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  1. Clinical research letter

    Effects of glucose-insulin infusion during major oral and maxillofacial surgery on postoperative complications and outcomes

    Secretion of hormones, which antagonize the action of insulin, is facilitated in response to surgery, and acute resistance to the action of insulin develops. Our aim is to elucidate the effects of intraoperati...

    Akina Tohya, Atsushi Kohjitani, Sachi Ohno, Kaoru Yamashita, Yozo Manabe and Mitsutaka Sugimura

    JA Clinical Reports 2018 4:9

    Published on: 22 January 2018

  2. Clinical research letter

    Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury

    Coagulation disorder and intraoperative hypotension are representative complications of traumatic brain injury which cause worse perioperative outcome. The aim of this study was to survey the relation of coagu...

    Kei Kamiutsuri, Naoki Tominaga and Shunji Kobayashi

    JA Clinical Reports 2018 4:8

    Published on: 16 January 2018

  3. Clinical research letter

    Goal-directed therapy reduces fluid balance while maintaining hemodynamic stability in intraoperative management of pancreaticoduodenectomy: a retrospective comparative study

    Goal-directed therapy (GDT) is beneficial for surgical patients, especially for those undergoing high-risk surgery. However, little has been reported on the hemodynamic effects of GDT in extensive surgery. We ...

    Satoshi Ishihara, Takeshi Yokoyama and Katsuyuki Katayama

    JA Clinical Reports 2018 4:7

    Published on: 8 January 2018

  4. Clinical research letter

    Comparison of inflationary non-invasive blood pressure (iNIBP) monitoring technology and conventional deflationary non-invasive blood pressure (dNIBP) measurement in detecting hypotension during cesarean section

    The Nihon Kohden linear inflationary non-invasive blood pressure (iNIBP) monitoring technology is an oscillometric device that measures blood pressure by detecting oscillations during inflation. Systolic blood...

    Akiko Yamashita and Shingo Irikoma

    JA Clinical Reports 2018 4:5

    Published on: 5 January 2018

  5. Case report

    A spinal cord infarction that occurred after laparoscopic gastrectomy performed under general anesthesia and epidural analgesia

    Spinal cord infarction (SCI) after epidural anesthesia is quite rare. Although most cases of perioperative SCI are associated with aortic, cardiac, or spinal surgery, and/or abnormal preoperative conditions, s...

    Kei Houri, Shinichi Hamasaki, Takatoshi Tsujimoto, Tomohisa Uchida, Tatsushige Iwamoto, Toru Shirai and Shinichi Nakao

    JA Clinical Reports 2018 4:6

    Published on: 5 January 2018

  6. Clinical research letter

    Mortality and physical status at hospital discharge in Japanese elderly critically ill patients: a single-center retrospective study

    Because there is ongoing population aging, the age of patients admitted to the intensive care unit (ICU) is also higher. However, the evidence about outcomes in elderly patients is insufficient in Japan. There...

    Tomoaki Yatabe, Atsushi Nishigaki, Takahiko Tamura and Masataka Yokoyama

    JA Clinical Reports 2018 4:1

    Published on: 3 January 2018

  7. Case report

    Continuous PECS II block for postoperative analgesia in patients undergoing transapical transcatheter aortic valve implantation

    It has been reported that PECS II block can alleviate postoperative pain following transapical transcatheter aortic valve implantation (TA-TAVI). However, the effectiveness of continuous PECS II block with cat...

    Tomoharu Shakuo, Shinichi Kakumoto, Junya Kuribayashi, Katsunori Oe and Katsuhiro Seo

    JA Clinical Reports 2017 3:65

    Published on: 12 December 2017

  8. Case report

    The ultrasound-guided nerve blocks of abdominal wall contributed to anesthetic management of cholecystectomy in a patient with Becker muscular dystrophy without using muscle relaxants

    Becker muscular dystrophy (BMD) is a progressive neuromuscular disorder caused by mutations in the dystrophin gene. The sensitivity to non-depolarizing muscle relaxant in a patient with muscle dystrophy is rep...

    Masato Iwata, Naoya Kuzumoto, Yuka Akasaki, Masayo Morioka, Kana Nakayama, Nobuyoshi Matsuzawa, Katsuhiro Kimoto and Toshiyuki Shimomura

    JA Clinical Reports 2017 3:64

    Published on: 8 December 2017

  9. Case report

    Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report

    Tracheoesophageal fistulas (TEF) present a perioperative management challenge. A 62 year-old man with esophageal carcinoma presented with a large tracheoesophageal fistula extending most of the trachea. Previo...

    Luis E. Tollinche, Mohit Chawla, Eunice W. Lee and A. Rolando Peralta

    JA Clinical Reports 2017 3:62

    Published on: 4 December 2017

  10. Case report

    Left subclavian artery malperfusion due to thoracic outlet syndrome during total vertebrectomy for invasive lung cancer: a case report

    Thoracic outlet syndrome (TOS) can interrupt blood flow to upper limbs by vascular compression. We report a case of a 52-year-old man who presented left subclavian artery malperfusion due to TOS during total v...

    Kazuyuki Mizunoya, Kentaro Ueda, Yoshifumi Takeda, Koichi Takita and Yuji Morimoto

    JA Clinical Reports 2017 3:61

    Published on: 25 November 2017

  11. Clinical research letter

    Japanese traditional herbal medicine reduces use of pregabalin and opioids for pain in patients with lumbar spinal canal stenosis: a retrospective cohort study

    There has been an increase in the number of Japanese patients with lumbar spinal canal stenosis (LSCS) who complain of chronic pain or motor disturbance in the lower back or extremities. These patients are oft...

    Mitsuhiko Oohata, Yuko Aoki, Michiko Miyata, Hiroki Mizobe and Kenji S. Suzuki

    JA Clinical Reports 2017 3:60

    Published on: 27 October 2017

  12. Case report

    Anesthetic management of a hydrocephalus patient with inclusion body myositis

    Inclusion body myositis (IBM) is an inflammatory muscle disease characterized by slowly progressive muscle weakness and wasting, especially affecting proximal leg and distal arm. We report a successful anesthe...

    Daiki Takekawa, Hirotaka Kinoshita, Tomoyuki Kudo, Masato Kitayama, Tetsuya Kushikata and Kazuyoshi Hirota

    JA Clinical Reports 2017 3:59

    Published on: 18 October 2017

  13. Clinical research letter

    Incidence of life-threatening respiratory events after laparoscopic colon surgery with or without continuous respiratory rate monitoring

    Respiratory depression (RD) is a critical complication of general anesthesia. The present study investigated the incidence of postoperative life-threatening respiratory events after laparoscopic colon surgery ...

    Hideaki Kawanishi, Junji Egawa, Satoki Inoue, Takashi Shiota and Masahiko Kawaguchi

    JA Clinical Reports 2017 3:58

    Published on: 13 October 2017

  14. Case report

    Adhesions in the epidural space caused by frequent epidural blocks

    We report a case of adhesions in the epidural space caused by more than 200 times epidural blocks that were observed with epiduroscopy. A 41-year-old man had repeatedly undergone lumbar epidural blocks to trea...

    Nobuhiro Shimada, Takashi Igarashi, Kunihiko Murai, Tetsuhito Hara, Tomoko Kuramochi and Mamoru Takeuchi

    JA Clinical Reports 2017 3:57

    Published on: 11 October 2017

  15. Clinical research letter

    Perioperative risk factors for acute kidney injury after off-pump coronary artery bypass grafting: a retrospective study

    Acute kidney injury (AKI) after cardiac surgery is associated with increased morbidity and mortality. Although morbidity of AKI after off-pump coronary artery bypass grafting (OPCAB) has been investigated, lit...

    Yuta Kumada, Kenji Yoshitani, Yusuke Shimabara and Yoshihiko Ohnishi

    JA Clinical Reports 2017 3:55

    Published on: 4 October 2017

  16. Case report

    Esophageal submucosal hematoma developed after endovascular surgery for unruptured cerebral aneurysm under general anesthesia: a case report

    Esophageal submucosal hematoma is a rare complication after endovascular surgery. We report a case of an esophageal submucosal hematoma which may have been caused by rigorous cough during extubation.

    Sachiko Ito, Shihoko Iwata, Izumi Kondo, Motoyo Iwade, Makoto Ozaki, Tatsuya Ishikawa and Takakazu Kawamata

    JA Clinical Reports 2017 3:54

    Published on: 3 October 2017

  17. Case report

    Successful use of femoral nerve block with dexmedetomidine for fracture fixation of an intracapsular fracture of the femoral neck in a patient with severe aortic stenosis: a case report

    We described a case in which femoral nerve block (FNB) and lateral femoral cutaneous nerve block (LFCNB) with dexmedetomidine (DEX) was useful for open reduction and internal fixation (ORIF) of a femoral neck ...

    Yui Yamane, Takeshi Omae, Keito Kou and Sonoko Sakuraba

    JA Clinical Reports 2017 3:53

    Published on: 3 October 2017

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