A clinical study of the general anesthesia for the patients with anemia and hypoproteinemia Part 1. The changes of the blood components before and after cyclopropane anesthesia in anemic and hypoproteinemic patients

Thirty-three patients with anemia and hypoproteinemia were anesthetized with cyclopropane and the changes in the peripheral blood corpuscles and the plasma protein were observed before and after anesthesia. 1) The number of the erythrocytes slightly increased already 20 minutes after starting anesthesia, while the leucocytes markedly increased. In the increase of the leucocytes, An increase of the neutrophils and an marked increase of the lymphocyte were observed. Hemoglobin as well as hematcrit increased, while the water content of blood and plasma decreased. 2) Total plasma protein increased and its fractioning revealed an increase of A/G ratio, slight increase of albumin, decrease of α-globulin as well as φ, slight increase of γ-grobulin and no change of β-globulin in percentage. From the quantitative point, there were observed an increase of Al. slight increase of β-Gl., decrease of φ, increase of γ-Gl. and no change of α-Gl.. 3) These changes in the peripheral blood corpuscles and the plasma protein are considered to be due to the temporary increase of adrenalin secretion caused by cyclopropane as stressor, though there may be some exemia (concentration of the blood) due to general anesthesia

Creation and use of a composite polyurethane-expanded polytetrafluoroethylene graft for hemodialysis access.

The Thoratec (Vectra) polyurethane vascular access graft (TPVA) is among the most recent additions to the list of materials used to construct prosthetic grafts for vascular access during hemodialysis. We give the TPVA very high marks, and recognize the utility of such a graft for use in hemodialysis. However, the strong elasticity of this graft can lead to unexpected complications after suturing. We devised a new surgical method using a TPVA-ePTFE (expanded polytetrafluoroethylene) composite graft, substituting the anastomosis section of the TPVA with a portion of ePTFE graft material, and have been able to overcome most of the TPVA's potential problems. We herein describe the technique.</p

A clinical study of the general anesthesia for the patients with anemia and hypoproteinemia Part 2. The interrelationships between the induction time of cyclopropane anesthesia and the blood components in anemic and hypoproteinemic patients

Twenty-two patients with anemia and hypoproteinemia were anesthetized with cyclopropane and the interrelationships between the induction time of anesthesia and the peripheral blood corpuscles or plasma protein were investigated. 1) A reverse interrelationship was seen between the induction time of cyclopropane anesthesia and the water content of the plasma. 2) A parallel interrelationship was seen between the induction time of cyclopropane anesthesia and the total plasma protein. 3) The interrelationships were not found between the induction time of cyclopropane anesthesia and hemoglobin, the erythrocytes, the increased rate of the leucocytes, hemoglobin concentration, hematcrit, the water content of blood and each fraction of the plasmaprotein. 4) In the patients with hypoproteinemia, the stage of anesthesia easily tends to be deeper. Therefore, coutious attention should be called. 5) On the contrary, in the patients with anemia there were not the tendency to be deeper. I imagine cyclopropane is well available for the patients with anemia

Incidence of hepatitis in hemodialysis patient in Okayama Prefecture

Incidence of hepatitis affecting hemodialysis patients was investigated by inquiry on one hundred and twenty-one cases who were on dialysis treatment in ten hemodialysis units in Okayama Prefedture. Items of inquiry were the history of hepatitis, blood transfusion and jaundice; and GOT, GPT, Australia antigen & antibody measured in these units before and after hemodialysis treatment. Recovery of inquiry was 96.6% and investigated group was consisted of seventy-five male and fourty-two female. Thirty-six cases had the history of hepatitis (30.8%). Abnormality of liver function test (TTT, ZTT, GOT, GPT) was increased about two times after hemodialysis treatment than before. Abnormality of GOT or GPT in one hundred and three cases measured by authors was 20.4% and 28.2%, respectively. Longer period of hemodialysis and more blood transfusion showed more high abnormality of GPT. These results indicate the transfusion was the important factor of occurence of hepatitis, again