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  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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:

  27. 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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  28. 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

    Published on:

  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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

    Published on:

  35. 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

    Published on: