Kojiro Kan

Publications (2)0 Total impact

• Article: [Anesthetic management of cesarean section in a patient with pulmonary embolism due to protein S deficiency diagnosed postoperatively].

  Takashi Kitao, Yui Ueno, Ayano Sekikawa, Yumiko Tatsumi, Mashiho Nakashima, Kojiro Kan, Takako Tomita, Tomotaka Kitagawa, Koichi Oguri, Shuichi Yokota
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  ABSTRACT: A 27-year-old pregnant woman with pulmonary embolism was scheduled for cesarean section. She received anticoagulant therapy with continuous infusion of heparin and prophylactic placement of an inferior vena cava (IVC) filter. Heparin was discontinued 7 hours before operation. Spinal anesthesia using hyperbaric bupivacaine 12 mg was performed and the operation was completed uneventfully. She was given a diagnosis of protein S deficiency after discharge. Preoperative anticoagulant therapy and placement of IVC filter may be effective in preventing new pulmonary embolism.
  Masui. The Japanese journal of anesthesiology 07/2008; 57(6):761-3.
• Article: [Anesthetic management of a patient with mitochondrial encephalomyopathy under total intravenous anesthesia].

  Yumiko Tatsumi, Mashiho Nakashima, Takashi Kitao, Kojiro Kan, Takako Tomita, Yuko Hashimoto, Yoshiaki Ema, Tomotaka Kitagawa, Koichi Oguri, Shuichi Yokota
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  ABSTRACT: This report describes a patient with mitochondrial encephalomyopathy who underwent tracheostomy under total intravenous anesthesia. This 15-year-old girl had been suffering from aspiration pneumonia repeatedly. Anesthesia was induced with propofol (30 mg) and fentanyl (50 microg), and the trachea was intubated without a muscle relaxant. The patient was mechanically ventilated also without a relaxant, and anesthesia was maintained with a continuous infusion of propofol 4-10 mg x kg(-1) x hr(-1) and a bolus injection of fentanyl 25 microg. Bispectral index (BIS) was monitored and maintained at 15-65. The patient showed smooth recovery from anesthesia, and the BIS value returned to the pre-anesthetic level 15 minutes after completion of the anesthesia. Her postoperative course was uneventful. We conclude that total intravenous anesthesia by propofol and fentanyl is a preferable method for the management of the patient with mitochondrial encephalomyopathy.
  Masui. The Japanese journal of anesthesiology 11/2006; 55(10):1228-30.