Anesthesia & Clinical Research
Open Access

Shinichi Nakao

Publications

• Case Report
  Mesenteric Traction Syndrome-Like Symptoms Caused by Lung Traction: A Report of Two Cases
  Author(s): Risa Aoki, Tatsushige Iwamoto, Toru Shirai, Masaki Fuyuta, Atsuhiro Kitaura and Shinichi NakaoRisa Aoki, Tatsushige Iwamoto, Toru Shirai, Masaki Fuyuta, Atsuhiro Kitaura and Shinichi Nakao
  
  Mesenteric traction syndrome (MTS) is caused by traction of the small intestine and mesentery and is characterized by hot flushes, tachycardia, and low blood pressure. We experienced two cases in which patients exhibited MTS-like symptoms, such as tachycardia, hypotension, and facial flushes, after thoracotomy. After the intravenous administration of flurbiprofen axetil (50 mg), a cyclooxygenase (COX) inhibitor, the patients’ arterial blood pressure recovered, and their facial flushes gradually disappeared. The patients’ postoperative courses were uneventful. It has been reported that the incidence of MTS among patients that undergo surgery for abdominal aortic aneurysms or laparotomic surgery ranges from about 30% to 85%. As MTS has been shown to be caused by the release of prostacyclin (PGI2) due to traction of the small intestine and mesentery, COX inhibitors, s.. View More»
  

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