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  1. Case report

    Iatrogenic carpal tunnel syndrome induced by wrist extension for placement of an indwelling radial artery catheter: a case report

    A 38-year-old man with pancreatic cancer was scheduled to undergo pancreaticoduodenectomy. He had an unremarkable past medical history. After inducing general anesthesia, a left radial arterial catheter was su...

    Kunitaro Watanabe, Shingo Mitsuda, Akira Motoyasu, Joho Tokumine, Kumi Moriyama and Tomoko Yorozu

    JA Clinical Reports 2017 3:51

    Published on: 18 September 2017

  2. Clinical research letter

    Clinical anatomy of the cephalic vein for safe performance of venipuncture

    The aims of this study were to elucidate why the cephalic vein provides a reliable cannulation site from a morphological viewpoint and identify an effective landmark for avoiding injury to the superficial bran...

    Mitsuhiro Matsuo, Satoru Honma, Takahiro Sonomura and Mitsuaki Yamazaki

    JA Clinical Reports 2017 3:50

    Published on: 11 September 2017

  3. Clinical research letter

    Neutrophil to lymphocyte ratio and platelet to lymphocyte ratio are superior to other inflammation-based prognostic scores in predicting the mortality of patients with gastrointestinal perforation

    The neutrophil to lymphocyte ratio (NLR) is gaining interest as an independent predictor of survival in patients with various clinical conditions. No study to date has reported an association between inflammat...

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

    JA Clinical Reports 2017 3:49

    Published on: 2 September 2017

  4. Clinical research letter

    Factors affecting the early post-operative prognosis in morbidly obese surgical patients after laparoscopic sleeve gastrectomy – a retrospective cohort study

    The number of morbidly obese patients who have undergone bariatric surgery has been gradually increasing in Japan. These obese patients are often complicated with metabolic, cardiac, respiratory, and other dis...

    Takashi Kobayashi, Yoko Watanabe, Jun Aizawa and Kenji S. Suzuki

    JA Clinical Reports 2017 3:47

    Published on: 31 August 2017

  5. Case report

    Conscious sedation with dexmedetomidine for implantation of a phrenic nerve stimulator in a pediatric case of late-onset congenital central hypoventilation syndrome

    Patients with congenital central hypoventilation syndrome (CCHS) develop alveolar hypoventilation resulting from a failure of central ventilatory control. Late-onset CCHS (LO-CCHS), which may be precipitated b...

    Keiko Hirooka, Kotoe Kamata, Shiro Horisawa, Minoru Nomura, Takaomi Taira and Makoto Ozaki

    JA Clinical Reports 2017 3:46

    Published on: 31 August 2017

  6. Clinical research letter

    A case series of continuous paravertebral block in minimally invasive cardiac surgery

    Minimally invasive cardiac surgery (MICS), via minithoracotomy, is thought to be a fast track to extubation and recovery after surgery. For this, good coverage analgesia is essential. Epidural anesthesia, a st...

    Shintaro Tahara, Akito Inoue, Hajime Sakamoto, Yasuaki Tatara, Kayoko Masuda, Yoichiro Hattori, Yusaku Nozumi, Mitsumasa Miyagi and Surakshya Sigdel

    JA Clinical Reports 2017 3:45

    Published on: 29 August 2017

  7. Case report

    Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

    The tongue flap is an accepted treatment method for cleft palate repair. Orotracheal or nasotracheal intubation using a fiberoptic scope is preferred for the division of the tongue flap. We report two cases of...

    Kaori K. Kuroiwa, Masaaki Nishizawa, Nami Kondo, Haruka Nakazawa and Takanobu Hirabayashi

    JA Clinical Reports 2017 3:43

    Published on: 23 August 2017

  8. Case report

    Spinal cord infarction following epidural and general anesthesia: a case report

    Epidural anesthesia is widely used for postoperative analgesia and rarely causes permanent neurological complications. We report a case of paraplegia following abdominal surgery under combined epidural/general...

    Kaori Kobayashi, Noriko Narimatsu, Takafumi Oyoshi, Takashi Ikeda and Toshimitsu Tohya

    JA Clinical Reports 2017 3:42

    Published on: 16 August 2017

  9. Case report

    Right ventricular functional assessment by three-dimensional transesophageal echocardiography is useful for withdrawal from a right ventricular assist device: a case report

    Right ventricular assist device (RVAD) implantation is one type of surgical treatment used for right heart failure. It is important to assess right ventricular (RV) function precisely when RVAD withdrawal is c...

    Hiroki Taenaka, Tatsuyuki Imada, Ryuichiro Abe, Akinori Uchiyama and Yuji Fujino

    JA Clinical Reports 2017 3:40

    Published on: 15 August 2017

  10. Clinical research letter

    Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases

    Postoperative pain management after upper limb surgery is important for preventing adverse events that can prolong hospital stay and cause readmission. This study aimed to identify the risk factors associated ...

    Tatsunori Watanabe, Koji Moriya, Takuya Yoda, Naoto Tsubokawa, Andrey B. Petrenko and Hiroshi Baba

    JA Clinical Reports 2017 3:39

    Published on: 27 July 2017

  11. Clinical research letter

    Factors affecting extubation time following pediatric ambulatory surgery: an analysis using electronic anesthesia records from an academic university hospital

    In pediatric general anesthesia, our goal should be quicker extubation to facilitate rapid turnover in the operating room without compromising on safety and quality of anesthesia. Although many studies have fo...

    Akihiro Kanaya, Norifumi Kuratani, Yoshinori Nakata and Masanori Yamauchi

    JA Clinical Reports 2017 3:38

    Published on: 26 July 2017

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

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