classicanesthesia2– Author –
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☝️ Midline Catheters: An Evidence-Based Review of the “Middle” Option Between PIV and PICC
Midline catheters occupy a practical middle ground between peripheral IVs and PICC lines, suited for short-to-mid-term intravenous therapy (commonly ~5–14 days). This article summarizes definitions, indications/contraindications, ultrasound-guided insertion and management tips, complication recognition and response, and practical decision rules for choosing PIV vs midline vs PICC — all referenced to recent trials, systematic reviews, and INS guidance. Useful for perioperative teams and trainees preparing for perioperative management team and anesthesiology board exam scenarios. -
☝️ Midlineカテーテルとは？PIV・PICCの「中間」選択肢をエビデンスで整理する
Midlineカテーテルの定義、適応、PIV／PICCとの実務的な使い分け、合併症の初期対応をエビデンスに基づいてわかりやすく整理しました。周術期管理チーム試験対策・麻酔科専門医試験対策に役立つ要点も収録しています。 -
🚨 Local Anesthetic Systemic Toxicity (LAST): What to Do When It Happens -Based on ASRA guidelines and current clinical reviews (2020–2024)-
A step-by-step ASRA-based guide to treating Local Anesthetic Systemic Toxicity (LAST) with early lipid emulsion therapy, seizure control, and modified ACLS. -
🚨 局所麻酔薬中毒（LAST）発生！その時に・・！
局所麻酔薬中毒（LAST）の治療・予後をASRA準拠で整理。脂肪乳剤療法やACLSとの違いを明確に解説。周術期管理チーム試験対策・麻酔科専門医試験対策に。 -
💉 That “Tingling” Might Be LAST — Recognizing the Early Signs of Local Anesthetic Systemic Toxicity😳🚨
A conversational and practical overview of Local Anesthetic Systemic Toxicity (LAST)—how it starts, what to look for, and how to act fast. This article explains early CNS and cardiovascular signs, key risk factors, and first-line management, presented in a real clinical dialogue style for residents and perioperative staff. -
❗その“しびれ”，もしかしてLAST？😳──局所麻酔薬中毒の初期サイン
局所麻酔薬中毒（LAST）の症状と初期対応を，臨床の流れに沿って整理しました． -
🔴 When “Red Man Syndrome” Became “Vancomycin Infusion Reaction”— Understanding the renamed reaction and why it matters —
The term “Red man syndrome” is now replaced by Vancomycin infusion reaction (VIR)—a non-IgE histamine-release reaction important in perioperative care. -
♦️ Red man症候群（Vancomycin infusion reaction）ってもう呼ばないの？🤔
「Red man症候群」は今では“Vancomycin infusion reaction（VIR）”と呼ばれます。非IgE性ヒスタミン放出による発赤反応で、麻酔導入前にも注意が必要。周術期管理チーム・麻酔科専門医試験対策にも。 -
🤢 Designing an “Anti-Emetic Anesthetic”: How to Prevent Postoperative Nausea and Vomiting (PONV)
Postoperative nausea and vomiting (PONV) remains one of the most unpleasant experiences after anesthesia. This article explains how to predict, prevent, and treat PONV based on the Apfel risk score and the Fourth Consensus Guidelines (2020) — including evidence-based anesthetic techniques, pharmacologic prophylaxis, and rescue strategies for both adults and children.
