Articles

Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium

Accelerated idioventricular rhythm (AIVR) during anesthesia has been described in several drug toxicity such as from cocaine, halothane, desflurane, and propofol. We present the case of a man who developed epi...

Authors: Mika Nakanishi, Kaoru Masumo, Takako Oota, Takeshi Kato and Toshihiro Imanishi

Transversus abdominis plane block for bilateral orchiopexy in an 8-year-old patient with Eisenmenger’s syndrome

Non-cardiac surgery should only be performed in patients with Eisenmenger’s syndrome if absolutely mandatory because these patients are at high risk of perioperative mortality. Proper anesthetic and perioperat...

Authors: Yu Matsumoto, Satoshi Shibuta, Tomotaka Morita, Takeshi Iritakenishi, Nobuyuki Nishimura, Moe Koide and Yuji Fujino

Journal of Anesthesia (JA) clinical reports

Authors: Michiaki Yamakage

Comparison between succinylcholine and rocuronium as neuromuscular blocking agents for electroconvulsive therapy in a patient with pseudocholinesterase deficiency

We report here the anesthetic management of a patient with schizophrenia and pseudocholinesterase deficiency. Electroconvulsive therapy was performed using succinylcholine and rocuronium as the neuromuscular b...

Authors: Tomonori Takazawa, Takashi Suto, Masako Aihara, Takeshi Anzai, Tatsuo Horiuchi, Makiko H. Yamada, Yuji Kadoi and Shigeru Saito

Petechial and subcutaneous hemorrhage with blister formations in right upper extremity during cardiopulmonary bypass by axillary artery cannulation

A 72-year-old man underwent aortic valve replacement and coronary artery bypass graft using cardiopulmonary bypass with right axillary artery cannulation. After undraping, petechial and subcutaneous hemorrhage...

Authors: Kei Kamiutsuri

Optical surgical navigation system causes pulse oximeter malfunction

An optical surgical navigation system is used as a navigator to facilitate surgical approaches, and pulse oximeters provide valuable information for anesthetic management. However, saw-tooth waves on the monit...

Authors: Masaaki Satoh, Tetsuhito Hara, Kenji Tamai, Juntaro Shiba, Kunihisa Hotta, Mamoru Takeuchi and Eiju Watanabe

Acute transverse myelitis arising after combined general and thoracic epidural anesthesia

Acute transverse myelitis after surgery is a rare condition, but this complication is devastating. The relationship between anesthetic procedures and acute transverse myelitis is controversial. A 46-year-old w...

Authors: Tetsuya Shimada, Shinya Yufune, Motoshi Tanaka, Ryosuke Akai, Yasushi Satoh and Tomiei Kazama

Intrathecal morphine versus epidural ropivacaine infusion for analgesia after Cesarean section: a retrospective study

Analgesia after Cesarean delivery (CD) requires early ambulation to prevent thromboembolic disease and to facilitate baby care. We retrospectively reviewed anesthesia charts and medical records of patients who...

Authors: Hiroko Suzuki, Yoshinori Kamiya, Takashi Fujiwara, Takayuki Yoshida, Misako Takamatsu and Kazunori Sato

Persistent left superior vena cava with absent right superior vena cava detected during emergent coronary artery bypass grafting surgery

Although persistent left superior vena cava (PLSVC) itself is a common venous anomaly in congenital heart disease, PLSVC with absent right superior vena cava (RSVC) is a rare venous congenital malformation. Du...

Authors: Yusuke Kusaka, Toshiyuki Sawai, Junko Nakahira and Toshiaki Minami

Successful resuscitation of amniotic fluid embolism applying a new classification and management strategy

Amniotic fluid embolism (AFE) is a rare but life-threatening maternal emergency caused by the entry of amniotic fluid contents into the maternal circulation. The clinical manifestations of AFE are heterogeneou...

Authors: Shinya Yufune, Motoshi Tanaka, Ryosuke Akai, Yasushi Satoh, Kenichi Furuya, Katsuo Terui, Naohiro Kanayama and Tomiei Kazama