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💉 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. -
🤮 PONV対策，どうしてる？〜リスク評価と薬物選択の整理〜
PONV（術後悪心・嘔吐）は、麻酔後の患者満足度を大きく左右します。Apfelスコアによるリスク評価から、日本と海外の最新予防法・薬剤適応の違いまで、わかりやすく整理。 -
💨 Sevo vs Desflurane — Practical Tips for Faster Wakeups and Smoother Mask Inductions🤔
Sevo vs Des: a concise, practical comparison of induction, emergence, low-flow cautions, and environmental impact. -
💨 セボフルランとデスフルラン，麻酔科医はどう使い分けてる？🤔
デスフルランとセボフルランの違いを現場目線でやさしく解説。導入・覚醒の速さ、気道刺激、低流量の注意点、環境負荷まで整理しています。周術期管理チーム試験対策・麻酔科専門医試験対策にも使えるまとめです。 -
🌍 Is Inhaled Anesthesia Really “Green”? 😳 ~ Environmental Impact of Anesthetic Gases ~
"Did you know that inhaled anesthetics contribute to climate change and ozone depletion? 🌍 This article explains the environmental impact of sevoflurane, isoflurane, desflurane, and nitrous oxide, why desflurane is being banned in the EU, and how low-flow anesthesia can be both safe and eco-friendly. Perfect for anesthesiology board exam prep and perioperative team training."
