Articles

A case of delirium in Tolosa-Hunt syndrome during corticosteroid therapy

Corticosteroid therapy is useful for the resolution of pain and paresis in Tolosa-Hunt syndrome; however, there is no definitive protocol for appropriate dosing, route of administration, or duration of therapy...

Authors: Rie Ishikawa, Yuhei Ishikawa, Takeshi Kubota and Kumi Shirahama

The effects of intravenous anesthetics on QT interval during anesthetic induction with desflurane

This study aimed to determine the effects of the interaction between intravenous anesthetics and desflurane on the QT interval.

Authors: Shozo Tominaga, Yoshiaki Terao, Shigehiko Urabe, Maki Ono, Natsuko Oji, Makito Oji, Makoto Fukusaki and Tetsuya Hara

Efficacy and safety of sugammadex in patients undergoing renal transplantation

Sugammadex reverses rocuronium by encapsulating it, creating a stable complex that is mainly excreted by the kidneys. Nonetheless, in view of exposure to sugammadex during renal transplantation, current safety...

Authors: Yasumasa Ono, Yoshihito Fujita, Takahiro Kajiura, Hazuki Okawa, Juntaro Nakashima, Hideo Isobe and Yoshihiro Fujiwara

Implantation of ventricular assist device for systemic right ventricular failure in a patient with transposition of the great arteries and post-Mustard procedure: a case report

Ventricular assist device (VAD) is usually attached by an inflow cannula to the apex of the systemic left ventricle (LV), but very few cases with implantation of the VAD in the morphologic right ventricle (RV)...

Authors: Kazutomo Saito, Hiroaki Toyama, Nozomu Abe, Azusa Sunouchi, Yutaka Ejima and Masanori Yamauchi

Ventricular tachycardia without preceding electrocardiogram change after hypertonic mannitol administration: a case report

Mannitol is widely used during neurosurgery, but it has a serious complication including lethal arrhythmia due to mannitol-induced hyperkalemia.

Authors: Akira Gohara, Sumi Okamatsu-Kifuji, Shinjiro Shono, Midoriko Higashi and Ken Yamaura

Acute arterial occlusion due to left ventricular thrombus of Takotsubo cardiomyopathy in a young adult: a case report

Thromboembolism is a rare complication of Takotsubo cardiomyopathy. Importantly, an acute arterial occlusion needs rapid diagnosis and urgent treatment to help save the patient’s life. Here, we report a case o...

Authors: Yuudai Horiguchi, Takuo Hoshi, Aya Yoshimatsu and Mika Yoshida

Conservative management for iatrogenic gastric perforation by transesophageal echocardiography

Though several cases of upper gastrointestinal tract injury caused by transesophageal echocardiography (TEE) have been reported, gastric perforation is very rare. Herein, we report the case of TEE-associated g...

Authors: Masaya Oshiro, Hirotsugu Kanda, Akane Oshiro, Kenta Kure, Megumi Kanao-Kanda, Hiroyuki Kamiya and Takayuki Kunisawa

Ventilation failure after lateral jackknife positioning for robot-assisted lung cancer surgery in a patient after lingula-sparing left upper lobectomy

Ventilation failure commonly occurs when a standard left-sided double-lumen tube is used in patients after left upper lobectomy having remarkable angulation of the left main bronchus. We present a female witho...

Authors: Izumi Kawagoe, Masakazu Hayashida, Daizoh Satoh, Kenji Suzuki and Eiichi Inada

Successful perioperative management of a patient with erythropoietin-producing uterine myoma

Erythropoietin-producing uterine myoma can cause various complications such as arterial or venous thrombosis and bleeding. Therefore, caution is required in the anesthetic management of affected patients.

Authors: Masato Kobayashi, Masahiko Akatsu, Yoshihisa Fujita and Koichi Nishikawa

Sugammadex and amino acid infusion can contribute to safe anesthetic management of variegate porphyria

Variegate porphyria (VP) is an inherited type of porphyria characterized by cutaneous manifestations and/or acute neurovisceral attacks. We report successful anesthetic management of VP.

Authors: Yoshitaka Aoki, Kazuyuki Atsumi, Makiko Kora, Naoko Koh and Junichiro Yokoyama

Successful use of regional anesthesia in non-intubated video-assisted thoracic surgery in patients with cardiopulmonary failure: two case reports

One-lung ventilation under general anesthesia is necessary for thoracic surgery, but this procedure is often difficult in surgery for patients with cardiopulmonary failure. Non-intubated video-assisted thoraci...

Authors: Satoru Kayama, Haruna Yamamoto and Shigehito Sawamura

A case of spinal myoclonus in a patient with elective cesarean section

Transient myoclonic involuntary movements, typically referred to as spinal myoclonus (SM), rarely develop in the extremities following neuraxial anesthesia (NA). NA indications in patients with history of SM f...

Authors: Tohru Shiratori, Kunihisa Hotta, Masaaki Satoh, Naoko Kondo, Junji Ikeda and Shinji Sasao

Risk factors for bradypnea in a historical cohort of surgical patients receiving fentanyl-based intravenous analgesia

The use of both pulse oximetry (SpO₂) and respiration rate (RR) monitoring is recommended to prevent the development of respiratory deterioration, particularly after extubation and narcotic analgesic use for pain...

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

Respiratory failure caused by impending tension pneumothorax after extrapleural pneumonectomy: a case report

Cardiac herniation is a serious postoperative complication of extrapleural pneumonectomy (EPP) and is reportedly preventable by reducing the suction pressure of the chest drain.

Authors: Sonoko Sakuraba, Takeshi Omae, Izumi Kawagoe, Keito Koh and Eiichi Inada

Unusually large ephedrine-induced blood pressure increases due to cardiac sympathetic denervation supersensitivity in a patient with Parkinson’s disease

Parkinson’s disease (PD) patients often suffer from cardiac sympathetic denervation, a hallmark of which is orthostatic hypotension. Denervation supersensitivity to sympathomimetic drugs is also seen in such p...

Authors: Toru Shirai, Atsuhiro Kitaura, Keiji Uehara, Tomohisa Uchida, Masaki Fuyuta, Tatushige Iwamoto, Kenji Hiramatsu and Shinichi Nakao

Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway

Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in...

Authors: Satoshi Fuseya, Takashi Ichino, Satoshi Tanaka, Kumiko Ishida, Takashi Ishida and Mikito Kawamata

A case report of seizure during emergence from general anesthesia after lumbar spinal surgery—common cases can develop potentially life-threatening adverse intracranial events

Adverse intracranial events after spinal surgery were related with intracranial hypotension due to surgical injury of dura mater.

Authors: Junko Matsuhiro, Rumi Kariyazono, Koh Mizutani, Akinori Hinotsume and Masahiko Tsuchiya

Unsuccessful tracheal intubation in a patient with Kniest dysplasia undergoing repeated general anesthesia: a case report

Kniest dysplasia is a type of chondrodysplasia characterized by severe craniofacial abnormalities including tracheomalacia, midface hypoplasia, and cleft palate.

Authors: Maiko Hasegawa-Moriyama, Tomonori Iwasaki, Keika Mukaihara, Mina Masuda and Yuichi Kanmura

A case of failed awake craniotomy due to progressive intraoperative hyponatremia

Perioperative seizure control is correlated with a better surgical outcome for awake craniotomy, but some anticonvulsants can induce hyponatremia. Mannitol has also been reported to be hyponatremic.

Authors: Suguru Yamamoto, Hanayo Masaki, Kotoe Kamata, Minoru Nomura and Makoto Ozaki

Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation

Authors: Yoshiyasu Hattammaru, Tomasz Hascilowicz, Isao Utsumi, Yuichi Murakami and Oumi Sachiko

Successful anesthetic management during abdominal wall-lifting laparoscopic cholecystectomy in a patient with hereditary angioedema

Hereditary angioedema is a rare genetic disorder resulting from an inherited deficiency or dysfunction of the C1-esterase inhibitor. In the anesthetic management of such patients, special caution should be exe...

Authors: Masashi Fujii, Takayuki Higashiguchi, Nobuaki Shime and Yasuyo Kawabata

Anesthetic management with subcostal transversus abdominis plane block in recessive dystrophic epidermolysis bullosa for peritoneal dialysis catheter replacement: a case report

Recessive dystrophic epidermolysis bullosa (RDEB) is a rare, hereditary mucocutaneous disorder that can involve renal insufficiency. If a vascular access for hemodialysis is unavailable, peritoneal dialysis ca...

Authors: Katsuhiro Aikawa, Nobuhiro Tanaka and Yuji Morimoto

In-hospital mortality does not increase in patients aged over 85 years after hip fracture surgery. A retrospective observational study in a Japanese tertiary hospital

Hip fracture is a common and serious orthopedic injury among the geriatric population, necessitating surgical treatment. We tested whether age is a significant risk factor for in-hospital mortality after surge...

Authors: Yoshihisa Fujita, Kumi Shimada, Tomohiko Sato, Masahiko Akatsu, Koichi Nishikawa, Atsuko Kanno and Toshitake Aizawa

Intraoperative hemodynamics monitoring in a patient with pheochromocytoma multisystem crisis: a case report

Pheochromocytoma is a rare catecholamine-secreting tumor. To evaluate the intraoperative hemodynamics with precision is difficult.

Authors: Atsuko Kato, Hisayoshi Tamai, Kanji Uchida, Takamitsu Ikeda and Yoshitsugu Yamada

Usefulness of dexmedetomidine to prevent emergence agitation in a patient with Krabbe disease: a case report

We report the case of a child with Krabbe disease who underwent three repeated surgeries and anesthetic management, and we discuss the major concerns about Krabbe disease and the usefulness of a perioperative ...

Authors: Junichi Saito, Futoshi Kimura, Hiroshi Hashimoto, Tetsuhiro Sakai and Kazuyoshi Hirota

Usefulness of urinary NGAL levels during an operation in a patient with septic shock and acute kidney injury for determining postoperative initiation of renal replacement therapy: a case study

Authors: Eiko Wada, Kohei Suganuma, Shigehiro Shibata and Kosei Otaka

Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report

Rett syndrome, which is a progressive, central nervous system disease that is caused by a gene mutation, is known to present with various symptoms. This case is that of a 15-year-old girl who was diagnosed wit...

Authors: Yuka Motomura, Masafumi Idei, Hitoshi Sato and Takahisa Goto

A case of femoral arteriovenous fistula caused by central venous catheterization under inadequate ultrasound guidance

Authors: Daiki Nakashima, Shinobu Yamaguchi, Kumiko Tanabe, Woo Kim and Hiroki Iida

Anesthetic management for a patient with aortic stenosis who underwent transcatheter aortic valve implantation after introduction of percutaneous cardiopulmonary support

Authors: Takashi Kobayashi, Shohei Ogawa and Kenji Suzuki

Asymptomatic hemilateral pneumothorax and pneumomediastinum following surgical tracheostomy in a patient with hyponatremia and zolpidem withdrawal delirium

Authors: Yoshihiro Takasugi, Risa Aoki and Shota Tsukimoto

Guillain-Barré syndrome after cervical spine surgery: a case report

Authors: Takaaki Oku and Kengo Maekawa

Thyroid disease diagnosed by point-of-care ultrasound after the induction of anesthesia: a case report

Authors: Masafumi Idei and Itaru Watanabe

Pulmonary artery catheter placement in patients with a history of tricuspid ring annuloplasty, with pulmonary stenosis, and with the transvenous pacemaker leads: is it difficult?

Previous case reports suggested that the presence of obstruction in the passage of the pulmonary artery catheter (PAC) may hinder its placement. However, little is known regarding the difficulty in proper plac...

Authors: Hirofumi Hamaba, Yuka Miyata and Yukio Hayashi

Safety and efficacy of plasma exchange therapy for Kawasaki disease in children in intensive care unit: case series

We have reviewed four cases of Kawasaki disease treated with plasma exchange with 5% albumin in electrolyte-balanced solution, according to the recommended guidelines for Kawasaki disease in the intensive care...

Authors: Satoko Noguchi, Junichi Saito, Tomoyuki Kudo, Eiji Hashiba and Kazuyoshi Hirota

Perioperative airway management for aortic valve replacement in an adult with mucopolysaccharidosis type II (Hunter syndrome)

We herein report anesthetic management during aortic valve replacement for aortic valve regurgitation in a patient with adult mucopolysaccharidosis type II (MPS type 2) (Hunter syndrome). This disorder is rare...

Authors: Kazuchika Suzuki, Hiroaki Sakai and Kenji Takahashi

A case of ventilatory impairment during per-oral endoscopic myotomy under general anesthesia

We report a case of unexpected ventilatory impairment that occurred during per-oral endoscopic myotomy (POEM) under general anesthesia. A 73-year-old woman underwent POEM for Jackhammer esophagus. The patient ...

Authors: Takuya Okada, Shinichiro Izuta and Satoshi Mizobuchi

A case of anesthesia mumps that required postoperative re-intubation

We encountered a 59-year-old man who first underwent left internal carotid endarterectomy for left internal carotid artery stenosis and then presented with postoperative swelling of the bilateral salivary glan...

Authors: Takayuki Hamaguchi, Naho Suzuki and Ichiro Kondo

Who performs the preoperative examination?

Authors: Hironobu Ueshima and Hiroshi Otake

Difficult airway associated with bifid glottis and coexistent subglottic stenosis in a patient with Pallister–Hall syndrome: a case report

Pallister–Hall syndrome is a rare disorder characterized by hypothalamic hamartoma, hypopituitarism, bifid epiglottis, and micrognathia.

Authors: Yukimura Oe, Kohei Godai, Mina Masuda and Yuichi Kanmura

A combination of probe holder and laser navigation

Authors: Yoshimune Osaka and Yoshihisa Morita

Subdural hematoma after cesarean delivery without symptoms: a case report

Subdural hematoma (SDH) after accidental dural puncture (ADP) is rare but may be lethal. We experienced a patient who developed SDH after combined spinal and epidural anesthesia without a headache.

Authors: Syuhei Domoto, Manzo Suzuki, Shinpei Suzuki and Hiroyasu Bito

Preventative management against thromboembolism using fresh frozen plasma in a coronary artery bypass graft patient with protein S deficiency: a case report

Protein S deficiency patient is characterized by recurrent thrombosis, and its risk is higher intraoperatively, especially in cardiac surgery involving cardiopulmonary bypass. Two heparin cessation periods are...

Authors: Kenzaburou Sugimoto, Mamoru Kadosaki, Atsushi Egawa, Rina Tokitou, Miho Urayama and Mamoru Takeuchi

Atypical perioperative management for duodenal obstruction in an infant with heterotaxy syndrome: a case report

Heterotaxy syndrome (HS) is characterized by a wide variety of cardiac and extra-cardiac malformations, including pulmonary valve stenosis, interruption of the inferior vena cava, total anomalous pulmonary ven...

Authors: Hirofumi Obinata, Shinichi Nishibe and Yoko Ishihara

Dilated aortic root influences pulmonary artery catheter placement in anesthetized patients

The placement of a pulmonary artery catheter sometimes needs long time by observing the pressure wave, and several factors have been reported to hinder the placement. In the present study, we examined whether ...

Authors: Yuka Miyata, Tsutomu Wada, Tomohiko Hayasaka and Yukio Hayashi

General anesthesia with propofol for ovarian teratoma excision associated with anti-N-methyl-D-aspartate receptor encephalitis

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune disorder caused by production of anti-NMDAR antibodies that is often associated with ovarian teratoma and exhibits various manifestation...

Authors: Masami Sato, Hiroaki Yasumoto and Toshiyuki Arai

A refractory head tremor appearing after volatile anesthesia combined with epidural anesthesia in a patient with spinocerebellar ataxia type 6

A 64-year-old female patient with spinocerebellar ataxia type 6 was referred to our department for pancreatic cancer and anesthetized with volatile anesthesia combined with epidural anesthesia for pancreaticod...

Authors: Takaya Nishida and Masayori Nakajima

A case of spinal anesthesia in a patient with progressive supranuclear palsy

Progressive supranuclear palsy (PSP) is one of the rare diseases. PSP is characterized by oculomotor dysfunction, postural instability, akinesia, dysarthria, and dysphagia. The major cause of death in patients...

Authors: Momoka Tonan, Moritoki Egi, Nana Furushima and Satoshi Mizobuchi

Anesthesia for patients with PTRF mutations: a case report

Polymeraze I and transcript release factor (PTRF) mutations are a newly recognized disease, which cause congenital generalized lipodystrophy associated with myopathy.

Authors: Atsuko Hirano, Tomohiko Takada, Mariko Senda, Hidemasa Takahashi and Takeo Suzuki

Spread of injectate in ultrasound-guided serratus plane block: a cadaveric study

Serratus plane block is a thoracic truncal block that has been proposed as alternatives for analgesia such as epidural anesthesia and paravertebral block for the anterolateral chest wall. Previously, we perfor...

Authors: Tatsuya Kunigo, Takeshi Murouchi, Shuji Yamamoto and Michiaki Yamakage

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...

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