Abstract：
:A syringe pump is used to inject precise doses of drugs having a strong action; for example, vasoactive drugs. Unexpected and undetected halt of a syringe pump can lead to potentially life-threatening complications. We experienced a sudden halt in the movement of a syringe pump (Terufusion syringe pump; Terumo, Tokyo, Japan) in two patients while administering norepinephrine in the intensive care unit (ICU). Fortunately, the patients had only transient hypotension, which was immediately detected and promptly treated, without any untoward sequelae. As a result of the occurrence of such cases, we conducted a detailed investigation of the causes of this sudden halt in the syringe pump. We could not reproduce the aberration of the syringe pump and thus could not specify the cause in the first patient. In the second patient, however, a false setting on the syringe was suspected to be the cause of the problem. In order to prove this, we tried to reproduce the situation where a syringe pump, due to a false syringe setting, abruptly terminated while giving a "syringe loss" warning, after a period of precise functioning. Once we had determined how a false setting of the syringe could occur without the syringe pump giving off an alarm from the onset, we collaborated with the Terumo Company to revise their current instruction manual to incorporate this as a warning. We also helped in the development of a new model, including a new safety feature that would prevent a false setting of the syringe from occurring at all. This new model was released in December 2003.
journal_name
J Anesthjournal_title
Journal of anesthesiaauthors
Tokumine J,Sugahara K,Nitta K,Fuchigami T,Abe M,Gushiken K,Oda M,Okayama Hdoi
10.1007/s00540-005-0382-5subject
Has Abstractpub_date
2006-01-01 00:00:00pages
118-21issue
2eissn
0913-8668issn
1438-8359journal_volume
20pub_type
杂志文章abstract：:Alveolar capillary dysplasia (ACD), which is a rare and lethal congenital pulmonary anomaly found in newborns, begins its onset or causes deterioration of the infant's condition some time after birth. Various congenital anomalies in combination with ACD have been reported, except for subglottic stenosis. Therefore, we...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-010-1080-5
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:We investigated whether presynaptic facilitatory M1 and/or inhibitory M2 muscarinic receptors contributed to pancuronium- and cisatracurium-induced tetanic fade. METHODS:Phrenic nerve-diaphragm muscle preparations of rats were indirectly stimulated with tetanic frequency (75 +/- 3.3 Hz; mean +/- SD). Doses of ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-009-0790-z
更新日期：2009-01-01 00:00:00
abstract：:The effect-compartment concentration (C(e)) of a drug at a specific pharmacodynamic endpoint should be independent of the rate of drug injection. We used this assumption to derive an effect-compartment equilibrium rate constant (k(eo)) for propofol during induction of anesthesia, using a target controlled infusion dev...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-005-0378-1
更新日期：2006-01-01 00:00:00
abstract：:Adenosine triphosphate as well as sodium nitroprusside has been used for hypotensive anesthesia. The purpose of this study was to examine the possibility that two hypotensive drugs may exert different effects on venous capacitance during controlled hypotension. In rats anesthetized with ketamine, mean arterial pressur...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054070010143
更新日期：1987-09-01 00:00:00
abstract：:A 75-year-old female patient underwent right vitrectomy under total intravenous anesthesia with propofol, ketamine and fentanyl. During the surgery sudden severe bradycardia (heart rate, 33 beats per min), without hypotension, occurred, which was relatively atropine-insensitive. This event was accompanied by a marked ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-008-0632-4
更新日期：2008-01-01 00:00:00
abstract：:In recent decades anesthesia safety has not been improved in low-income countries. This prospective audit describes the incidence of hypoxia and related events detected among a cohort of patients undergoing surgery in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo, West Africa, by using puls...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-015-2048-2
更新日期：2015-12-01 00:00:00
abstract：:Opioid-related postoperative nausea and vomiting should not occur following remifentanil administration because of its relatively short time to elimination. However, studies have indicated that the incidence of postoperative nausea and vomiting associated with remifentanil is similar to that with other opioids. Hence,...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-018-2550-4
更新日期：2018-10-01 00:00:00
abstract：PURPOSE:We aimed to evaluate postoperative analgesia of morphine, or clonidine, or morphine plus clonidine, added to caudal bupivacaine in children undergoing infra-umbilical urological and genital procedures. METHODS:Eighty patients aged 1-10 years were prospectively enrolled. After the induction of general anesthesi...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-011-1297-y
更新日期：2012-04-01 00:00:00
abstract：:Small children are physiologically subject to arterial oxygen desaturation. However, few reports have referred to the risk factors related to postanesthetic hypoxemia and the duration of hypoxemia. The purpose of this study was to clarify these two aspects. Eighty-five ASA physical status I infants and children were i...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054030070016
更新日期：1993-01-01 00:00:00
abstract：:We report a case of diplopia during continuous epidural injection presumably caused by catheter migration. A 61-year-old woman underwent shoulder surgery under general anesthesia with cervical epidural anesthesia. The epidural catheter was placed in the C6-C7 epidural space with some difficulty before general anesthes...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1721-6
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:The newly introduced erector spinae plane block (ESPB) has given anesthesiologists an alternative regional anesthetic technique for thoracic analgesia. Although ESPB and retrolaminar block (RLB) have similar puncture sites, no clinical study comparing ESPB and RLB has been reported. The aim of this study was to...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02855-y
更新日期：2021-02-01 00:00:00
abstract：PURPOSE:The CO(2) reactivity of cortical cerebral vessels and local cortical blood flow (l-CoBF) were evaluated during anesthesia in patients with moyamoya disease who were undergoing revascularization surgery. METHODS:Using laser-Doppler flowmetry, the CO(2) reactivity of cortical cerebral vessels and l-CoBF were mea...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s005400050043
更新日期：1999-01-01 00:00:00
abstract：:Brachial plexus block is commonly used for upper limb surgery. Although the procedure is safe, it may be associated with some life-threatening complications. We performed right-sided supraclavicular brachial plexus block for below-elbow amputation in a 45-year-old female. At completion of the block the patient develop...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-010-1076-1
更新日期：2011-04-01 00:00:00
abstract：:Beta-adrenergic blockers (β-blockers) are clearly indicated for the long-term treatment of patients with systolic heart failure and post-acute myocardial infarction. Early small-scale studies reported their potential benefits for perioperative use; subsequent randomized controlled trials, however, failed to reproduce ...
journal_title：Journal of anesthesia
pub_type： 杂志文章,评审
doi：10.1007/s00540-019-02691-9
更新日期：2020-02-01 00:00:00
abstract：:Rectal luminal regional P(CO2) (Pr(CO2)) was compared with gastric luminal Pr(CO2) measured by automated air tonometry at intervals of 10 min in 20 children aged 6-16 years scheduled for elective surgery under general anesthesia. In 5 patients, measurement of rectal Pr(CO2) failed because of catheter-related problems....
journal_title：Journal of anesthesia
pub_type： 临床试验,杂志文章
doi：10.1007/s00540-006-0410-0
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Emergency surgery itself induces high risk for postoperative mortality and morbidities; however, it remains unknown which concomitant pathological conditions of emergency surgeries are causative factors of deteriorating outcomes. This study examined the causal factors of postoperative mortality and morbidity...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1639-z
更新日期：2013-12-01 00:00:00
abstract：PURPOSE:To compare clinical advantages and hemodynamic and respiratory changes during one lung-collapsed ventilation (OLCV) using a double-lumen tube (DLT) or a single-lumen tube (SLT) with intrathoracic CO(2) insufflation, in patients undergoing thoracic sympathectomy (TS) under general anesthesia. METHODS:One hundre...
journal_title：Journal of anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s540-002-8088-z
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:The study was planned to compare the sensitivity of a twitch neuromuscular monitoring test, the train-of-four (TOF), with a tetanic test, double-burst stimulation (DBS), during a subclinical dose of vecuronium. METHODS:Twenty consenting. ASA I patients (16 to 65 years of age) of both sexes were studied. The ul...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02480738
更新日期：1997-12-01 00:00:00
abstract：PURPOSE:A large proportion of patients experience chronic post-surgical pain (CPSP) following inguinal hernia repair surgery. The aim of this study was to investigate the predictive risk factors and protective factors for CPSP following inguinal hernia surgery. METHODS:After institutional ethics approval was obtained,...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02743-5
更新日期：2020-06-01 00:00:00
abstract：PURPOSE:Numerous reports suggest that intravenously administered (IV) anesthetics affect postsynaptic events in the central nervous system. However, there is little evidence about how general anesthetics influence the presynaptic processes. The level of presynaptic calcium (Ca(2+)) concentration ([Ca(2+)](pre)) regulat...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1186-4
更新日期：2011-10-01 00:00:00
abstract：:Levobupivacaine has been developed as a safer alternative to bupivacaine because of its reduced systemic toxicity. However, the effect of directly delivering levobupivacaine into tracheal smooth muscle has not been adequately explored. We performed this study to determine the in vitro effects of levobupivacaine on iso...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-015-2026-8
更新日期：2015-10-01 00:00:00
abstract：:In the original publication of the article, the acknowledgment section was not included and provided in this correction. ...
journal_title：Journal of anesthesia
pub_type： 已发布勘误
doi：10.1007/s00540-020-02774-y
更新日期：2020-08-01 00:00:00
abstract：:The objective of our study was to assess the efficacy and safety of dexmedetomidine given in a small dose for a 1-h infusion as an adjuvant to local analgesia in ophthalmic operations. The study was double-blind prospective, randomized, and placebo controlled. We studied the effects of a small dose of dexmedetomidine ...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-005-0351-z
更新日期：2006-01-01 00:00:00
abstract：PURPOSE:We performed a multicenter, randomized, double-blind trial to assess the efficacy and safety of a single, fixed, intravenous dose of palonosetron (0.075 mg) in the treatment of established postoperative nausea and vomiting (PONV). METHODS:Three hundred and eighty-four patients who had at least one risk factors...
journal_title：Journal of anesthesia
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00540-014-1884-9
更新日期：2015-02-01 00:00:00
abstract：:To evaluate the effects of subanesthetic enflurane and sevoflurane on the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS), the blood level of norepinephrine (NE) and fluctuations in the R-R intervals were measured on electrocardiogram in humans given either 0.5 MAC enflurane or sevofluran...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02482745
更新日期：1994-03-01 00:00:00
abstract：:Optimal visualization of the glottis can be crucial to successful laryngoscopy. Limited information has been published on the light intensity delivered from laryngoscopes powered by rechargeable batteries. In this study the laryngoscope light intensity delivered from 10 nickel metal hydride (NiMH), 7 nickel cadmium (N...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1618-4
更新日期：2013-10-01 00:00:00
abstract：:We encountered three cases of lung disorders caused by drowning in the recent large tsunami that struck following the Great East Japan Earthquake. All three were females, and two of them were old elderly. All segments of both lungs were involved in all the three patients, necessitating ICU admission and endotracheal i...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1273-6
更新日期：2012-04-01 00:00:00
abstract：:The effect of famotidine on neonates was studied in 34 obstetric patients who underwent elective cesarean section. In the famotidine group, 20 mg of famotidine was intramuscularly injected at 60 min before induction of anesthesia, and 0.5 mg of atropine was injected at 30 min before induction. In the control group, on...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054010050276
更新日期：1991-07-01 00:00:00
abstract：:Cardiac effects of sevoflurane (SE) with or without nitrous oxide were examined in the canine blood-perfused papillary muscle and sinoatrial node preparations. Although SE depressed developed tension (DT), mean arterial pressure (MAP) and heart rate of the donor dog (DHR) dose dependently, sinoatrial rate (SAR) was no...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054090030145
更新日期：1989-09-01 00:00:00
abstract：PURPOSE:We aimed to compare retrospectively the rates of renal morbidity and mortality in surgical patients receiving 6% HES 130/0.4 to those receiving albumin. METHODS:From a Japanese nationwide medical database between 2014 and 2016, we identified adults who received HES 130/0.4 (HES group) or albumin (albumin group...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02838-z
更新日期：2020-12-01 00:00:00
