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General Anesthetic Management of a Patient With Hypertrophic Cardiomyopathy for Oral Surgery: Did Digitalis Contribute to Bradycardia?
Aiji Sato(Boku)DDS, PhD,
Maki MoritaDDS,
MinHye SoMD,
Tetsuya TamuraMD, PhD,
Fumiaki SanoMD,
Yasuyuki ShibuyaDDS, PhD,
Jun HaradaMD, PhD, and
Kazuya SobueMD, PhD
Article Category: Case Report
Volume/Issue: Volume 65: Issue 3
Online Publication Date: Jan 01, 2018
Page Range: 192 – 196

anesthesia were 130/65 mm Hg and 48 beats/min, respectively. In addition to standard monitoring (including pulse oximetry, 5-lead electrocardiogram, capnography, and noninvasive arterial blood pressure), arterial blood pressure monitoring was planned after induction with FloTrac placed to estimate preload and afterload. Baseline vital signs in the operating room are noted in Table 2 . An intravenous line was inserted in the left forearm and anesthesia was induced by 3 mcg/mL propofol (target-controlled infusion), 100 μg fentanyl, and 0.2 mcg/kg/min remifentanil. Then, 40

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; Preoperative 12-lead electrocardiogram. Sinus bradycardia (heart rate 44 beats/min) and negative T wave (II, III, aVF, V3–6) were observed.
Aiji Sato(Boku),
Maki Morita,
MinHye So,
Tetsuya Tamura,
Fumiaki Sano,
Yasuyuki Shibuya,
Jun Harada, and
Kazuya Sobue

Preoperative 12-lead electrocardiogram. Sinus bradycardia (heart rate 44 beats/min) and negative T wave (II, III, aVF, V3–6) were observed.


Article Category: Other
Volume/Issue: Volume 61: Issue 1
Online Publication Date: Jan 01, 2014
Page Range: 36 – 40

Aya Kamiya Yoko Kobayashi Hiroshi Suzuki Masayuki Kawahara Hiroshi Study of the FloTrac System™ Using the Dorsalis Pedis Artery in General Anesthesia for Oral Surgery

Makiko ShibuyaDDS, PhD,
Yukifumi KimuraDDS, PhD,
Shigeru TakumaDDS, PhD,
Nobuhito KamekuraDDS, PhD, and
Toshiaki FujisawaDDS, PhD
Article Category: Case Report
Volume/Issue: Volume 68: Issue 1
Online Publication Date: Apr 07, 2021
Page Range: 33 – 37

variation (SVV), via an arterial pressure–based cardiac output measuring device (FloTrac/Vigileo System), and central venous pressure (CVP) were assessed intraoperatively. Intraoperative fluids were adjusted to maintain an SVV no higher than 15%, a CVP of 4–8 mm Hg, and urinary output >1 mL/kg per hour. Intraoperatively, the patient remained hemodynamically stable throughout the entire procedure, with only a mild decrease (85–89 mm Hg) in systolic blood pressure observed. To maintain the patient's systolic blood pressure within her normal range of 90–110 mm Hg