Articles

Anesthetic management for a patient with myotonic dystrophy with remimazolam

Patients with myotonic dystrophy may have increased sensitivity to drugs used for anesthesia. We successfully managed general anesthesia in a patient with myotonic dystrophy using a novel intravenous anestheti...

Authors: Yasuhiro Morimoto, Aya Yoshimatsu and Manabu Yoshimura

Pull-through method for central venous catheter placement in a case of cadaveric donor small bowel retransplantation

Authors: Kayo Kimura, Shuji Kawamoto, Shinichi Kai, Tomoharu Tanaka and Kazuhiko Fukuda

Accuracy of landmark scalp blocks performed during asleep-awake-asleep awake craniotomy: a retrospective study

Authors: Takehito Sato and Kimitoshi Nishiwaki

A case of shock after 10 days systemic corticosteroid therapy for COVID-19

Authors: Keiko Uemura, Satoki Inoue and Masahiko Kawaguchi

Successful anesthetic management of separation surgery for pygopagus conjoined twins: a case report

Conjoined twins are an extremely rare congenital occurrence, and anesthetic management for surgical separation presents unique challenges for anesthesiologists.

Authors: Yukari Sato, Akira Iura, Yu Kawamoto, Shunsuke Yamamoto, Takeshi Iritakenishi and Yuji Fujino

Perioperative abnormal electroencephalography in a later-stage elderly with septic shock: a case report

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

Acute limb ischemia by a pulmonary vein stump thrombus after left lower lobectomy: a case report

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

An optimal epidural catheter placement site for post-cesarean section analgesia with double-space technique combined spinal–epidural anesthesia: a retrospective study

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

Anesthetic management of pulmonary artery replacement for idiopathic dilatation of the pulmonary artery with a Kommerell’s diverticulum: a case report

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

Life-threatening airway obstruction caused by angioedema in a morbidly obese postoperative patient: a case report

We report a case of a morbidly obese patient who developed life-threatening airway obstruction due to angioedema.

Authors: Makiko Konda, Satoki Inoue, Yusuke Naito, Junji Egawa and Masahiko Kawaguchi

Intraoperative responses of motor evoked potentials to the novel intravenous anesthetic remimazolam during spine surgery: a report of two cases

Remimazolam is a novel short-acting benzodiazepine characterized by metabolism independent from organ function. We report intraoperative MEP responses of two patients who underwent spine surgery under general ...

Authors: Takashi Kondo, Yukari Toyota, Soshi Narasaki, Tomoyuki Watanabe, Hirotsugu Miyoshi, Noboru Saeki and Yasuo M. Tsutsumi

Efficacy of flurbiprofen axetil for preventing postanesthetic shivering in patients undergoing gynecologic laparotomy surgeries

Postanesthetic shivering is an unpleasant adverse event in surgical patients. A nonsteroidal anti-inflammatory drug has been reported to be useful in preventing postanesthetic shivering in several previous stu...

Authors: Atsushi Kotera

Life-threatening rocuronium-induced anaphylactic shock without cutaneous manifestations successfully reversed with sugammadex: a case report

Recognition of rocuronium-induced anaphylaxis is often challenging, owing to its diverse clinical manifestations. Regarding treatment, several reports have described the efficacy of sugammadex, while conflicti...

Authors: Yoshiaki Takise, Jungo Kato, Tomohiro Suhara, Takashige Yamada, Takeru Funakoshi, Hayato Takahashi, Masayuki Amagai and Hiroshi Morisaki

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

Temporomandibular disorder (TMD) is a broad term that encompasses pain and/or dysfunction of the masticatory musculature and TM joints (TMJs). When TMD becomes a chronic condition, the symptoms are extremely d...

Authors: Yuki Kojima, Ryozo Sendo, Sachi Ohno and Mitsutaka Sugimura

Hypotension caused by oral administration of 5-aminolevulinic acid persists after surgery in patients undergoing transurethral resection of bladder tumor under spinal anesthesia

Authors: Masami Sato, Tsutomu Yanagisawa, Sonoko Minamino and Toshiyuki Arai

Novel anesthetic agent remimazolam as an alternative for the asleep-awake-asleep technique of awake craniotomy

Authors: Takehito Sato, Yumi Kato, Mayumi Yamamoto and Kimitoshi Nishiwaki

Anesthetic management of a 12-year-old child with Kagami-Ogata syndrome for pectus excavatum: a case report

Kagami-Ogata syndrome (KOS) is due to abnormal gene expression in the 14q32.2 imprinted region. Laryngomalacia and bell-shaped thorax of children with KOS can affect airway management of general anesthesia.

Authors: Hisako Nishimoto, Masahiro Yagihara, Aki Uemura and Yoshiki Nakajima

Effect of droperidol addition to fentanyl-based intravenous patient-controlled analgesia on postoperative nausea and vomiting: a single-center retrospective cohort study

Authors: Shuji Uda, Chikashi Takeda and Toshiyuki Mizota

Pericardial disease as a rare complication of pediatric appendicitis: a systematic literature search

Classic symptoms of acute appendicitis are well known but are uncommon and often misinterpreted in pediatric patients, potentially delaying diagnosis and resulting in rare sequelae.

Authors: Bibek Saha, Kazuyoshi Aoyama, Maria-Alexandra Petre, Marina Englesakis, James Robertson and Mark Levine

Postoperative tetraplegia due to conversion disorder upon emergence from general anesthesia

Acute neurological deficit upon emergence from general anesthesia is a serious emergency. Conversion disorder, previously known as hysteria, is a somatoform disorder that causes neurological deficits without a...

Authors: Asuka Ito, Tatsuo Nakamoto, Sayaka Ohira and Takahiko Kamibayashi

Contact dermatitis associated with the Bispectral index™ sensor: a case report

Contact dermatitis caused by electroencephalography electrodes is rare and insufficiently studied. We described a case of contact dermatitis caused by Bispectral Index (BIS) monitor electrodes.

Authors: Noriko Taguchi, Shijima Taguchi, Syoichiro Ishizuki and Hiroyuki Ito

Left atrial thrombus formation within a few days of hospitalization in semi-acute ischemic heart disease despite no atrial fibrillation and mitral stenosis: a case report

Currently, the occurrence of left atrial thrombus despite the provision of heparinization within a few days of hospitalization without atrial fibrillation (AF) and mitral stenosis (MS) is rarely reported.

Authors: Keiko Okamura, Mitsuharu Kodaka, Junko Ichikawa, Kazuyoshi Ando and Makiko Komori

Qualitative measurement of opioid effects on pain and dyspnea: gender difference in the sensitivity

An increasing number of patients come to the operating room in use of opioid analgesics. They have different levels of tolerance to opioid effects which challenge the anesthesiologists in search of safe and ef...

Authors: Natsuko Nozaki-Taguchi, Taiichiro Hayashida and Shiroh Isono

Spinal anesthesia for muscle biopsy in an infant with a suspected neuromuscular disorder: a case report

Neuromuscular disorders (NMDs) occur in different forms and are generally diagnosed using muscle biopsy. Among the available anesthetic management options for infants with a suspected NMD are general anesthesi...

Authors: Yoshiaki Ishida, Masato Morita, Takahisa Sasaki and Akiko Taniguchi

Severe bradycardia at the termination of seizure during electroconvulsive therapy

Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) ha...

Authors: Yuji Kadoi, Minoru Michizaki, Takanari Saito, Jo Ota, Shigeru Saito and Tatsuo Sameshima

Serratus anterior plane block in modified radical mastectomy surgery: a case series

Postoperative breast pain may lead to poorer outcome if left untreated. Common analgesia modalities for postoperative breast pain include opioids and regional anesthesia. However, both of these modalities can ...

Authors: Madonna Damayanthie Datu and Jokevin Prasetyadhi

A case of advanced atrioventricular block after gynecological surgery

Authors: Takuzou Kitazawa, Mitsuru Ida and Masahiko Kawaguchi

A patient with myotonic dystrophy diagnosed after experiencing sudden respiratory failure: a case report

Myotonic dystrophy is a disorder affecting multiple organs including skeletal muscles and causes respiratory failure. We describe a patient who developed respiratory failure, with delayed diagnosis of myotonic...

Authors: Noriaki Nishihara, Shunsuke Tachibana, Hajime Sonoda and Michiaki Yamakage

Successful treatment with positive airway pressure ventilation for tension pneumopericardium after pericardiocentesis in a neonate: a case report

Pneumopericardium in neonates is often associated with respiratory diseases, of which positive pressure ventilation (PPV) is an exacerbating factor. Here, we present a neonate case of pneumopericardium after c...

Authors: Makiko Tani, Tomoyuki Kanazawa, Naohiro Shioji, Kazuyoshi Shimizu, Tatsuo Iwasaki and Hiroshi Morimatsu

Spinal cord stimulation alleviates intractable pain due to malignant pleural mesothelioma: a case report

Patients with malignant pleural mesothelioma (MPM) frequently complain of intractable pain that is resistant to conservative treatments. Although spinal cord stimulation (SCS) may be promising in the alleviati...

Authors: Aiko Maeda, Masatsugu Watanabe, Chiaki Saigano, Shoko Nakayama and Ken Yamaura

Management of cesarean section in a patient with Fontan circulation: a case report of dramatic reduction of maternal oxygen consumption after delivery

The anesthetic management of cesarean sections in Fontan-palliated parturients requires strict hemodynamic control. However, patient management with central venous oxygen saturation (ScvO₂) and oxygen consumption...

Authors: Kazutomo Saito, Hiroaki Toyama, Atsushi Okamoto and Masanori Yamauchi

An experience of subglottic airway foreign body removal in a patient under tracheal intubation: a case report

Removal of an airway foreign body is challenging to anesthesiologists. We report successful removal of an extremely rare foreign body between a tracheal tube and the trachea in patients under tracheal intubation.

Authors: Shiori Tanaka, Keisuke Yoshida, Kenichi Muramatsu, Shigeki Yamagishi, Shinju Obara and Kazuhiro Watanabe

Distinguishing cerebrospinal fluid from mepivacaine using the pH test in patients undergoing elective cesarean section with combined spinal-epidural anesthesia

In single-space combined spinal-epidural anesthesia (CSEA), it is important to correctly determine if the fluid coming out of the spinal needle is cerebrospinal fluid (CSF) or the liquid used in the loss of re...

Authors: Hiromi Ikegami, Kunihisa Hotta and Yoshie Toba

Severe hyponatremia with seizures and confirmed mild brain edema by hysteroscopic myomectomy: a case report

Hyponatremia can be developed during hysteroscopic surgery with electrolyte-free irrigation fluid. We experienced severe hyponatremia with postoperative seizures and confirmed mild brain edema.

Authors: Haruko Okazaki, Norikazu Miura, Yuki Kashima, Ryoichi Miyashita, Katsunori Oe, Keiko Kawakami, Tetsuya Ishikawa and Kenichi Masui

Excessive dynamic airway collapse during general anesthesia: a case report

Excessive dynamic airway collapse (EDAC) is an uncommon cause of high airway pressure during mechanical ventilation. However, EDAC is not widely recognized by anesthesiologists, and therefore, it is often misd...

Authors: Shunichi Murakami, Shunsuke Tsuruta, Kazuyoshi Ishida, Atsuo Yamashita and Mishiya Matsumoto

Anesthesia management in a patient with very long-chain acyl-Coenzyme A dehydrogenase deficiency

In a patient with very long-chain acyl-Coenzyme A dehydrogenase (VLCAD) deficiency, metabolism of fatty acids is impaired and a supply of alternative energy is limited when glucose level is insufficient on sta...

Authors: Haruyuki Yuasa, Yukio Onoda, Atsuhiro Kitaura, Takashi Mino, Shota Tsukimoto and Shinichi Nakao

Pulmonary vein thrombosis and cerebral infarction after video-assisted thoracic surgery of the left upper lobe: a case series

Pulmonary vein thrombosis (PVT) and cerebral infarction are rare but critical complications after video-assisted thoracic surgery (VATS).

Authors: Yosuke Fujii, Yumiko Mori, Kei Kambara, Kiichi Hirota, Masashi Yanada, Shogo Toda and Mitsuko Hashiguchi

Specific airway management for SVC replacement during giant anterior mediastinal tumor resection

Giant anterior mediastinal tumor (GAMT) resection is a challenging procedure, for which anesthesiologist might take to need special precautions.

Authors: Izumi Kawagoe, Daizoh Satoh, Chieko Mitaka, Masataka Fukuda, Tsukasa Kochiyama and Masakazu Hayashida

Sudden activation of temporary cardiac pacing due to postoperative brainstem hematoma in 2 cases

Authors: Yuki Terada, Satoki Inoue and Masahiko Kawaguchi

A case of osmotic demyelination syndrome detected after cesarean delivery with the administration of magnesium sulfate for threatened preterm labor

Authors: Yuna Takeshita, Mitsuru Ida and Masahiko Kawaguchi

Management of pregnancy and delivery in women with Kawasaki disease and residual coronary artery lesion with detailed analysis of labor analgesia: combined experience of 13 cases in two institutions

Approximately half of Kawasaki disease patients are expected to have transitioned to adulthood, and an increasing number of patients with cardiovascular sequelae have gotten pregnant. Management of women with ...

Authors: Rie Inoue, Yusuke Mazda, Hiroaki Tanaka, Kayo Tanaka, Jun Yoshimatsu, Kazumi Tamura and Katsuo Terui

Relationship between dexamethasone added to periarticular anesthetic infiltration and postoperative nausea and vomiting following total knee arthroplasty under general anesthesia: a retrospective observational study

Periarticular anesthetic infiltration (PAI) with a corticosteroid is a modality for pain control following total knee arthroplasty (TKA). Systemic corticosteroids are an established antiemetic for the prophyla...

Authors: Toshiyuki Yano, Takashi Imaizumi, Hidemi Matsu-ura and Tomoki Takahashi

Anesthetic management using a combination of anterior quadratus lumborum block and erector spinae plane block for robot-assisted partial nephrectomy: two case reports

There has been increasing attention regarding quadratus lumborum block (QLB) and erector spinae plane block (ESPB) as effective truncal blocks. There have been reports of combined QLB and ESPB usage in hip sur...

Authors: Nobuhiro Tanaka, Takuzo Kitazawa, Saki Mitani, Takanori Suzuka, Yuma Kadoya and Masahiko Kawaguchi

Continuous erector spinae plane block for analgesia of sternum closure using a latissimus dorsi muscle flap for mediastinitis after coronary artery bypass grafting: a case report

Erector spinae plane block (ESPB) is useful for providing analgesia after thoracic surgery. Previous reports show that ESPB is safely performed in patients receiving antithrombotic drugs. We effectively perfor...

Authors: Yu Yamane, Masayuki Kosaka, Haruki Akiizumi and Mitsuo Kuroda

Analysis of difficulty in placement of pulmonary artery catheter through the left internal jugular vein

The left internal jugular vein may be an alternative route for the placement of a pulmonary artery catheter when the right jugular vein is not available. Although the placement through the left internal jugula...

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

A proposal for a new temperature-corrected formula for the oxygen content of blood

Authors: Kiichi Hirota, Miyahiko Murata and Koh Shingu

Ultrasound-assisted intrathecal injection of nusinersen in a patient with severe vertebral deformity: a case report

Spinal muscular atrophy (SMA) is a mostly autosomal recessive genetic disease characterized by progressive muscle weakness from anterior horn degeneration. Nusinersen has recently been approved as a disease-mo...

Authors: Takashi Nagano, Shinichi Sakura, Noritaka Imamachi and Yoji Saito

Refractory ventricular arrhythmias during aortic valve replacement and cardiac artery bypass requiring 16 attempts of electrical cardioversion: a case report

We report a patient in whom we failed to suppress ventricular fibrillation (VF) using nifekalant but succeeded using amiodarone during cardiopulmonary bypass (CPB).

Authors: Mitsuharu Kodaka, Tetsu Mori, Junko Ichikawa, Kazuyoshi Ando and Makiko Komori

Spontaneous intracranial hypotension associated with cerebral venous thrombosis detected by a sudden seizure: a case report

Spontaneous intracranial hypotension (SIH) is rare but can lead to life-threatening complications including cerebral venous thrombosis (CVT). The concurrence of CVT and SIH raises questions regarding priority.

Authors: Atsuko Yamamoto, Yoshiyasu Hattammaru and Shoichi Uezono

Distal radial artery cannulation in the anatomical snuffbox is useful for arterial blood pressure monitoring in neurosurgery: a case report

Authors: Ryusuke Tanaka, Tohru Shiratori, Chiaki Kiuchi and Junichi Sasao