Cerebral Energy State and Glycolytic Metabolism during Enflurane Anesthesia in the Rat

An attempt was mede to classify 12 suicide notes of a group of youths (16-24 years of age). The contents of the notes consisted largely of frustration negative self-assesment and propensity to self-punishment, and characteristically, they took suicide as an escape from the present when they found themselves in a critial siuation, or in the face of something unavoidable and inevitable. Of the 12 suicides, 11 were a type of suicide that ocuurred frequenthly suring the course of the settlement of the university campus dispute, and one was a coed who was receiving medical treatment for an internal disease. In the former, the suicide was one that occurred under special circumstances. And for this reason, it could serve as a futher clue in understanding the suicidal act in the youth of Japan

Continuous PECS II block for postoperative analgesia in patients undergoing transapical transcatheter aortic valve implantation

Abstract It has been reported that PECS II block can alleviate postoperative pain following transapical transcatheter aortic valve implantation (TA-TAVI). However, the effectiveness of continuous PECS II block with catheterization has not yet been reported on the postoperative pain in patients undergoing TA-TAVI. We experienced two cases of TA-TAVI who received PECS II block with catheterization to manage postoperative pain. In the first case, a bolus injection for intraoperative pain and subsequent catheterization were performed before the implantation. However, the patient developed severe pain postoperatively in spite of the continuous block due to displacement of the catheter. In the second case, a bolus injection and the catheterization for the continuous block were performed before and after the implantation, respectively, which provided high-quality pain control. Continuous PECS II block may be useful to control perioperative pain associated with TA-TAVI. The insertion of the catheter after the implantation could be useful to avoid its displacement during the surgery