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  1. Spinal nerve block is difficult with minimally invasive cardiac surgery (MICS), because of the risk of serious bleeding complications due to full heparinization. Continuous extrapleural intercostal nerve block...

    Authors: Misa Terauchi, Hiroai Okutani, Daisuke Ishimoto, Noriko Shimode, Yumiko Takao and Munetaka Hirose

    Citation: JA Clinical Reports 2021 7:48

    Content type: Case report

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  2. Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare.

    Authors: Shoko Hasegawa, Kenichiro Koda, Masashi Uzawa, Haruka Kimura, Rie Kimura and Takayuki Kitamura

    Citation: JA Clinical Reports 2021 7:47

    Content type: Case report

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  3. Patients with spinal cord injury (SCI) frequently complain of intractable pain that is resistant to conservative treatments. Here, we report the successful application of 1-kHz high-frequency spinal cord stimu...

    Authors: Chiaki Yamada, Aiko Maeda, Katsuyuki Matsushita, Shoko Nakayama, Kazuhiro Shirozu and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:46

    Content type: Case report

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  4. Acute onset paraplegia after endovascular aneurysm repair (EVAR) is a rare but well-known complication. We here show a 79-year-old woman with paraplegia caused by static and dynamic spinal cord insult not by i...

    Authors: Atsushi Morio, Hirotsugu Miyoshi, Noboru Saeki, Yukari Toyota and Yasuo M. Tsutsumi

    Citation: JA Clinical Reports 2021 7:44

    Content type: Case report

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  5. To prevent cardiac collapse and to protect cerebral function, hypothermic cardiopulmonary bypass is established before resternotomy. However, ventricular fibrillation under hypothermia facilitates left ventric...

    Authors: Akiko Tomita, Tomoko Fujimoto, Shoko Takada and Yukio Hayashi

    Citation: JA Clinical Reports 2021 7:43

    Content type: Case report

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  6. Conventional coagulation tests, such as prothrombin time and activated partial thromboplastin time, are not sensitive to anticoagulation by apixaban. We evaluated the antithrombotic effect of apixaban using a ...

    Authors: Kaoru Suzuki, Nobuyuki Katori, Yoshihiro Kimura, Takako Terui, Hiroshi Sunaga, Shunsuke Kobayashi and Shoichi Uezono

    Citation: JA Clinical Reports 2021 7:42

    Content type: Case report

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  7. Various attempts have been made to meet patient desires, especially among younger and otherwise healthy individuals, for cosmetically satisfying incision with atrial septal defect (ASD) repair. One of procedur...

    Authors: Kazuto Miyata, Tatsuya Tarui, Sayaka Shigematsu, Norihiko Ishikawa and Go Watanabe

    Citation: JA Clinical Reports 2021 7:41

    Content type: Original article

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  8. The prospect of patients with obstructive respiratory dysfunction undergoing surgery has increased with the growth in the elderly population; however, there have been few investigations about the recovery prof...

    Authors: Eriko Takeyama, Mariko Nakajima, Yukiko Nakanishi, Eizo Amano and Hiromi Shibuya

    Citation: JA Clinical Reports 2021 7:40

    Content type: Clinical Research Article

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  9. The IMPELLA® is a minimally invasive left ventricular assist device. We report a case in which transesophageal echocardiography (TEE) was useful in diagnosis of left ventricular rupture after IMPELLA® insertion.

    Authors: Akito Mizuno, Shuji Kawamoto, Shuji Uda, Kenichiro Tatsumi, Chikashi Takeda, Tomoharu Tanaka and Kazuhiko Fukuda

    Citation: JA Clinical Reports 2021 7:38

    Content type: Case report

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  10. Coronary artery spasm has rarely been reported in pediatric patients. Previous studies have reported comorbidities and risk factors for coronary artery spasms. We present the case of a complete atrio-ventricul...

    Authors: Katsuyuki Matsushita, Risa Arai, Tetsuzo Nakayama, Toshiaki Nakagaki, Tadashi Kandabashi and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:36

    Content type: Case report

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  11. The depth of anesthesia (DOA) is estimated based on the anesthesia-induced electroencephalogram (EEG) changes. However, the surgical environment, as well as the patient him/herself, generates electrical interf...

    Authors: Kotoe Kamata, Tarmo Lipping, Arvi Yli-Hankala, Ville Jäntti and Masanori Yamauchi

    Citation: JA Clinical Reports 2021 7:35

    Content type: Case report

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  12. Cancer pain management in children is challenging owing to their unique patient characteristics. We present the case of a 10-year-old girl whose cancer pain was successfully managed using an intrathecal neurol...

    Authors: Shogo Tashiro, Kohei Godai, Yukihisa Daitoku, Tomoyo Sato, Kei Enohata, Natsue Kiyonaga, Kenichi Maekawa and Yuichi Kanmura

    Citation: JA Clinical Reports 2021 7:33

    Content type: Case report

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  13. The Postoperative Quality of Recovery Scale (PostopQRS) is a survey-based tool that measures quality of the postoperative recovery in multiple domains over multiple time periods. The purpose of this study is t...

    Authors: Koki Yamashita, Stuart Boggett, Yoshifumi Kodama, Isao Tsuneyoshi and Colin Royse

    Citation: JA Clinical Reports 2021 7:32

    Content type: Clinical Research Article

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  14. Ultrasound-guided supra-inguinal fascia iliaca block (SFIB) is widely used as regional anesthesia of the hip and thigh. It is difficult to judge the blocking effect and the spreading local anesthesia. We hypot...

    Authors: Manabu Yoshimura, Hiroko Shiramoto, Mami Koga, Aya Yoshimatsu and Yasuhiro Morimoto

    Citation: JA Clinical Reports 2021 7:31

    Content type: Clinical Research Article

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  15. The number of robot-assisted surgeries being performed has increased in recent years, even in patients with risk factors, such as obesity, owing to advancements in medical technologies. We here report the anes...

    Authors: Yusuke Ishida, Koichi Nakazawa, Toshio Okada, Yumi Tsuzuki, Takayuki Kobayashi, Rikako Yamada and Hiroyuki Uchino

    Citation: JA Clinical Reports 2021 7:30

    Content type: Case report

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  16. Anesthetic management of coronary artery bypass grafting surgery (CABG) in a dextrocardia patient with situs inversus totalis is rarely encountered and seldom reported in the literature.

    Authors: Chigusa Nakasone, Masafumi Kanamoto, Wataru Tatsuishi, Tomonobu Abe and Shigeru Saito

    Citation: JA Clinical Reports 2021 7:28

    Content type: Case report

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  17. The optimal intraoperative blood pressure range and crystalloid administration protocol for the prevention of acute kidney injury (AKI) after elective noncardiac surgery remain unknown.

    Authors: Yasuma Kobayashi and Kazue Yamaoka

    Citation: JA Clinical Reports 2021 7:27

    Content type: Clinical Research Article

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  18. We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section.

    Authors: Junnosuke Kimura, Kento Kawamura, Manami Minoura, Ayako Hiramoto, Yoshifumi Suga, Shoko Okahara, Rie Inoue and Hiroyuki Sumikura

    Citation: JA Clinical Reports 2021 7:26

    Content type: Case report

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  19. Anticoagulation management of patients with antiphospholipid syndrome (APS) undergoing cardiac surgery is challenging due to the prolongation of activated clotting time (ACT). Currently, no study has compared ...

    Authors: Koichi Yoshinaga, Yuji Otsuka, Taku Furukawa, Shizuka Amitani, Naoyuki Kimura and Masamitsu Sanui

    Citation: JA Clinical Reports 2021 7:24

    Content type: Case report

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  20. Fibrinogen concentration is an important indicator of the treatment for obstetric disseminated intravascular coagulation (DIC). We present how using the fibrinogen measuring device could solve problems in the ...

    Authors: Yoko Hikida, Hiroyuki Sumikura, Hisako Okada, Takashi Fujino, Mayumi Tanaka, Yu Sakai, Shoko Okahara and Rie Inoue

    Citation: JA Clinical Reports 2021 7:23

    Content type: Case report

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  21. Total hip arthroplasty (THA) is one of the surgical procedures associated with severe postoperative pain. Appropriate postoperative pain management is effective for promoting early ambulation and reducing the ...

    Authors: Takashi Fujino, Masahiko Odo, Hisako Okada, Shinji Takahashi and Toshihiro Kikuchi

    Citation: JA Clinical Reports 2021 7:22

    Content type: Case report

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  22. Sialidosis is an autosomal recessive glycoprotein storage disorder, caused by neuraminidase deficiency which leads to abnormal intracellular accumulation and urinary excretion of sialylated oligosaccharides, r...

    Authors: Tomonori Furuya, Masumi Itagaki, Nami Sugaya, Ryoji Iida, Takeshi Maeda and Takahiro Suzuki

    Citation: JA Clinical Reports 2021 7:20

    Content type: Case report

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  23. Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is a rare autosomal dominant disorder characterized by mucocutaneous telangiectasia and arteriovenous malformations (AVMs)...

    Authors: Yuji Kamimura, Toshiyuki Nakanishi, Aiji (Boku)Sato, Eisuke Kako, Motoshi Tanaka and Kazuya Sobue

    Citation: JA Clinical Reports 2021 7:19

    Content type: Case report

    Published on:

  24. Drugs administered subcutaneously have delayed onset and prolonged duration of action versus those given intravenously. Since the duration of action of rocuronium is prolonged in patients with renal dysfunctio...

    Authors: Akira Doshu-Kajiura, Junko Suzuki and Takahiro Suzuki

    Citation: JA Clinical Reports 2021 7:18

    Content type: Case report

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  25. Remimazolam is a benzodiazepine receptor agonist with an ultra-short-acting anesthetic effect. We used remimazolam for anesthesia in a patient with myotonic dystrophy type 1 who underwent endoscopic retrograde...

    Authors: Masakazu Fukuda, Shunsuke Tachibana, Noriaki Nishihara and Michiaki Yamakage

    Citation: JA Clinical Reports 2021 7:17

    Content type: Case report

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  26. Intraoperative complications during combined thoracoscopic-laparoscopic surgery for esophagogastric junction (EGJ) carcinoma have not been reported as compared to those during surgery for esophageal carcinoma....

    Authors: Makiko Tani, Yoshikazu Matsuoka, Mayu Sugihara, Ayaka Fujii, Tomoyuki Kanazawa and Hiroshi Morimatsu

    Citation: JA Clinical Reports 2021 7:16

    Content type: Case report

    Published on:

  27. Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter.

    Authors: Haruka Yoshida, Shinichiro Ikemoto, Yasuyuki Tokinaga, Kanako Ejiri and Tomoyuki Kawamata

    Citation: JA Clinical Reports 2021 7:15

    Content type: Case report

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  28. The indications for robot-assisted urologic surgeries have expanded due to their low invasiveness. However, complicated surgical procedures lead to prolonged surgical duration, requiring patients to remain in ...

    Authors: Masataka Fukuda, Izumi Kawagoe, Tsukasa Kochiyama, Nozomi Ando, Osamu Kudoh, Daizoh Satoh and Masakazu Hayashida

    Citation: JA Clinical Reports 2021 7:13

    Content type: Case report

    Published on:

  29. Trigger point blocks are now widely practiced, especially in pain treatment. Among the complications of lumbar trigger point injection, reports of medically induced kidney injury are very rare, and diagnosis d...

    Authors: Satoshi Sato, Shunsuke Tachibana, Kayoko Okazaki, Hitoshi Namba, Takahiro Ichimiya and Michiaki Yamakage

    Citation: JA Clinical Reports 2021 7:12

    Content type: Case report

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  30. Patients with sepsis often exhibit abnormal patterns of electroencephalogram (EEG). We report an abnormal EEG pattern in a later-stage elderly patient with septic shock and EEG analysis results.

    Authors: Hirotaka Kinoshita, Tetsuya Kushikata, Daiki Takekawa and Kazuyoshi Hirota

    Citation: JA Clinical Reports 2021 7:5

    Content type: Case report

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  31. Cases of systemic thromboembolism due to thrombus formation in the pulmonary vein stump after lobectomy have been reported recently. Cerebral infarction after left upper lobectomy is a common symptom in these ...

    Authors: Yuri Fujimoto, Ryosuke Hamachi, Yoshimasa Motoyama, Etsuko Kanna, Masako Murakami, Takako Matsukado, Genkichi Saito and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:4

    Content type: Case report

    Published on:

  32. Epidural anesthesia affects lower extremities, which often prevents early mobilization postoperatively. The incidence of numbness and motor weakness in the lower extremities with respect to epidural catheter p...

    Authors: Yuya Murata, Kumiko Yamada, Yuto Hamaguchi, Soichiro Yamashita and Makoto Tanaka

    Citation: JA Clinical Reports 2021 7:3

    Content type: Clinical Research Article

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  33. Idiopathic dilatation of the pulmonary artery (IDPA) is a rare condition in which the pulmonary artery dilates without an obvious cause. Pulmonary artery replacement is indicated in severe cases to prevent ser...

    Authors: Akira Nishioka, Kyosuke Takahashi and Yasuhiro Maehara

    Citation: JA Clinical Reports 2021 7:2

    Content type: Case report

    Published on: