得と,適切な鎮静作用の獲得に必要な至適投与量を検討するために,静脈麻酔によ …

    Journal of The Showa University Society 75(6), 665-674, 2015

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  • Sedative effects of intramuscular alfaxalone administered to cats

    TAMURA Jun , YAMASHITA Kazuto , ISHIZUKA Tomohito , FUKUI Sho , OYAMA Norihiko , KAWASE Kodai , ITAMI Takaharu , MIYOSHI Kenjiro , SANO Tadashi , PASLOSKE Kirby

    … The cats were treated with alfaxalone-HPCD in five occasions with a minimum 14-day interval between treatments: an IM injection of 1.0 mg/kg (IM1), 2.5 mg/kg (IM2.5), 5 mg/kg (IM5) or 10 mg/kg (IM10), or an intravenous injection of 5 mg/kg (IV5). … The median sedation scores peaked at 10 min (score 9), 15 min (score 14), 10 min (score 16), 10 to 20 min (score 16) and 2 to 5 min (score 16) after the IM1, IM2.5, IM5, IM10 and IV5 treatments, respectively. …

    Journal of Veterinary Medical Science 77(8), 897-904, 2015

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  • Oral Care Based on Changes in Periodontal Pathogens for Cerebral Palsy Patients with Hemophilia A  [in Japanese]

    INADA Emi , MATSUO Miki , YAMASAKI Youichi , SAITOH Issei , FUKAMI Atsushi , KUBOTA Naoko , MURAKAMI Daisuke , KOHJITANI Atsushi , OHNO Sachi , SUGIYAMA Kazuna , KOMATSUZAWA Hitoshi

    血友病Aと脳性麻痺を有し,歯周疾患に罹患している患者に対して,行動管理方法を使い分けながら定期的にOne-Stage Full-Mouth Scaling and Root Planing(OS-FM-SRP)を施行して歯周病管理を行い,管理中の歯周ポケットの深さと歯周病原細菌の変化について調べた.<br>歯周治療開始前の歯周病検査では全顎的に4mm以上6mm以下の歯周ポケットが認めら …

    Journal of the Japanese Society for Disability and Oral Health 36(1), 25-32, 2015

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  • Intraoperative Use of Dexmedetomidine in Pediatric Patients : Advantages and Disadvantages  [in Japanese]

    ABUKAWA Yukako , HIROKI Koichi , OZAKI Makoto

    … 与量によって呼吸抑制を最小限に抑えられるなど他の鎮静薬にはない利点がある.現在小児領域においてDEXは欧米でも本邦においても適応外使用である.しかし集中治療領域では鎮静に広く用いられている.われわれの施設では,5~7歳のペクタスバー挿入術の患児にPCEAやIV-PCA投与下,DEXを投与し良好な鎮静効果を得ている.今後DEXの小児麻酔への適応を考えるため,自験例や文献報告からその利点,欠点を検討した. …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 35(1), 074-077, 2015

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  • Validity and Reliability of the Japanese Version of the Confusion Assessment Method for the Intensive Care Unit Flowsheet(CAM-ICU Flowsheet)  [in Japanese]

    KOGA Yuji , MURATA Hiroaki , YAMASE Hiroaki

    … が評価するDSM-IV-TR(Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision)をせん妄診断の標準基準として,リサーチナースおよびスタッフナースの日本語版CAM-ICUフローシート評価と比較し,感度・特異度を算出した.また,リサーチナースとスタッフナースの日本語版CAM-ICUフローシートの評価を比較し,評価者間の信頼性を評価した.結果:評価対象者数は82名であり,DSM-IV-TRでのせん妄 …

    Yamaguchi Medical Journal 63(2), 93-101, 2014

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  • Postoperative Analgesia and Recovery with IV-PCA Morphine and Diclofenac Suppository after Spinal Surgery  [in Japanese]

    SATSUMAE Tsuyoshi , TANAKA Makoto

      オピオイドと非ステロイド性抗炎症薬併用による術後鎮痛が勧められている.本研究では,脊椎手術において,経静脈モルヒネ自己調節鎮痛のみで術後鎮痛を行った16症例と,6時間おきにジクロフェナク坐剤を併用した16症例において,併用効果を調べた.併用群では,術後モルヒネ消費量,悪心・嘔吐および鎮静作用が有意に減少した.さらに併用群では,体動時痛は術後42時間まで有意に減少し,経口摂取 …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 32(4), 541-547, 2012

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  • Unconscious Sedation with Propofol Versus Conscious Sedation with Pentothal for Catheter Ablation of Atrial Fibrillation

    Ko Kyoung Jeong , Sung Ju-Yong , Han Pu-Kyong , Jang Jin-Kun , Kim Young-Hoon

    … Intravenous (IV) anesthetic agents have been used to keep the patients free from any intolerable pain or discomfort during catheter ablation (CA) of atrial fibrillation (AF). … We compared the effect of propofol (PRO) vs. pentothal (PEN) on sedation during CA of AF. … In PEN group, IV administration of 1.5–2 mg/kg was followed by 1 mg/kg per 10 minutes and bolus IV of midazolam (M) or fentanyl (F) when required to keep motionless and painless states. …

    Journal of Arrhythmia 27(Supplement), OP57_1-OP57_1, 2011

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  • Effect on Auditory Memory by Intravenous Psychosedation with Dexmedetomidine Hydrochloride  [in Japanese]

    Murakami Kana

    … The amnesia effect by intravenous sedation produces an elimination of unpleasant memory in dental treatment that becomes profits for a patient. … In this research, the memory was investigated after auditory memory loads in order to understand the amnesia effect and recovery in the intravenous sedation by Dexmedetomidine hydrochloride (DEX). … Moreover, the relations between memory and clinical sedation levels (OAA/S Scale) or BIS values were investigated to judge the recovery of memory. …

    Dental Journal of Iwate Medical University 35(1), 10-19, 2010

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  • Management of Poor Grade Subarachnoid Hemorrhage. Unsolved Problems in the Ultra-acute Phase  [in Japanese]

    KOBATA Hitoshi , SUGIE Akira , MASUBUCHI Takahiro , Hitoshi KOBATA , Akira SUGIE , Takahiro MASUBUCHI , 大阪府三島救命救急センター脳神経外科 , 大阪府三島救命救急センター脳神経外科 , 大阪府三島救命救急センター脳神経外科 , Division of Neurosurgery Osaka Mishima Emergency Critical Care Center , Division of Neurosurgery Osaka Mishima Emergency Critical Care Center , Division of Neurosurgery Osaka Mishima Emergency Critical Care Center

    … The majority of patients were in poor grade: 26 with Grade IV, 54 with Grade V by grading scale of the World Federation of Neurological Society, and 32 with cardiopulmonary arrest. … Favorable outcome(good recovery and moderate disability) was obtained in 69% of Grade IV and 24% of the Grade V patients. … Deep sedation and strict blood pressure control followed by urgent obliteration of the ruptured aneurysm have a strong rationale to prevent rerupture and to achieve better overall outcome. …

    Surgery for Cerebral Stroke 35(4), 300-306, 2007-07-31

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  • Management of Exaggerated Gag Reflex Using Intravenous Sedation in Prosthodontic Treatment

    Yoshida Harushi , Ayuse Terumi , Ishizaka Satoru , Ishitobi Shingo , Nogami Tomoyuki , Oi Kumiko

    … However, the potential of intravenous (IV) sedation as a way to overcome problems in gagging management during prosthodontic (prosthetic) therapy has not been sufficiently explored. … We examined the benefit of IV sedation to facilitate prosthodontic treatment for problematic gagging patients intolerable to dental therapy. …

    The Tohoku Journal of Experimental Medicine 212(4), 373-378, 2007

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  • Oral Clonidine Pre-treatment and Diazepam/Meperidine Sedation

    HALL D. L. , TATAKIS D. N. , WALTERS J. D. , REZVAN E.

    Journal of dental research 85(9), 854-858, 2006-09-01

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  • Patient Discomfort Just Before Induction: What Can the Anesthesiologist Do?  [in Japanese]

    SUZUKI Akihiro

    … 硬膜外穿刺を鎮静下に行った試みでは, ミダゾラムをRamsay score III, IV を目標にタイトレーションした群では穿刺自体の記憶がなく, 苦痛体験として自覚しない者が90%を占め, かつ疼痛反応は保たれて放散痛などの検出は可能であると考えられた. …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 26(5), 483-488, 2006

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  • Strategies for Relief and Prevention of Adverse Events in Pediatric Postoperative Pain Management: Focus on Patient-Controlled Analgesia  [in Japanese]

    TANAKA Hiroyuki

    小児の術後疼痛管理の合併症・副作用とその対策について自己調節鎮痛Patient-Controlled Analgesia (PCA) を中心に述べた. 嘔吐は学童期以降の静脈内PCAで多く, 掻痒は硬膜外PCAで多かった. 対策は薬物療法のほかに持続投与を減量する方法がある. 痛みが強い場合は非ステロイド性抗炎症薬やアセトアミノフェンの併用が有用である. 硬膜外PCAではカテーテルの管理も重要であ …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 24(10), 647-654, 2004

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  • Simultaneous Double External DC Shock Technique for Refractory Atrial Fibrillation in Concomitant Heart Disease

    Kabukcu Mehmet , Demircioglu Fatih , Yanik Ekrem , Minareci Kenan , Tüzüner Filiz Ersel-

    Sedation was performed with IV midazolam. …

    Japanese Heart Journal 45(6), 929-936, 2004

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  • Differential Effects of the Sedative Agents on the Heart Rate Response to Intravenous Isoproterenol Infusion.

    Huan Guo , Takahashi Shunji , Sungsam Cho

    … Because PF and DM attenuate the heart rate (HR) response to intravenous (IV) atropine, isoproterenol may be required for the treatment of bradycardia during DM or PF sedation. … Therefore, we conducted the current study to evaluate the effect of DM or PF on the response of HR to IV isoproterenol. … Group C (n=7) received sodium pentobarbital intraperitonealy and IV saline. … Group PF (n=7) received IV PF. …

    Acta medica Nagasakiensia 48(3-4), 149-152, 2003-12-24

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