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  1. Clinical research letter

    Desflurane anesthesia worsens emergence agitation in adult patients undergoing thyroid surgery compared to sevoflurane anesthesia

    The effect of volatile anesthetics on emergence agitation in adults remains unclear. We compared the degree of emergence agitation between desflurane and sevoflurane anesthesia in adults undergoing thyroid sur...

    Takeshi Suzuki, Takuya Kurazumi, Tomomi Ueda, Hiromasa Nagata, Takashige Yamada, Shizuko Kosugi, Saori Hashiguchi, Koichi Ito and Hiroshi Morisaki

    JA Clinical Reports 2017 3:36

    Published on: 19 June 2017

  2. Case report

    A case of a warfarinized renal cancer patient monitored for prothrombin time-international normalized ratio during methadone introduction

    Warfarin, a widely used anticoagulant, interacts with various agents used in palliative care, such as oxycodone, morphine, acetaminophen, and non-steroidal anti-inflammatory drugs (NSAIDs); however, there are ...

    Kaoru Yoshioka, Katsuya Ohmori, Soshi Iwasaki, Kazunobu Takahashi, Akemi Sato, Hiromasa Nakata, Atsushi Miyamoto and Michiaki Yamakage

    JA Clinical Reports 2017 3:35

    Published on: 12 June 2017

  3. Case report

    Endovascular repair with extracorporeal membrane oxygenation as a rescue strategy for aortobronchial fistula: a case report

    Aortobronchial fistula (ABF) is a rare and potentially lethal complication of thoracic aortic replacement surgery. Currently, thoracic endovascular aortic repair (TEVAR) has emerged as a less invasive alternat...

    Kyosuke Takahashi, Misa Kajitani, Takaaki Kamada, Wataru Takayama and Yoshiro Kobayashi

    JA Clinical Reports 2017 3:34

    Published on: 9 June 2017

  4. Case report

    Ultrasound-guided para-umbilical block: a pediatric case

    Rectus sheath block is a common peripheral nerve block for patients undergoing umbilical hernia repair surgery. However, rectus sheath block alone can affect only anterior branches of intercostal nerves and, t...

    Masayuki Akatsuka, Takeshi Murouchi, Johji Arakawa and Michiaki Yamakage

    JA Clinical Reports 2017 3:33

    Published on: 7 June 2017

  5. Case report

    A case of unexpected impaired oxygenation due to intraoperative pneumothorax: an adverse event associated with respiratory management with spontaneous respiration in a patient with esophagobronchial fistulae

    Respiratory management in patients with esophagobronchial fistulae is challenging since positive pressure ventilation (PPV) may not be feasible due to air leaks and possible risks for regurgitation and aspirat...

    Seiji Ishikawa, Tsubasa Akune, Tomoko Ishibashi and Koshi Makita

    JA Clinical Reports 2017 3:31

    Published on: 30 May 2017

  6. Clinical research letter

    Effect of different surgical procedures on the accuracy of prediction of the plasma concentration of fentanyl: comparison between mastectomy and laparoscopic prostatectomy

    The accuracy of simulation-predicted fentanyl concentration in different types of surgical procedure is not fully understood. We wished to estimate the effect of different types of surgical procedure on the ac...

    Yoshihito Fujita, Saya Yoshizawa, Maiko Hoshika, Koichi Inoue, Shoko Matsushita, Hisao Oka and Kazuya Sobue

    JA Clinical Reports 2017 3:30

    Published on: 19 May 2017

  7. Case report

    Sevoflurane prolonged the QTc interval and increased transmural dispersion of repolarization in a patient with long QT syndrome 3: a case report

    We report that sevoflurane not only caused marked QTc interval prolongation but also increased transmural dispersion of repolarization in a patient with long QT syndrome 3 (LQT3). A 16-year-old male with LQT3 ...

    Atsuhiro Kitaura, Shinichi Nakao, Shinichi Hamasaki, Kei Houri, Takatoshi Tsujimoto, Seishi Kimura and Mayuka Matsushima

    JA Clinical Reports 2017 3:29

    Published on: 18 May 2017

  8. Case report

    General anesthesia in a patient with asymptomatic second-degree two-to-one atrioventricular block

    The major perioperative concern in patients with second-degree atrioventricular (AV) block is the progression to complete AV block. Therefore, the prophylactic implantation of a temporary pacemaker prior to su...

    Marie Shigematsu-Locatelli, Takashi Kawano, Atsushi Nishigaki, Daiki Yamanaka, Bun Aoyama, Hiroki Tateiwa, Noriko Kitaoka and Masataka Yokoyama

    JA Clinical Reports 2017 3:27

    Published on: 10 May 2017

  9. Case report

    Sudden onset of artery dissection in a 32-year-old woman with vascular Ehlers-Danlos syndrome due to psychological stress of her mother’s death: a case series

    Patients with vascular Ehlers-Danlos syndrome (EDS) are susceptible to significant vascular complications, such as aortic and visceral arterial ruptures, aneurysms, and dissection. We describe a case of repeat...

    Yuichiro Shimoyama, Osamu Umegaki, Tomoyuki Agui, Noriko Kadono and Toshiaki Minami

    JA Clinical Reports 2017 3:26

    Published on: 8 May 2017

  10. Clinical research letter

    An educational program for decreasing catheter-related bloodstream infections in intensive care units: a pre- and post-intervention observational study

    Central venous catheters (CVCs) are commonly used in the management of critically ill patients. This study aimed to determine whether an educational program could reduce the rate of catheter-related bloodstrea...

    Yuichiro Shimoyama, Osamu Umegaki, Tomoyuki Agui, Noriko Kadono, Nobuyasu Komasawa and Toshiaki Minami

    JA Clinical Reports 2017 3:23

    Published on: 8 May 2017

  11. Case report

    Bacillus cereus pneumonia in an immunocompetent patient: a case report

    Bacillus cereus (B. cereus) rarely causes lower respiratory tract infections, although most reported cases of B. cereus pneumonia are fatal despite intensive antibiotic therapy. We pre...

    Yuichiro Shimoyama, Osamu Umegaki, Yukimasa Ooi, Tomoyuki Agui, Noriko Kadono and Toshiaki Minami

    JA Clinical Reports 2017 3:25

    Published on: 8 May 2017

  12. Case report

    A devised strategy for tracheal extubation for predicted difficult airway in a child with unilateral vocal cord paralysis: a case report

    Extubation is a more challenging medical practice than intubation, and countermeasures against it are similar to those described in the Difficult Intubation Guidelines, but problems cannot be overcome by compl...

    Mariko Nagata, Yasuyo Shimomura, Yoshitaka Hara, Tomoyuki Nakamura, Seiko Hayakawa, Hidefumi Komura, Junpei Shibata, Chizuru Yamashita and Osamu Nishida

    JA Clinical Reports 2017 3:21

    Published on: 3 May 2017

  13. Case report

    A case of sudden onset of thyroid storm just before cesarean section manifesting congestive heart failure and pulmonary edema

    Since acute respiratory failure (ARF) is a life-threatening complication, particularly in the gestational period, differential diagnosis and rapid treatment are required. Among the various causes of sudden ons...

    Yuki Sugiyama, Ryusuke Tanaka, Yuki Yoshiyama, Takashi Ichino, Norimasa Hishinuma, Sari Shimizu, Noriko Imai, Kunihiro Mitsuzawa and Mikito Kawamata

    JA Clinical Reports 2017 3:20

    Published on: 26 April 2017

  14. Case report

    A case of left frontal high-grade glioma diagnosed during pregnancy

    As pregnancy accelerates glioma growth, therapeutic abortion has been recommended prior to tumor resection. Additionally, it has also been suggested that the extent of glioma resection is closely correlated wi...

    Kotoe Kamata, Risa Fukushima, Minoru Nomura and Makoto Ozaki

    JA Clinical Reports 2017 3:18

    Published on: 26 April 2017

  15. Case report

    Monitoring of central venous pressure and stroke volume variation in a case with a ruptured brain arteriovenous malformation and Fontan circulation

    Patients with complex congenital heart disease increasingly undergo noncardiac surgeries because of advancements in surgical techniques and medical management. In Fontan circulation, maintaining an adequate tr...

    Toshiyuki Nakanishi, Kazuyoshi Ishida, Kiyotaka Shiramoto and Mishiya Matsumoto

    JA Clinical Reports 2017 3:19

    Published on: 26 April 2017

  16. Case report

    Postoperative management with dexmedetomidine in a pregnant patient who underwent AVM nidus removal: a case report

    Following cerebral arteriovenous malformation (AVM) surgery, severe brain edema and hemorrhage may be caused by postoperative normal perfusion pressure breakthrough (NPPB). Sedation is necessary for this popul...

    Chanatthee Kitsiripant, Kotoe Kamata, Rie Kanamori, Koji Yamaguchi, Makoto Ozaki and Minoru Nomura

    JA Clinical Reports 2017 3:17

    Published on: 24 April 2017

  17. Case report

    Lower airway obstruction due to a massive clot resulting from late bleeding following mini-tracheostomy tube insertion and subsequent clot removal and re-intubation

    Easier to perform than the conventional procedure, mini-tracheostomy (MT) is widely used in the operating room or intensive care unit to remove sputum or other obstructions of the upper airway. This option, ho...

    Hiroshi Inoue, Jun Ito, Hiroaki Uchida, Mariko Morita, Takahiko Masuda, Kazuhiro Yamaya, Masaki Hata and Shigeaki Kato

    JA Clinical Reports 2017 3:16

    Published on: 17 April 2017

  18. Case report

    When can we give general anesthesia to an infant with anticipated difficult airway management caused by facial vascular malformation?

    A 13-month-old infant weighing 8.3 kg with a height of 72.3 cm visited our hospital for surgical resection of facial vascular malformation detected at birth. Because we anticipated the patient would have diffi...

    Kumi Moriyama, Masanori Mitsuda, Masakazu Kurita, Mine Ozaki, Kiyoshi Moriyama and Tomoko Yorozu

    JA Clinical Reports 2017 3:12

    Published on: 4 April 2017

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