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  1. Atrial tachycardia (AT) is rare in children and can usually be reversed to sinus rhythm with pharmacotherapy and cardioversion. We report a rare case of severe left-sided heart failure due to refractory AT.

    Authors: Tatsuhiko Shimizu, Tomoyuki Kanazawa, Takanobu Sakura, Kazuyoshi Shimizu and Tatsuo Iwasaki

    Citation: JA Clinical Reports 2021 7:81

    Content type: Case report

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  2. Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report desc...

    Authors: Keisuke Mihara, Haruna Nakahara, Kouhei Iwashita, Kenji Shigematsu, Ken Yamaura and Kozaburo Akiyoshi

    Citation: JA Clinical Reports 2021 7:79

    Content type: Case report

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  3. Bronchial dehiscence is a life-threatening complication after lung transplant. If it is not treated by placement of stent or reanastomosis, the chance of survival will depend on the availability of a new graft...

    Authors: Makiko Tani

    Citation: JA Clinical Reports 2021 7:77

    Content type: Case report

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  4. Vertebral compression fractures can cause severe back pain. Although many types of analgesics and interventional treatments are available, they are sometimes ineffective in mitigating the pain. We encountered ...

    Authors: Kazuki Akita, Yasutomo Kumakura, Emi Nakajima, Hiroki Ishiguro and Tetsuya Iijima

    Citation: JA Clinical Reports 2021 7:75

    Content type: Case report

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  5. We herein present a case of venous thrombosis that developed more than 20 years after diagnosis of granulomatosis with polyangiitis (GPA), although many reports of GPA have described venous thrombosis within 1...

    Authors: Chiharu Wakuda, Yoshitaka Aoki, Sho Sugimura, Takayuki Katsuragawa, Yukako Obata, Soichiro Mimuro, Matsuyuki Doi and Yoshiki Nakajima

    Citation: JA Clinical Reports 2021 7:73

    Content type: Case report

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  6. Remimazolam is a newly developed benzodiazepine with more rapid onset and offset of sedation effects than midazolam. We report elderly patients in whom a small dose of remimazolam was successfully used for gen...

    Authors: Junko Nakayama, Tomomi Ogihara, Rui Yajima, Yasushi Innami and Takashi Ouchi

    Citation: JA Clinical Reports 2021 7:71

    Content type: Case report

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  7. Acute normovolemic hemodilution (ANH) is used to reduce the risk of peri-operative allogeneic blood transfusion. Although crystalloid and/or colloid solutions have been used for volume replacement during ANH, ...

    Authors: Yoko Midorikawa, Junichi Saito, Masato Kitayama, Kentaro Toyooka and Kazuyoshi Hirota

    Citation: JA Clinical Reports 2021 7:70

    Content type: Clinical Research Article

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  8. Perforation of the right ventricle by a pacemaker lead is a rare and potentially life-threatening complication. We present a patient who developed right ventricular perforation, pneumothorax, and a cyst and un...

    Authors: Shihoko Iwata, Ayana Hirose, Ikue Furui, Takako Matsumoto, Makoto Ozaki and Yasuko Nagasaka

    Citation: JA Clinical Reports 2021 7:69

    Content type: Case report

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  9. Platypnea–orthodeoxia syndrome (POS) is a rare clinical condition characterized by respiratory distress and/or hypoxia developing in the sitting/upright position, which is relieved in the recumbent position. T...

    Authors: Takuo Hoshi, Yu Tadokoro, Masaru Nemoto, Junya Honda and Shihori Matsukura

    Citation: JA Clinical Reports 2021 7:67

    Content type: Case report

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  10. It is unclear whether perioperative Bispectral Index™ (BIS) monitoring in pediatric cases with acute liver failure (ALF) is effective for evaluation of neurological function. We describe a pediatric patient wi...

    Authors: Nozomu Yamada, Juntaro Shiba, Hiroaki Kikuchi, Takashi Yamada, Naoyuki Taga and Mamoru Takeuchi

    Citation: JA Clinical Reports 2021 7:66

    Content type: Case report

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  11. It has been suggested that radiating pain during spinal or epidural needle insertion and catheter placement can be an indicator of needle-related nerve injury. In this study, using a historical cohort, we inve...

    Authors: Taichi Kotani, Satoki Inoue, Keiko Uemura and Masahiko Kawaguchi

    Citation: JA Clinical Reports 2021 7:64

    Content type: Original article

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  12. Few studies examined time-to-time changes of cuff pressure of an endotracheal tube during surgery. We retrospectively analyzed the changes of cuff pressure during thyroid surgery and examined its relationships...

    Authors: Koko Adachi, Yoshinobu Kameyama and Kohkichi Andoh

    Citation: JA Clinical Reports 2021 7:63

    Content type: Case report

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  13. Hyperactive dysfunction syndrome (HDS) refers to a constellation of symptoms developing from cranial nerve overactivity caused by neurovascular compression at the root entry or exit zone near the brainstem. Al...

    Authors: Aiko Maeda, Kenzo Araki, Chiaki Yamada, Shoko Nakayama, Kazuhiro Shirozu and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:61

    Content type: Case report

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  14. Anaphylaxis caused by a catheter itself used for endovascular surgery is rare, and a method for detection of a causative catheter has not been established. We report a case of catheter-induced anaphylaxis in w...

    Authors: Yuki Sugiyama, Kaori Numata, Natsuko Watanabe, Masatoshi Urasawa, Toru Murakami, Ikuko Murakami, Jun-Ichi Koyama and Mikito Kawamata

    Citation: JA Clinical Reports 2021 7:59

    Content type: Case report

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  15. We present a case of COVID-19–positive pediatric patient for urgent urological surgery by spinal anesthesia to avoid aerosolizing procedure.

    Authors: Franchesca Rivera-Calonje, Shiu-Yi Emily Chen, Carl Lo, Sang Le and Makoto Nagoshi

    Citation: JA Clinical Reports 2021 7:57

    Content type: Case report

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  16. Laparoscopic surgery for a patient with Fontan physiology is challenging because pneumoperitoneum and positive pressure ventilation could decrease venous return and the accumulated partial pressure of arterial...

    Authors: Kazutomo Saito, Hiroaki Toyama, Moeka Saito and Masanori Yamauchi

    Citation: JA Clinical Reports 2021 7:56

    Content type: Case report

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  17. Glutaric acidemia is a type of multiple acyl-coenzyme A dehydrogenase deficiency, an inborn error in fatty acid metabolism. In patients with glutaric acidemia, during the perioperative period, prolonged fastin...

    Authors: Ryoko Owaki-Nakano, Midoriko Higashi, Kohei Iwashita, Kenji Shigematsu, Emiko Toyama and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:54

    Content type: Case report

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  18. During pulmonary segmentectomy, identification of the target segment is essential. We used bronchoscopic jet ventilation (BJV) to delineate the intersegmental plane by selectively sending air into the target s...

    Authors: Mizuko Ikeda, Miwako Tanabe, Ayumi Fujimoto, Tomoka Matsuoka, Makoto Sumie and Ken Yamaura

    Citation: JA Clinical Reports 2021 7:53

    Content type: Clinical Research Article

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  19. We tested the hypothesis that the C-MAC® video laryngoscope (C-MAC) with an external display is more useful than the disposable i-view™ video laryngoscope (i-view) with an integrated display or a Macintosh dir...

    Authors: Toshiyuki Nakanishi, Yoshiki Sento, Yuji Kamimura and Kazuya Sobue

    Citation: JA Clinical Reports 2021 7:52

    Content type: Original article

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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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

    Published on: