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J Aono

Publications and source records attributed to J Aono.

At least 37 records · Page 2Linked to original sources

[ICG-disappearance rate during sevoflurane- or neurolept anesthesia].

We evaluated the effect of sevoflurane or neuroleptanesthesia on ICG-disappearance rate in 22 patients undergoing elective extra-abdominal surgery. We divided the patients into three groups, i.e., SN-group (n = 8), SH-group (n = 8) and NLA-group (n = 6). Systolic arterial pressure (SAP) in the patients of SN-group or SH-group was maintained with sevoflurane at about 100% or 70% of the preoperative value respectively. There was no significant difference in SAP between SN-group and NLA-group. In SN-group and NLA-group, there was no significant difference in the ICG-disappearance rate between the values during anesthesia and those during preoperative period. In SH-group, however, it was significantly lower than the preoperative value. We conclude that, when normal systolic arterial pressure can be maintained, sevoflurane or neuroleptanesthesia has little effect on the liver function and hepatic blood flow. Sevoflurane anesthesia with 70% of preoperative SAP, however, may depress the liver function and hepatic blood flow.

Aged↗

[Effect of deliberate hypotension with PGE1 on PaO2 in pediatric patients].

We compared the effect of deliberate hypotension with PGE1 on PaO2 between pediatric and adult patients. Seven children, aged 3-9 yrs and 10 adults, aged 35-65 yrs who were scheduled for elective head and neck surgeries were studied. Anesthesia was maintained with enflurane, 50% N2O in oxygen and supplemental infusion of fentanyl. Ventilation was controlled to maintain PaCO2 at 35-40 mmHg. Hypotension was induced with continuous infusion of PGE1 and the systolic blood pressure was maintained at 70% of the presurgical value. Blood gases were measured three times, i.e. before, during, and after hypotension. The hypotension in adults caused a significant reduction in PaO2. In children, on the contrary, PaO2 was not affected by the hypotension. The results suggest that intrapulmonary shunting is smaller in children than in adults during PGE1-induced hypotension.

Adult↗

[Effect of the prone position on ICG excretion during normotensive or hypotensive isoflurane anesthesia].

We evaluated the effect of prone position on ICG excretion during normotensive and hypotensive isoflurane anesthesia. In supine position, either normotensive or hypotensive anesthesia produced no significant prolongation in ICG excretion. In prone position, however, both normotensive and hypotensive anesthesia caused a significant prolongation in the excretion. The results suggest that prone position decreases the hepatic blood flow or hepatic function during isoflurane anesthesia.

Adult↗

[Perioperative blood glucose levels in children].

The perioperative blood glucose (BG) level may represent autonomic responses to various stresses by anesthesia and surgery. We studied the effects of regional blocks combined with general anesthesia on the BG response in pediatric patients. We could not find any significant differences in BG levels between blocked and non-blocked patients. However, BG levels of the children who had been hysterical or crying during the induction of anesthesia were significantly higher than those of the children who had been calm or sleeping. Forty healthy children, aged 1-3 yrs who were scheduled for elective urological surgery were studied. Anesthesia was induced with halothane in oxygen. The anesthesiologist recorded the children's attitude before and during the induction of anesthesia, and described as "calm or asleep (Calm-group), and hysterical or crying (Crying-group)". Patients were assigned randomly to two groups as follow; Group A (n = 20): receiving nerve blocks, Group B (n = 20): without the blocks. The anesthesia was maintained with 1-2.5% halothane in oxygen required to maintain the hemodynamic parameters within 10% of baseline value before surgery. Both groups received lactated-Ringer's solution during the study period. The venous BG levels were determined 5 times, i.e. immediately after asleep, 5, 15, 30 minutes after skin incision and at the conclusion of surgery. BG levels were compared between groups using Mann-Whitney Test. There was no significant difference in BG levels between Group A and B throughout the study period. But BG values of Crying-group (n = 9) were significantly higher than those of Calm-group (n = 31) during perioperative period.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Inhalation↗

[Anesthesia for a patient with Bloom's syndrome].

Bloom's syndrome (BS) is a rare autosomal recessive disorder. The disease is due to chromosome breakage and recombination. The principal features of the syndrome are short stature of prenatal onset, a photosensitive telangiectasic erythema of the face and a marked predisposition to the development of malignant diseases. We are unaware of any previous report of the anesthetic management of a BS patient. In this paper, we reported the anesthetic experience of a male patient (37-yr-old, 26 kg, 136 cm) with Bloom's syndrome who underwent emergency laparotomy. The awake laryngoscopy was carried out, but we could not see the vocal cord directly. The trachea was blindly intubated and anesthesia was induced and maintained with fentanyl, vecuronium and enflurane in 100% oxygen. In a BS patient we should pay attention to potential difficulties with mask fit and laryngoscopy.

Adult↗

The role of cGMP in the anti-aggregating properties of BY-1949, a novel dibenzoxazepine derivative.

The anti-aggregatory activity of a novel agent, BY-1949, 3-methoxy-11-methyldibenz (b,f) (1,4) oxazepine-8-carboxylic acid, was examined using rabbit platelets. Oral administration of BY-1949 (10 or 30 mg/kg) inhibited platelet aggregation induced by ADP, collagen, and arachidonate in a dose-related fashion. In in vitro studies, however, neither BY-1949 nor its major metabolites inhibited platelet aggregation, even at a concentration similar to that attained in plasma in vivo. With regard to the anti-aggregatory action of BY-1949, biochemical analysis revealed that BY-1949 preferentially augmented cyclic GMP (cGMP) formation, via inhibition of phosphodiesterase activity, without altering cyclic AMP (cAMP) formation. Furthermore, the in vitro anti-aggregatory activity was significantly enhanced when the platelets were concomitantly treated with nitric oxide (NO). Based on these results, it is suggested that the in vivo anti-aggregatory effects of BY-1949 are at least partly elicited via platelet/endothelium interactions, in which cGMP plays a pivotal role.

Animals↗

[Effect of nitroglycerin and nicardipine on ICG excretion during halothane anesthesia].

We evaluated the effect of nitroglycerin and nicardipine on ICG excretion during halothane anesthesia in man. Induced hypotension with nitroglycerin during halothane anesthesia produced a significant prolongation in ICG excretion. No such significant prolongation occurred in the patients who received nicardipine. The results suggest that a reduction in hepatic blood flow during anesthesia may be much less in patients who receive halothane with nicardipine than in those who receive halothane with nitroglycerin.

Adult↗

[The CO2 absorption capacity and color indication of a newly developed soda lime (Wakolime)].

The CO2 absorption capacity and the color change of ethyl violet (color indicator) of Wakolime A (newer type). Wakolime (older type), and Sorb 800 were studied under the clinical anesthetic condition. A two chamber canister was filled with soda lime and anesthetic gas flowed upward through the canister at the rate of 4 ml.min-1. The wall temperature of each chamber was measured with surface temperature sensing device. After 30 hours of use, the colored soda lime in the first chamber was examined with a color analyzer. The change of wall temperature indicated that the CO2 absorption capacity of Sorb 800 was the largest and that of Wakolime was the smallest among the three. The indicator color of both Wakolime A and Sorb 800 was clearer and of more vivid violet than that of Wakolime, which was dull and grayish. These results indicated that Wakolime A is superior in the CO2 absorption capacity and color indication to Wakolime.

Absorption↗

[Liquid crystal thermography; a reliable method for detecting soda lime exhaustion].

The dynamic and functional state of soda lime can be more precisely assessed by measuring changes in wall temperatures of the absorption chambers rather than observing color change of the soda lime granules. We demonstrated in this report that the liquid crystal thermometer is an inexpensive and reliable measuring device for this purpose.

Anesthesiology↗

[Effect of isoflurane and enflurane on ICG-clearance].

We performed ICG-test (indo-cyanine green test) during surgery to study the effect of isoflurane and enflurane on ICG clearance in human. When the systolic arterial pressure (SAP) was maintained at 70% of the preoperative base line value, a significant decrease in ICG clearance occurred in the patients who received enflurane. Isoflurane, on the contrary, did not cause such a decrease in the ICG clearance. We conclude that isoflurane may restore either the blood flow to the liver or the liver function and the liver may remove ICG from the blood much better under isoflurane than under enflurane.

Adult↗

[Anesthetic care of a patient intoxicated with thinner].

This is a report of a 28 year old male who underwent emergency laparotomy. He had a history of asthma and chronic abuse of thinner (toluene), and he stabbed himself after acute intoxication by the drug. Anesthesia was induced and maintained by halothane and oxygen. Vecuronium was used for muscle relaxation. Abnormal EKG was seen during perioperative period: A-V dissociation and incomplete RBBB. After emergence from anesthesia, so called "flash back" phenomenon was observed but this was controlled by diazepam. Since the chronic abuse of toluene causes organic changes in many vital organs, we must take special precautions when we anesthetize a patient with thinner intoxication: (1) toluene has a negative inotropic effect and also delays the S-A and A-V conduction rate, which may potentiate the cardiac effect of inhalation anesthetics; (2) toluene causes liver damages; and (3) the patient may experience "flash back" phenomenon.

Adult↗

[Interaction of halothane and PGE1 on ICG excretion].

We performed ICG-test during surgery to study the effect of halothane on ICG excretion in humans. We also evaluated the effect of PGE1 on ICG excretion concomitantly used during halothane anesthesia. A significant decrease in ICG clearance occurred in the patients who received only halothane to reduce the systolic arterial pressure (SAP) to 70% of the preoperative value. The reduction in SAP induced by PGE1 together with halothane, however, did not decrease the ICG clearance rate. We conclude that halothane may decrease the hepatic blood flow, but PGE1 may neutralize the effect of halothane, and maintain the hepatic blood flow in man.

Adult↗

Investigations into the mechanism of the antihypertensive effect of SGB-1534, a novel alpha 1-adrenoceptor antagonist, in rats.

Experiments in vitro and in vivo were undertaken to examine possible involvement of a central effect in the hypotensive mechanism of SGB-1534. SGB-1534 selectively antagonized the contraction of isolated rat aortae to phenylephrine with a pA2 value of 10.57, 3.9 times higher than prazosin, and markedly displaced the alpha 1-adrenoceptor ligand 3H-prazosin (pKi: 8.81) in rat brain. In anesthetized spontaneously hypertensive rats (SHRs), SGB-1534 (0.3-3 micrograms/kg) and prazosin (3-30 micrograms/kg) given intravenously (i.v.) and intracerebroventricularly (i.c.v.) produced a dose-dependent and long-lasting depressor response associated with no change in heart rate (HR). The two drugs (i.c.v.), however, significantly attenuated the pressor response to i.v. noradrenaline. Single i.v. injections of SGB-1534, prazosin and yohimbine dose-dependently inhibited the St 587 (a highly specific and centrally acting alpha 1-adrenoceptor agonist) enhanced flexor reflex and the pressor response to i.v. phenylephrine in pithed rats. However, the activities of SGB-1534 and prazosin in inhibiting the St 587-enhanced flexor reflex were 16,000 and 660 times, respectively, less than those in attenuating the pressor response to i.v. phenylephrine. It seems that the hypotensive action of SGB-1534 is due to the peripheral alpha 1-adrenoceptor antagonistic mechanism rather than the central one.

Adrenergic alpha-Antagonists↗

Sequestration analysis for RNA polymerase I transcription factors with various deletion and point mutations reveals different functional regions of the mouse rRNA gene promoter.

We compared the ability of various deletion and substitution mutants of the mouse rRNA gene promoter to bind essential factors required for accurate transcription initiation by RNA polymerase I. Different amounts of a competitor template were first incubated with a mouse cell extract containing the whole complement of factors and RNA polymerase I, and then a tester template was added for the second incubation. Transcription was started by adding nucleoside triphosphates (one labeled), and the accurate transcripts were determined on a gel. The results indicated that the ability of 5' deletion mutants to sequester essential factors decreased almost concurrently with the impairment of in vitro transcription activity, whereas when the promoter sequence was removed from the 3' side, the transcription activity decreased earlier and more drastically than the sequestration ability. Similar, though not identical, results were obtained by preincubation with fraction D separated on a phosphocellulose column, indicating that the major factor which was sequestered was TFID, the species-dependent transcription initiation factor that binds first to the promoter in the initiation reaction (H. Kato, M. Nagamine, R. Kominami, and M. Muramatsu, Mol. Cell. Biol. 6:3418-3427, 1986). Compilation of the data suggests that a region inside the 5' half of the core promoter (-40 to -1) is essential for the binding of TFID. The 3' half of the promoter (-1 to downstream) is not essential for the binding of TFID but is highly important for an efficient transcription initiation. A strong down-mutant with a one-base substitution at -16 (G to A) had a reduced ability to bind to TFID, whereas a null mutant with a single base substitution at -7 (G to A) showed a binding ability similar to that of the wild-type promoter when tested with whole-cell extract. This null mutant, however, could not sequester the TFID well when incubated with fraction D alone, suggesting that the binding of TFID with this mutant is unstable in the absence of another factor(s) present in cell extract. The factor is not TFIA, which binds after TFID, because the addition of fraction A containing TFIA did not cause TFID to bind to the mutant. The availability of different mutants having lesions at different steps of transcription initiation will provide a powerful tool for the dissection of the initiation reaction of the RNA gene.

Animals↗