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Anesthetic management in corticobasal degeneration with central sleep apnea: A case report
Shionoya, Yoshiki,Nakamura, Kiminari,Sunada, Katsuhisa The Korean Dental Society of Anesthsiology 2019 Journal of Dental Anesthesia and Pain Medicine Vol.19 No.4
Corticobasal degeneration (CBD) is a rare neurodegenerative disease characterized by dystonia, cognitive deficits, and an asymmetric akinetic-rigid syndrome. Little information is available regarding anesthetic management for CBD patients. Our patient was a 55-year-old man with CBD complicated by central sleep apnea (CSA). Due to the risk of perioperative breathing instability associated with anesthetic use, a laryngeal mask airway was used during anesthesia with propofol. Spontaneous respiration was stable under general anesthesia. However, respiratory depression occurred following surgery, necessitating insertion of a nasopharyngeal airway. Since no respiratory depression had occurred during maintenance of the airway using the laryngeal mask, we suspected an upper airway obstruction caused by displacement of the tongue due to residual propofol. Residual anesthetics may cause postoperative respiratory depression in patients with CBD. Therefore, continuous postoperative monitoring of $SpO_2$ and preparations to support postoperative ventilation are necessary.
Hiromichi Kobayashi,Hiroki Shionoya,Yoshihiro Okuno 한국전산유체공학회 2010 한국전산유체공학회 학술대회논문집 Vol.2010 No.11
Large-eddy simulation (LES) of the turbulent duct flows in the liquid metal magnethydrodynamic (MHD) power generatror is examined to reveal the behavior of the MHDI flows and the turbulent structures. The non-uniform magnetic flux density in the streamwise direction produces two eddy currents. The eddy current causes the wall-jet flows with M-shaped mean streamwise velocity profiles in the direction parallel to the external magnetic field. In contrast, the Hartmann flows with the flattened velocity profiles by the Lorentz force are produced in the direction perpendicular to the external magnetic field. In the case of the strong magnetic flux density, the turbulence structure similar to the Karman vortex sheets emerge in the downstream duct. The coherent structure model, one of the subgrid-scale models, well represents the relaminarization by the Lorentz force in comparison with the Smagorinsky model with the Van Driests wall function.