1.Lecture Summaries and Survey Results of the Basic Lecture Course (BLC) on Postoperative Management (Delirium and Pain) in Cardiovascular Surgery
Mika NODA ; Yusuke IMAEDA ; Hideyasu UEDA ; Kohei KITAMURA ; Hiroto SUENAGA ; Takuya TSURUOKA ; Daisuke TORITSUKA ; Yuji NAKAMURA ; Toshihiko NISHI ; Saki BESSHO ; Keita YANO ; Toshiyuki YAMADA
Japanese Journal of Cardiovascular Surgery 2023;52(1):1-U1-1-U9
As part of U-40 activities, chapters have traditionally held sessions of lectures and hands-on as the Basic Lecture Course (BLC) to improve the basic skills and knowledge of young cardiovascular surgeons. Because of the COVID-19 epidemic, we have shifted our activities from onsite to online. This column focuses on “management of postoperative delirium and pain” in the lecture of “Postoperative Management in Cardiovascular Surgery” given by the Chubu Chapter in 2020. We summarize the lecture and report the results of a questionnaire survey of the U-40 members.
2.A Case of Lung Cancer: Malignant Pericardial Effusion Which Was Drained by Subcutaneously Placed Port System
Hisashi WAKAYAMA ; Yuto HIRAMATSU ; Junji TANAHASHI ; Daisuke SUENAGA ; Yusuke TAKAGI ; Mihoko IMAI ; Kaoru MUROTA ; Yukihiko YOSHIDA
Palliative Care Research 2019;14(3):215-219
Pericardial effusion due to malignancy often needs drainage, however, it is difficult to repeat to puncture, especially in the case of little effusion space. Here we report a case of non-small cell lung cancer, 71 years old male, who was diagnosed in 2012 and had malignant pericardial effusion as a post-operative recurrence in June 2018. After several chemotherapy regimens, he suffered from dyspnea on effort due to increasing pericardial effusion. We performed pericardial drainage, but 2 months later pericardial effusion had increased again. The need of repeating of pericardial drainage was estimated, so we placed subcutaneously placed port system into his pericardial space. Thereafter, we drained pericardial effusion through it on demand for his dyspnea. Gradually his circulatory status had been exacerbated and he died on 36th day after the procedure. In the case of malignant pericardial effusion, the subcutaneously placed port system may be useful because repeated aspiration can be done by single procedure of pericardial puncture. It may keep quality of life of patients and more cases should be experienced and assessed.