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  1. Achalasia is a rare condition characterized by dysfunction of esophageal motility and impaired relaxation of the lower esophageal sphincter. Anesthetic management of these patients is challenging due to the el...

    Authors: Keiko Haraguchi-Suzuki, Chizu Aso, Masashi Nomura and Shigeru Saito
    Citation: JA Clinical Reports 2023 9:59
  2. Ultrasound-guided central venous catheterization has become a standard procedure. However, mechanical complications are still reported.

    Authors: Tomoki Kohyama, Keisuke Fujimaki, Hiroki Sasamori, Joho Tokumine, Kiyoshi Moriyama and Tomoko Yorozu
    Citation: JA Clinical Reports 2023 9:58
  3. Neuraxial anesthesia is widely used as the most effective and standard method in obstetric anesthesia. However, there is a concern that neuraxial anesthesia may be technically difficult or ineffective in pregn...

    Authors: Adila Yakhup, Hisako Okada, Izumi Kawagoe and Hiroyuki Sumikura
    Citation: JA Clinical Reports 2023 9:56
  4. Klippel-Feil syndrome (KFS) occurs in 1/40,000 individuals and is characterized by cervical fusion. Thirty percent of patients with KFS present with Sprengel deformity, leading to orthopedic problems and limit...

    Authors: Mizuho Okada, Nobuhiro Tanaka, Takanori Suzuka, Yuma Kadoya, Takashi Saisu and Masahiko Kawaguchi
    Citation: JA Clinical Reports 2023 9:55
  5. Hemodynamic management during anesthesia in liver transplantation for patients with polycystic liver disease (PLD) can be more challenging because of the bleeding and hemodynamic alterations due to the markedl...

    Authors: Yudai Ueda, Takahiro Kawaji, Hidefumi Komura, Yoshitaka Hara, Naohide Kuriyama, Tomoyuki Nakamura and Osamu Nishida
    Citation: JA Clinical Reports 2023 9:54
  6. The anesthetic management of pregnant women with acute heart failure remains challenging with regard to maintaining the hemodynamic status of the mother and baby. The likelihood of decreased blood pressure is ...

    Authors: Shizuka Yamamoto, Yoshimasa Oyama, Mika Sasaki, Mayu Miyagoshi, Shigekiyo Matsumoto and Takaaki Kitano
    Citation: JA Clinical Reports 2023 9:53
  7. Little evidence exists on the relationship between the estimated heparin sensitivity index (HSI) based on commonly available clinical and laboratory data and observed HSI in the adult population. This retrospe...

    Authors: Hitomi Nakatani, Mitsuru Ida, Taichi Kotani and Masahiko Kawaguchi
    Citation: JA Clinical Reports 2023 9:50
  8. Postmastectomy pain syndrome involves persistent neuropathic and sympathetically maintained neuropathic pain that can be improved using a thoracic sympathetic ganglion block. However, conventional fluoroscopic...

    Authors: Shintaro Hagihara, Yoichiro Abe, Kohei Godai, Kyo Enohata and Akira Matsunaga
    Citation: JA Clinical Reports 2023 9:48
  9. Compared to other intravenous anesthetics, availability of a specific antagonist flumazenil is a clear advantage of remimazolam. We report a patient who could be rapidly woken up when laryngoscopy and tracheal...

    Authors: Shota Sekimoto, Shuya Kiyama and Shoichi Uezono
    Citation: JA Clinical Reports 2023 9:46
  10. A 69-year-old male patient with mitral valve prolapse was scheduled for mitral valve plasty. Sixteen years earlier, he had undergone right open thoracotomy for esophageal cancer with subtotal esophagectomy, ce...

    Authors: Yuri Sato, Takaharu Tokita, Junichi Saito and Kazuyoshi Hirota
    Citation: JA Clinical Reports 2023 9:45

    The Correction to this article has been published in JA Clinical Reports 2023 9:57

  11. Laryngomalacia is a dynamic airway condition characterized by flaccid laryngeal tissue and inward collapse of supraglottic structures during inspiration. Although it may cause airway obstruction and requires c...

    Authors: Kazuyuki Mizunoya, Keisyu Onodera, Yuki Takahashi, Takayuki Toki, Hitoshi Saito and Yuji Morimoto
    Citation: JA Clinical Reports 2023 9:44
  12. Left atrial auricle (LAA) clipping is a common method of preventing cardiogenic thromboembolism. However, acute coronary syndrome (ACS) has been reported as a fatal complication of LAA clipping. We describe a ...

    Authors: Satoshi Uchida, Daiki Takekawa, Koudai Kato and Kazuyoshi Hirota
    Citation: JA Clinical Reports 2023 9:42
  13. Remimazolam, a newly developed ultra-short-acting benzodiazepine, provides early recovery of consciousness but its effects on memory recovery are unclear. This study examined memory recovery after emergence fr...

    Authors: Keiko Nobukuni, Kazuhiro Shirozu, Aiko Maeda, Kouta Funakoshi, Midoriko Higashi and Ken Yamaura
    Citation: JA Clinical Reports 2023 9:41
  14. Freeman-Sheldon syndrome (FSS) is a rare disorder characterized by specific deformities of the extremities and face. There have been no reports of open-heart surgery in pediatric patients with FSS.

    Authors: Kyosuke Takahashi, Kotaro Sakurai and Izumi Hamaya
    Citation: JA Clinical Reports 2023 9:40
  15. Recently, modified thoracoabdominal nerve block through perichondrial approach (M-TAPA) has been introduced as a novel trunk block. To date, studies comparing its clinical advantages with those of existing loc...

    Authors: China Atsumi, Katsuhiro Aikawa, Keita Takahashi, Kazufumi Okada and Yuji Morimoto
    Citation: JA Clinical Reports 2023 9:39
  16. The efficacy of tranexamic acid in elective major invasive abdominal surgeries has not yet been established. We investigated the effect of tranexamic acid administration on intraoperative blood loss during per...

    Authors: Daiki Shirasu, Masahiko Tsuchiya, Noriaki Oomae, Wataru Shirasaka, Tatsuhiko Iino, Daisuke Hirano and Makoto Satani
    Citation: JA Clinical Reports 2023 9:38
  17. Postoperative pneumothorax is a well-known but relatively rare complication after laparoscopic surgery. There has been no report describing pneumothorax that persisted for a week or more after laparoscopic sur...

    Authors: Seiji Ishikawa, Kaori Shirakawa, Yui Kuroda, Yukinori Yube, Shinji Mine, Masakazu Hayashida and Izumi Kawagoe
    Citation: JA Clinical Reports 2023 9:37
  18. The laryngeal tube (LT), a closed esophageal supraglottic device comprising pharyngeal and esophageal cuffs, is used for emergency airway management. However, it is not often used in intraoperative airway mana...

    Authors: Masashi Fujii, Nobuaki Shime and Yasuyo Kawabata
    Citation: JA Clinical Reports 2023 9:36
  19. Pulmonary endarterectomy (PEA) is a treatment modality for chronic thromboembolic pulmonary hypertension (CTEPH). PEA requires anesthesia management to prevent an increase in pulmonary vascular resistance (PVR...

    Authors: Sae Igarashi, Yusuke Ishida, Shunya Sekiguchi, Yosuke Fujita, Aya Kawachi and Mikiko Tomino
    Citation: JA Clinical Reports 2023 9:34
  20. Hajdu-Cheney syndrome (HCS) is an extremely rare disorder characterized by progressive acro-osteolysis. A unique facial structure and deformity of the cervical spine are associated with a difficult airway. Alt...

    Authors: Atsushi Kokita, Tomohiro Chaki and Michiaki Yamakage
    Citation: JA Clinical Reports 2023 9:33
  21. We herein report the anesthetic management for extracardiac conduit–total cavopulmonary connection (EC-TCPC) for weaning from an extracorporeal right ventricular assist device (RVAD) in a patient with an impla...

    Authors: Naka Kida, Masahiro Morinaga, Naoki Tadokoro, Takuma Maeda and Yoshihiko Onishi
    Citation: JA Clinical Reports 2023 9:31
  22. Perinatal management of congenital platelet dysfunction represents a challenge. One of the major concerns is whether neuraxial anesthesia can be applicable for cesarean delivery. We present a patient with thro...

    Authors: Chieko Akinaga, Shingo Kawashima, Yuji Suzuki, Masako Matsumoto and Yoshiki Nakajima
    Citation: JA Clinical Reports 2023 9:30
  23. Although intraoperative hypotension (IOH) has been emerging as a serious concern during general anesthesia, the incidence of IOH has not been demonstrated clearly in the Japanese population.

    Authors: Nobuyuki Katori, Kentaro Yamakawa, Kotaro Kida, Yoshihiro Kimura, Shoko Fujioka and Tsunehisa Tsubokawa
    Citation: JA Clinical Reports 2023 9:23

    The Correction to this article has been published in JA Clinical Reports 2023 9:32

  24. Malignant peripheral nerve sheath tumors (MPNSTs) are aggressive soft tissue sarcomas which commonly arise from neurofibromatosis type 1. Lung metastases of the tumors are well-known, but intraoperative cerebr...

    Authors: Keishi Kawano, Makiko Tani and Hiroshi Morimatsu
    Citation: JA Clinical Reports 2023 9:22
  25. Several new ultrasound-guided superior cervical ganglia blocks (U-SCGBs) have been proposed to overcome the shortcomings of conventional superior cervical ganglia blocks; however, their clinical utility and pr...

    Authors: Aiko Maeda, Yoji Chikama, Ryudo Tanaka, Masachika Tominaga, Kazuhiro Shirozu and Ken Yamaura
    Citation: JA Clinical Reports 2023 9:21
  26. In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectru...

    Authors: Eriko Ohsugi, Rie Kato, Yuki Hosokawa and Katsunori Oe
    Citation: JA Clinical Reports 2023 9:20
  27. We report the anesthetic management of an external iliac artery transection in a morbidly obese patient with Klippel-Trenaunay-Weber syndrome (KTWS).

    Authors: Naoki Hirai, Hirotaka Kinoshita, Masato Kitayama, Tetsuya Kushikata and Kazuyoshi Hirota
    Citation: JA Clinical Reports 2023 9:18
  28. Although most patients of eosinophilic granulomatosis with polyangiitis (EGPA) experience a reduction in pain within several weeks to months of the initiation of immunotherapies, some suffer from residual neur...

    Authors: Kumiko Tanabe, Yoko Sugiyama, Noritaka Yoshimura and Shinobu Yamaguchi
    Citation: JA Clinical Reports 2023 9:17
  29. The left ventricular (LV) vent is commonly inserted via the right superior pulmonary vein (RSPV) and directed toward the LV cavity through the mitral valve. We report a rare case in which the tip of the LV ven...

    Authors: Taisuke Kumamoto, Chieko Hiraoka, Kotaro Murakami, Miki Fujita, Yuji Kunitoku and Kiyohiko Kato
    Citation: JA Clinical Reports 2023 9:16
  30. A right-to-left shunt via a patent foramen ovale (PFO) during off-pump coronary artery bypass (OPCAB) may result in difficulties in oxygenation and circulatory management. We herein present a case of a marked ...

    Authors: Yuki Okutomi, Takeyuki Sajima, Atsushi Yasuda and Shigehito Sawamura
    Citation: JA Clinical Reports 2023 9:15
  31. Hypercalcemia crisis is a rare but severe form of hypercalcemia complicated by multiple organ failure. Hypercalcemia crisis due to hyperparathyroidism is commonly caused by a parathyroid tumor, which often req...

    Authors: Yuria Enomoto, Yuko Matsuda, Yusuke Nagamine and Takahisa Goto
    Citation: JA Clinical Reports 2023 9:14
  32. Anesthetic management of pheochromocytoma and paraganglioma with Fontan circulation is challenging for physicians, with attention to cardiovascular physiology.

    Authors: Yuto Tanaka, Makoto Sumie, Takuma Hashimoto, Sayaka Osawa, Yuji Karashima, Tadashi Kandabashi and Ken Yamaura
    Citation: JA Clinical Reports 2023 9:13
  33. Olanexidine glucuronide (Olanedine®), an antiseptic solution may cause skin dermatitis around one week after disinfection. Although removal after the procedure is recommended to avoid skin dermatitis, whether ...

    Authors: Kasumi Boki Yamamoto, Keisuke Fujii, Kazuhiro Mizumoto, Tadashi Tanioku and Tomoyuki Kawamata
    Citation: JA Clinical Reports 2023 9:12
  34. Retropharyngeal dissection is a possible complication during nasotracheal intubation. We report a case of a retropharyngeal dissection extending close to the right common carotid artery occurring while inserti...

    Authors: Aki Okamoto, Yoshitaka Kawaraguchi, Masahide Fujita, Yasunobu Goto and Mitsuru Shimokawa
    Citation: JA Clinical Reports 2023 9:11