Articles

Anesthetic management of super-elderly patients with remimazolam: a report of two cases

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

Intra-operative intravascular effect of the difference in colloid solutions during acute normovolemic hemodilution

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

Right ventricular perforation, pneumothorax, and a pneumatocele by a pacemaker lead: a case report

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

Intraoperative anaphylaxis due to aprotinin after local application of fibrin sealant diagnosed by skin tests and basophil activation tests: a case report

There are few cases of anaphylaxis after local application of fibrin sealant diagnosed by skin tests.

Authors: Masaki Orihara, Tomonori Takazawa, Tatsuo Horiuchi, Shinya Sakamoto, Mutsumi Uchiyama and Shigeru Saito

Platypnea–orthodeoxia syndrome associated with COVID-19 pneumonia: a case report

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

Bispectral Index™ variation during living donor liver transplantation in a child with hepatic encephalopathy: a case report

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

Interpretation of concurrent positive skin tests to prophylactic antibiotics and rocuronium

Authors: Kazuhiro Nagumo, Tomonori Takazawa and Shigeru Saito

Radiating pain during epidural needle insertion and catheter placement cannot be associated with postoperative persistent paresthesia: a retrospective review

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

Examination of the frequency of upward and downward fluctuations in the pressure obtained from the cuff pressure-time curve by continuous measurement of endotracheal tube cuff pressure during thyroid surgery: a case series

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

Co-infection with Legionella and SARS-CoV-2: a case report

We report a case of COVID-19 with Legionella co-infection that was treated successfully.

Authors: Masaru Shimizu, Yusuke Chihara, Sakiko Satake, Astuko Yone, Mari Makio, Hideki Kitou and Tomohiro Takeda

Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report

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

Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report

Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion ...

Authors: Emina Niisato, Yoshiyuki Hiramoto, Hitoshi Yamada and Naoki Matsumiya

Catheter-induced anaphylaxis and determination of the causative catheter in a patient undergoing neuroendovascular surgery: a case report

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

Unexpected tachycardia and hypertension during anesthetic induction with remimazolam in cardiac surgery: a case report

Authors: Tomoe Sato, Sho Ohno, Makishi Maeda, Yasuaki Sawashita, Naoyuki Hirata and Michiaki Yamakage

Urgent surgery for COVID-19–positive pediatric patient

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

Successive perioperative management of laparoscopic liver resection in the reverse Trendelenburg position for a patient with Fontan physiology: a case report

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

Delayed tracheal extubation after cardiac surgery due to cardiogenic ventilator auto-triggering: a case report

Ventilator auto-triggering is associated with poor outcomes. Herein, we present a case of delayed tracheal extubation after cardiac surgery due to cardiogenic auto-triggering.

Authors: Daiki Takekawa, Satoshi Uchida and Kazuyoshi Hirota

Anesthetic management of multiple acyl-coenzyme A dehydrogenase deficiency in a series of surgeries under general anesthesia: a case report

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

Predictors of failure of intersegmental line creation using bronchoscopic jet ventilation for thoracoscopic pulmonary segmentectomy

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

Macintosh laryngoscope and i-view™ and C-MAC® video laryngoscopes for tracheal intubation with an aerosol box: a randomized crossover manikin study

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

General anesthesia with remimazolam in a patient with mitochondrial encephalomyopathy: a case report

Systemic anesthetic management of patients with mitochondrial disease requires careful preoperative preparation to administer adequate anesthesia and address potential disease-related complications. The approp...

Authors: Yuji Suzuki, Matsuyuki Doi and Yoshiki Nakajima

Pain management for a case with Nutcracker syndrome, undergoing a newly developed bypass surgery

Authors: Lieven Ameye, Joao Amaral, Armando Lorenzo and Kazuyoshi Aoyama

Perioperative management of a patient undergoing resection of interleukin-6 producing pheochromocytoma

Pheochromocytomas produce hormones, cytokines, and catecholamines. We report perioperative anesthetic management of a rare interleukin-6 (IL-6)-producing pheochromocytoma.

Authors: Masahiro Kuroki, Hiroto Suzuki, Misato Kurota, Masaki Nakane and Kaneyuki Kawamae

Imaging evaluation of continuous extrapleural intercostal nerve block for minimally invasive cardiac surgery: a case report

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

Successful airway management with combined use of a McGRATH^TM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood

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

1-kHz high-frequency spinal cord stimulation alleviates chronic refractory pain after spinal cord injury: a case report

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

Knot formation in a thoracic epidural catheter: a case report

Although most epidural catheter knot formation has been reported in lumbar epidural catheter placement, knot formation in a thoracic epidural catheter has been experienced.

Authors: Toshiyuki Mizota, Kayo Kimura and Chikashi Takeda

Acute-onset paraplegia as an unexpected complication under general anesthesia in supine position during abdominal endovascular aneurysm repair: a case report

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

Anesthetic management of a patient with severe aortic regurgitation undergoing reoperation for ascending aorta false aneurysm using hypothermia: prevention of ventricular fibrillation by nifekalant

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

Evaluation of the effect of apixaban using a viscoelastic coagulation assay with Russell’s viper venom reagent

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

Safety of perioperative period in robot-assisted atrial septal defect repair under hyperkalemic arrest

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

Longer time to extubation after general anesthesia with desflurane in patients with obstructive respiratory dysfunction: a retrospective study

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

Transient maintenance of tracheal patency upon the insertion of a flexible bronchoscope in a patient with an anterior mediastinal mass: a case report

Patients with an anterior mediastinal mass are at risk of perioperative respiratory collapse.

Authors: Takayuki Hasegawa, Shinju Obara, Rieko Oishi, Satsuki Shirota, Jun Honda and Shin Kurosawa

A case of left ventricular free wall rupture after insertion of an IMPELLA® left ventricular assist device diagnosed by transesophageal echocardiography

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

Concurrent positive skin tests to prophylactic antibiotics and rocuronium in two patients with life-threatening anaphylaxis after induction of anesthesia

Prophylactic antibiotics and neuromuscular blocking agents (NMBA) are two of the major causative agents of anaphylaxis after induction of anesthesia.

Authors: Masako Yasuda, Katsuyuki Moriwaki and Yasuo M. Tsutsumi

Complete atrio-ventricular block with coronary artery spasm due to direct laryngoscopy in a pediatric patient with laryngeal papillomatosis: a case report

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

Spurious electroencephalographic activity due to pulsation artifact in the depth of anesthesia monitor

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

Does a surgical mask improve oxygenation in COVID-19 patients?

Authors: Yusuke Matsui, Tomonori Takazawa, Akihito Takemae and Shigeru Saito

Successful intrathecal neurolytic block for the management of cancer pain in a 10-year-old child: a case report

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

The validation of a Japanese language version of the postoperative quality of recovery scale: a prospective observational study

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

Skin temperature changes after ultrasound-guided supra-inguinal fascia iliaca block: a prospective observational study

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

Anesthetic management of a morbidly obese patient with endometrial cancer during robot-assisted laparoscopic surgery

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

Survey of acute exacerbation after nonpulmonary surgery in patients with interstitial pneumonia

Authors: Miho Hamada, Ryuichi Wakata, Misaki Saito Sato and Toshiyuki Mizota

Anesthetic management of a patient with situs inversus totalis undergoing coronary artery bypass grafting surgery: a case report

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

Analysis of intraoperative modifiable factors to prevent acute kidney injury after elective noncardiac surgery: intraoperative hypotension and crystalloid administration related to acute kidney injury

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

Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

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

Remimazolam use for awake craniotomy

Authors: Shunsuke Tachibana, Kengo Hayamizu and Michiaki Yamakage

Correlation between activated clotting time monitoring and heparin concentration measurement in a patient with antiphospholipid syndrome during cardiac valve surgery: a case report

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

The value of the portable fibrinogen measuring device—a case report of severe postpartum hemorrhage with obstetric disseminated intravascular coagulation

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

Continuous pericapsular nerve group block for postoperative pain management in total hip arthroplasty: report of two cases

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