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Toshiyasu Suzuki

Publications and source records attributed to Toshiyasu Suzuki.

18 recordsLinked to original sources

Ketamine enhances the expression of serine racemase and D-amino acid oxidase mRNAs in rat brain.

We have evaluated the effects of the acute administration of noncompetitive N-methyl-D-aspartate receptor antagonist, ketamine, on the expression of serine racemase and D-amino acid oxidase mRNAs in several brain areas of rats. The ketamine administration produced a dose-dependent and transient elevation in the levels of serine racemase and D-amino acid oxidase mRNAs in all the brain areas. These findings suggest that there is a relationship between the gene expression of the d-serine-related enzymes and the blockade of the N-methyl-D-aspartate receptors.

Anesthetics, Dissociative↗

Development of a safe guidewire.

As the result of a locking phenomenon that may occur in a guidewire inside a metal puncture needle when using the Seldinger technique to insert a central venous catheter, the guidewire can break and cause an embolism. To counter this possibility we devised a guidewire with a structure that made it difficult for locking to occur and compared it to conventional guidewires. Conventional guidewires are wound lengthways with a spring. The improved version has a special multi-ply structure. A series of 100 cases were divided into two groups: group A, the conventional guidewire group; and group B, the improved guidewire group. We punctured the internal jugular vein and attempted insertion of the guidewire through the side hole of a 22-gauge metal needle. We then compared the frequency of locking and the frequency of bending of the guidewire tips that have been withdrawn. In group A, locking occurred in 72% of the cases where the guidewire was unable to be inserted, but this figure was 0% in group B. The improved guidewire has the advantage of reducing the risk of locking and of guidewire breakage.

Catheterization, Central Venous↗

Synthesis and characterization of three novel perfluoro-oligothiophenes ranging in length from the trimer to the pentamer.

In this Article, we report on the synthesis and full characterization of three perfluorinated oligothiophenes, ranging in length from the trimer to the pentamer (PF-nT, with n = 3, 4, or 5). The differential pulse voltammetry (DPV) analysis of the compounds showed that they can be both oxidized and reduced (i.e., they display a dual or amphoteric electrochemical behavior), with the reduction peaks positively shifted relative to those of the corresponding unsubstituted oligothiophenes. The electrochemically determined energy gaps are in agreement with those measured from the UV-vis-NIR absorption spectra in solution. The conjugational properties have been investigated by means of FT-Raman spectroscopy, both as pure solids and as dilute solutes in CH(2)Cl(2), revealing that: (i) pi-conjugation does not still reach saturation with chain length for the longest oligomer, and (ii) conformational distortions from a nearly coplanar arrangement of the successive thiophene units upon solution are not too large. DFT and TDDFT quantum chemical calculations have been performed, at the B3LYP/6-31G level, to assess information about the optimized molecular structure, equilibrium atomic charges distribution, energies and topologies of the frontier molecular orbitals (MO) around the gap, vibrational normal modes associated with the most outstanding Raman scatterings, and vertical one-electron excitations that give rise to the main optical absorptions.

Journal Article↗

Acute treatment with morphine augments the expression of serine racemase and D-amino acid oxidase mRNAs in rat brain.

To obtain further insight into the interactions between the N-methyl-D-aspartate receptor and opioid receptor systems, we have investigated the effects of the acute treatment of morphine on the expression of serine racemase and D-amino acid oxidase mRNAs in several brain areas of rats. The morphine administration produced a dose-dependent and transient elevation in the levels of serine racemase and D-amino acid oxidase mRNAs in all the brain areas. The present results are the first to suggest an interaction between the expression of the mRNAs for the D-serine-related enzymes and the opioid receptor activation.

Analgesics, Opioid↗

Anesthetic management for repair of adult Bochdalek hernia by laparoscopic surgery.

This report describes anesthetic management of a case (a 64-year-old man) who was originally diagnosed as paraesophageal hernia before surgery and later diagnosed as Bochdalek hernia during laparoscopic surgery. Anesthesia was started with oxygen, nitrous oxide, and sevoflurane, and respiration was managed using controlled mechanical ventilation. Although left pneumothorax was noticed during laparoscopic surgery (aeroperitonia pressure: 10 cmH2O), the surgery was performed using the same anesthesia procedure, because hardly any changes were observed on the monitor and vital signs were stable. The surgery was completed without incident. However, postoperative chest X-rays revealed the residual large pneumothorax. A chest drain tube was inserted immediately, after which the pneumothorax was improved. Pneumothorax is considered to be inevitable in cases of laparoscopic repair of Bochdalek hernia. To prevent exacerbation of pneumothorax, anesthetic management should consist of discontinuing the use of nitrous oxide and lowering the aeroperitonia pressure concomitently with the use of positive airway pressure.

Anesthesia↗

Optimal puncture site of the right internal jugular vein after laryngeal mask airway placement.

BACKGROUND: Puncturing of the internal jugular vein (IJV) after placement of a laryngeal mask airway (LMA) is difficult. Overlapping of the right internal jugular vein (IJV) and common carotid artery (CCA) after placement of an LMA-Classic (Laryngeal Mask Company, Henley-on-Thames, United Kingdom) was investigated using an ultrasound scanner. A study was conducted to determine the optimal puncture site in the case of puncturing the right IJV after LMA-Classic placement. METHODS: The subjects in this study consisted of 114 patients (60 men and 54 women) scheduled to undergo LMA-Classic placement (size 4 for men and size 3 for women). Overlapping between the IJV and CCA was investigated at three points (high, middle, and low points) on the right side of the neck after LMA-Classic placement. A test puncture was also made at the right low (supraclavicular) point after LMA-Classic placement. RESULTS: (1) The degree of overlapping of the right IJV and CCA after LMA-Classic placement was clearly greater than before LMA placement. (2) With the exception of some measurements, there were many cases in which the right IJV and CCA were completely overlapping after LMA-Classic placement. Furthermore, the CCA was not observed in the vicinity of the right IJV at the right low point. (3) There were no complications (including pneumothorax and accidental arterial puncture) during supraclavicular IJV puncture after LMA-Classic placement. CONCLUSION: After placement of the LMA-Classic, overlapping of the IJV and CCA increased at the high and middle puncture points of the IJV; however, at the lower puncture point, the position of the vessels remained unaffected. Therefore, during IJV puncture at high or middle points, ultrasound guidance is advisable to avoid CCA puncture.

Adult↗

Perfluoropentacene: high-performance p-n junctions and complementary circuits with pentacene.

We report the synthesis and characterization of perfluoropentacene as an n-type semiconductor for organic field-effect transistors (OFETs). Perfluoropentacene is a planar and crystalline material that adopts a herringbone structure as observed for pentacene. OFETs with perfluoropentacene were constructed using top-contact geometry, and an electron mobility of 0.11 cm2 V-1 s-1 was observed. Bipolar OFETs with perfluoropentacene and pentacene function at both negative and positive gate voltages. The improved p-n junctions are probably due to the similar d-spacings of both acenes. Complementary inverter circuits were fabricated, and the transfer characteristics exhibit a sharp inversion of the output signal with a high-voltage gain.

Journal Article↗

[Regional differences in the number of anesthesiologists in Japan].

BACKGROUND: We have known the existence of regional differences in the number of medical doctors and the manpower shortage of anesthesiologists in Japan. METHODS: In the present investigation, we compared the number of regular members and Board Certified Anesthesiologists (BCA) of the Japan Society of Anesthesiologists (JSA) among prefectures and the Districts of JSA. RESULTS: Tokyo and Chugoku-Shikoku Districts of JSA had larger numbers of regular members of JSA per one hundred thousands population compared with Tokai, Kanto-Koshinetsu, and Tohoku Districts of JSA (the maximum difference among prefectures (MDAP) = 3.0 times and the maximum difference among the Districts (MDAD) = 2.4 times). Chugoku-Shikoku and Kyushu Districts of JSA had greater numbers of BCA per one hundred thousands population compared with Tokai, and Kanto-Koshinetsu Districts of JSA (MDAP = 3.1 times and MDAD = 2.5 times). Hokkaido District of JSA had the largest percentages of both members of JSA and BCA to all medical doctors [(MDAP = 2.3 times and MDAD = 1.7times) and (MDAP = 2.6 times and MDAD = 2.0 times), respectively)]. Tokyo District of JSA had the largest numbers of both members of JSA and BCA per one thousand hospital beds [(MDAP = 3.4 times and MDAD = 2.5 times) and (MDAP = 3.2 times and MDAD = 2.2 times), respectively)]. The regional differences in the number of regular members of JSA were bigger than those of the medical doctors (per one hundred thousands people (MDAP = 2.2 times and MDAD = 1.6 times) and per one thousand hospital beds (MDAP = 2.4 times and MDAD = 2.3 times), respectively]. CONCLUSIONS: There are remarkable regional differences in the number of regular members and BCA of JSA among prefectures and the Districts of JSA. We suspect that the regional differences in the number of anesthesiologists would affect the quality and system of corresponding clinical practice.

Anesthesiology↗

Straight advancement of epidural catheter--comparative assessments by method and site of epidural needle puncture and angle of puncture.

The catheter straight advancement rate for introduction into the epidural space was investigated using a radiopaque catheter. One hundred patients were divided into two groups and underwent thoracic or lumbar epidural punctures, with one of two different puncture methods: the median approach or paramedian approach. Two different angles of epidural puncture needle insertion, 50-60 degrees and 90 degrees to skin surface plane, were used. A catheter was inserted into the epidural space about 5 cm cephalad and the course of the inserted catheter was ascertained by radiography. The results have shown that punctures performed at an insertion angle of 50-60 degrees yielded higher catheter straight advancement rates than those performed at an angle of 90 degrees in both thoracic and lumbar epidural punctures.

Anesthesia, Epidural↗

Design and its application of the f(n)-zeta chart capable of direct readout of the highest frequency indicating the limit of obtaining distortion-free waveforms.

We have already reported that the highest frequency (f(h)) could serve as an index for evaluating the fidelity of pressure waveform derived via a catheter manometer system and be read off by the f(n)-zeta chart. Fh is determined by the natural frequency (f(n)) and damping coefficient ( zeta ) in the frequency characteristics of the system. Inversely, f(h) determines two pairs of f(n) and zeta in the f(n)-zeta chart, one in the case of zeta < 0.7 and the another zeta > 0.7. Then, each pair of f(n) and zeta determines respectively the resonant frequency (f(r)) and its amplitude (Ar) ( zeta < 0.7), or the corner frequency (f(c)) and its amplitude (Ac) ( zeta > 0.7) in the frequency characteristics. Thus, the point (f(r), Ar) or (f(c), Ac) represents the position of f(h) projected in the frequency characteristics. Repeating the same operation for other f(n) and zeta corresponding to the same f(h), yields the curve of f(h) in the frequency characteristics. Calculations for other f(h)'s provide a group of curves. Frequency characteristics of pulmonary artery catheters were measured and overwritten thereupon, resulting in f(h)'s to be from 1.2 to 3.2 Hz. These results were in agreement with that calculated by the conventional method.

Blood Pressure Determination↗

Differences in penetration force of intravenous catheters: effect of grinding methods on inner needles of intravenous catheters.

OBJECTIVES: To compare penetration forces of intravenous catheters based on two grinding methods used for the inner needle tip. METHOD: Forty intravenous catheters were divided into two groups according to two inner needle grinding methods: Lancet and Backcut. To compare the characteristics of inner needles, 18 gauge Surflo outer catheters, were attached to all inner needles. We measured penetration forces by attaching a "Push-Pull-Gauge" to the chamber of intravenous catheters, then we penetrated intravenous catheters through a 0.04-mm thick polyethylene film. The penetration velocity was 3.3 mm/sec. we measured penetration forces at 30- and 45-degree penetration angles. RESULTS: There was no significant difference in the penetration forces of inner needle and outer catheter between the two groups at the 45-degree penetration angle. Penetration forces of the inner needle and the outer catheter in the Backcut group was significantly lower than those of the Lancet group at the 30-degree penetration angle. The penetration force of the outer catheter was reduced from 0.3 N to 0.18 N, a 40 % reduction at 30-degree penetration angle. Computerized measurements of penetration holes indicate that the Y-shaped incision mark of the Backcut leaves larger incision hole than the actual puncture size. We hypothesize that the Y-shaped incision mark creates more efficient path for the outer catheter to advance. Therefore, lower penetration force was indicated compared to the other group. CONCLUSION: Backcut shows less penetration force of inner needles of peripheral intravenous catheters than lancet.

Catheterization↗

Relationship between aortic-to-radial arterial pressure gradient after cardiopulmonary bypass and changes in arterial elasticity.

BACKGROUND: An aortic-to-radial arterial pressure gradient may develop during and after cardiopulmonary bypass (CPB). The mechanisms of this pressure gradient remain controversial. To clarify the cause of the pressure gradient after CPB, the authors investigated the relationship between the pressure gradient and changes in the pulse wave velocity (PWV) before and after CPB. METHODS: The pressure gradient from the aorta to the radial artery and a change in PWV were measured with a wire (0.37 mm in diameter) tipped with a miniature pressure transducer in 12 patients undergoing cardiac surgery. The pressure distributions and waveforms were measured and recorded with electrocardiograph. The PWV was calculated by measuring the propagation time between the R wave of the electrocardiograph and the rising point of the arterial pressure waveform at 10-cm intervals. RESULTS: After CPB, 7 of 12 patients demonstrated a marked pressure gradient. In these patients, the pressure distribution showed a gradual decrease toward the periphery without a precipitous step-down in pressure at any one specific anatomic location. The PWV decreased as the intraarterial pressure decreased from the aorta to the radial artery, and the relative arterial elasticity decreased linearly toward the periphery. CONCLUSIONS: The results showed that the decrease in PWV implies a decrease in arterial elasticity, and the decrease in the arterial elasticity correlated with the decrease in intraarterial pressure. These findings demonstrated that a radial artery pressure lower than the aortic pressure after CPB may be due to the decrease in arterial elasticity.

Adult↗

Utilization of PCIA (patient-controlled intravenous analgesia) for postoperative analgesia of spine fusion.

We examined the effect of patient-controlled intravenous analgesia (PCIA) using metoclopramide hydrochloride and morphine hydrochloride in 30 patients (15 males, 15 females) who underwent spine fusion surgery under general anesthesia. The intravenous administration of 2 mg morphine hydrochloride was done prior to the completion of surgery. Subsequently, morphine hydrochloride was administed via venous injection at a dose of 1 ml/hr. Additionally, a 1 ml bolus dosage was administered at a 60-minute lockout interval employing a pump which contained 36 mg of morphine hydrochloride, 30 mg of metoclopramide hydrochloride in 62 ml of physiologic saline. At approximately 72 hours, we observed the resting VAS (visual analog scale) and the side effects of morphine hydrochloride and thereafter the button pressing frequency (1 button have 0.5 mg morphine hydrochloride) was investigated. The resting VAS was stable through 72 hours in 13 males and 15 females of the 30 cases exhibiting from 2 to 3. The frequency of button pressing was investigated regarding time and gender. One male and two female patients exhibited metastatic tumors of the spine but demonstrated no button manipulation. For the remaining 27 subjects the button pressing frequency increased in most instances furthermore, from 24-48 hours after surgery, the frequency for male patients clearly increased. From 48 hours after surgery, no gender differences were evident regarding the button frequency. However, differences were observed regarding the disease, gender and postoperative time course of analgesia. As a result, no alteration in the background dose appeared to provide the best result, as did a short duration lockout interval.

Aged↗

Blind endobronchial insertion of a movable bronchial blocker attached to an endotracheal tube, Univent tube.

The endotracheal tube with a movable bronchial blocker, Univent tube, used to effect one-lung ventilation is easy to use in endotracheal intubation. However, problems are often encountered when inserting the blocker into the bronchus. We herein describe a method which enables the easy blind insertion of the blocker into the left or right bronchus. The techniques of inserting the blocker into the left main stem bronchus will be described. With the patient in a supine position, the head of the patient is moved to the left. The operator then places his right hand fingers near the cricoid and presses to displace the larynx of the patient toward the right. While performing this procedure, the operator advances the blocker using the left hand. Finally, using a bronchoscope, the placing of the blocker is to be ascertained in an appropriate position inside the left bronchus. When strong resistance is left, the blocker should be retracted, the force of laryngeal displacement is altered and, then, the blocker is inserted again in a resistance-free manner. We have so far experienced no complications such as severe tracheobronchial hemorrhage, tracheobronchial perforation of laryngeal dislocation. We herein describe a useful and simple method for inserting the bronchial blocker of the Univent tube into the bronchus.

Bronchoscopy↗

A novel photorearrangement of a cyclohexadiene derivative of C60.

[reaction: see text] Photorearrangement of tetraalkoxycarbonyl-substituted cyclohexadiene derivatives of C(60) yields not only well-known bis(fulleroid) but also bis(methano)fullerene. Existence of a labile and structurally new intermediate is observed in the reaction mixture. The discovery of the compound suggests the existence of another possible pathway giving those two products other than the widely accepted [4 + 4]/[2 + 2 + 2] mechanism.

Journal Article↗

Difficult placement of Univent tube blocker due to aberrant right subclavian artery aneurysm.

There have been few reports on aneurysms of the anomalous branch of the aortic arch. We present a rare case in which correct placement of the movable blocker of a Univent tube was difficult due to an aberrant right subclavian artery aneurysm. A 72-year-old man with a history of hypertension had manifested coughing and wheezing for four months prior to admission to our hospital. A chest computed tomogram revealed that his aortic arch had four branches and that the right subclavian artery did not originate from the first branch, but was the fourth branch. The angiogram disclosed that an aneurysm had developed in the anomalous artery close to the aorta, and behind the other three branches, trachea, and esophagus. The aneurysm not only had pushed the trachea out of place but was also pressing against it. After anesthetic induction, his trachea was intubated using an endotracheal tube with a movable blocker, the Univent tube, for single-lung ventilation. The blocker could not be advanced into the left main bronchus due to the tracheal deviation caused by the aneurysm. Several methods of blocker placement, including those recommended in the manual attached to the product, were attempted without success. Finally, the trachea was intubated again using a Univent tube with the blocker tip bent manually, which permitted entrance of the blocker into the bronchus. Blocker placement should be modified to suit patients with a problem in the trachea or bronchi.

Aged↗