頸部硬膜外麻酔、頚部硬膜外麻酔

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1. 脊髄くも膜下硬膜外併用麻酔：手技epidural and combined spinal epidural anesthesia techniques [show details]
…Single-shot spinal or epidural anesthesia is limited to the duration of action of the injected drug. Epidural anesthesia is performed by introducing a needle between the lumbar, thoracic, or cervical vertebrae and …
2. 陣痛開始時および分娩時（経腟器械分娩も含む）の区域麻酔neuraxial analgesia for labor and delivery including instrumented delivery [show details]
… full cervical dilation. Labor often progresses more quickly for parous patients than for nulliparous patients and, for all parturients, may be more intense at the later stages of cervical dilation…maintenance of labor epidural analgesia, the epidural solution is usually administered by infusion pump. The drug can be given by continuous infusion; by patient-controlled epidural analgesia (PCEA),…
3. 脊髄幹麻酔の概要overview of neuraxial anesthesia [show details]
… during epidural anesthesia. Risk factors, clinical manifestations, treatment, and complications of PDPH are discussed separately. Spinal anesthesia (and often epidural anesthesia) blocks afferent… the neuraxial canal (via the sacral hiatus to a high cervical interspace [usually for a chronic pain management procedure]).…
4. 麻酔の概要overview of anesthesia [show details]
…epidural, or CSE are available in separate topics: Spinal anesthesia Epidural analgesia and anesthesia Combined spinal-epidural anesthesia Peripheral nerve blocks are widely-used for surgical anesthesia …
5. 前部縦隔の腫瘤を有する患者に対する麻酔anesthesia for patients with an anterior mediastinal mass [show details]
…regarding surgical techniques and complications of these procedures are described elsewhere. Cervical mediastinoscopy is performed via a midline transverse incision made immediately above the clavicular … we use epidural analgesia to achieve postoperative pain control if there are no contraindications .…

English Journal

Effect of general anesthesia combined with epidural anesthesia on perioperative immune factors in cervical cancer.

Liu GD, Liang GQ, Wang H, Zhou Y.
Journal of biological regulators and homeostatic agents. 2019 Jun;33(3)Array.
Cervical cancer (CC) is a common malignant tumor that seriously threatens the health and life of female patients. At present, surgical resection remains as the preferred treatment for CC.
PMID 31184102
PMID 30137775

Factors that affect ultrasound-determined labor progress in women undergoing induction of labor.

Chaemsaithong P, Kwan AHW, Tse WT, Lim WT, Chan WWY, Chong KC, Leung TY, Poon LC.
American journal of obstetrics and gynecology. 2019 Jun;220(6)592.e1-592.e15.
The traditional approach to the assessment of labor progress is by digital vaginal examination; however, it is subjective and imprecise. Recent studies have investigated the role of transperineal ultrasonographic assessment of fetal head descent by measuring the angle of progression and head-perineu
PMID 30735668

Japanese Journal

Short-term outcomes after conventional transthoracic esophagectomy

Niwa Yukiko,Koike Masahiko,Hattori Masashi,Iwata Naoki,Takami Hideki,Hayashi Masamichi,Kanda Mitsuro,Kobayashi Daisuke,Tanaka Chie,Yamada Suguru,Fujii Tsutomu,Nakayama Goro,Sugimoto Hiroyuki,Nomoto Shuji,Fujiwara Michitaka,Kodera Yasuhiro
Nagoya Journal of Medical Science 78(1), 69-78, 2016-02
… Most of the cervical para-esophageal lymph node dissection was completed within the thoracic cavity. … Effective postoperative pain management was achieved with a combination of epidural anesthesia and paravertebral block. …
NAID 120005705162

小児の仙骨ならびに胸腰部硬膜外麻酔への超音波の有用性について

虻川有香子,広木公一,尾崎眞
日本臨床麻酔学会誌 34(1), 055-058, 2014
米国では理論上，超音波下の仙骨硬膜外穿刺がスタンダードとされている．しかし本邦では，超音波装置本体および小児で必要なホッケースティック型プローブの普及が十分ではなく，また保険適用ではないことから滅菌袋などのコストを確保しにくいことなどもあり，さらに小児では穿刺部位が解剖学的に浅くわかりやすいことから仙骨麻酔は盲目下で行うことが多い．本稿ではその危険性に焦点を当てながら，われ …
NAID 130004450234