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...
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...
Authors: Mitsuhiko Oohata, Yuko Aoki, Michiko Miyata, Hiroki Mizobe and Kenji S. Suzuki
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...
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 ...
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...
Some reports have highlighted the relationship between heart rate variability (HRV) and the degree of postoperative pain experienced. This study retrospectively examined whether differences in heart rate varia...
Authors: Shinya Uchida, Yuji Kadoi and Shigeru Saito
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...
Authors: Yuta Kumada, Kenji Yoshitani, Yusuke Shimabara and Yoshihiko Ohnishi
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.
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 ...
Authors: Yui Yamane, Takeshi Omae, Keito Kou and Sonoko Sakuraba
Goreisan, a traditional Japanese Kampo medicine, may prevent postoperative nausea and vomiting (PONV). The purpose of this study was to evaluate the effect of Goreisan on PONV in a high-risk population in a ra...
Authors: Keiko Kume, Yusuke Kasuya and Makoto Ozaki
A 38-year-old man with pancreatic cancer was scheduled to undergo pancreaticoduodenectomy. He had an unremarkable past medical history. After inducing general anesthesia, a left radial arterial catheter was su...
Authors: Kunitaro Watanabe, Shingo Mitsuda, Akira Motoyasu, Joho Tokumine, Kumi Moriyama and Tomoko Yorozu
The aims of this study were to elucidate why the cephalic vein provides a reliable cannulation site from a morphological viewpoint and identify an effective landmark for avoiding injury to the superficial bran...
Authors: Mitsuhiro Matsuo, Satoru Honma, Takahiro Sonomura and Mitsuaki Yamazaki
The neutrophil to lymphocyte ratio (NLR) is gaining interest as an independent predictor of survival in patients with various clinical conditions. No study to date has reported an association between inflammat...
The number of morbidly obese patients who have undergone bariatric surgery has been gradually increasing in Japan. These obese patients are often complicated with metabolic, cardiac, respiratory, and other dis...
Authors: Takashi Kobayashi, Yoko Watanabe, Jun Aizawa and Kenji S. Suzuki
Patients with congenital central hypoventilation syndrome (CCHS) develop alveolar hypoventilation resulting from a failure of central ventilatory control. Late-onset CCHS (LO-CCHS), which may be precipitated b...
Minimally invasive cardiac surgery (MICS), via minithoracotomy, is thought to be a fast track to extubation and recovery after surgery. For this, good coverage analgesia is essential. Epidural anesthesia, a st...
Pulmonary embolism (PE) resulting from venous thromboembolism is a leading cause of maternal mortality in pregnancy. In patients with massive PE and hemodynamic instability, the treatment options often conside...
Authors: Hiroki Taenaka, Chiyo Ootaki, Chie Matsuda and Yuji Fujino
The tongue flap is an accepted treatment method for cleft palate repair. Orotracheal or nasotracheal intubation using a fiberoptic scope is preferred for the division of the tongue flap. We report two cases of...
Authors: Kaori K. Kuroiwa, Masaaki Nishizawa, Nami Kondo, Haruka Nakazawa and Takanobu Hirabayashi
Epidural anesthesia is widely used for postoperative analgesia and rarely causes permanent neurological complications. We report a case of paraplegia following abdominal surgery under combined epidural/general...
Sugammadex has been reported to cause upper-airway obstruction, such as laryngospasm or bronchospasm. These two conditions are treated using different approaches, but the differential diagnosis is difficult.
Authors: Keito Kou, Takeshi Omae, Saiko Wakabayashi and Sonoko Sakuraba
Right ventricular assist device (RVAD) implantation is one type of surgical treatment used for right heart failure. It is important to assess right ventricular (RV) function precisely when RVAD withdrawal is c...
Postoperative pain management after upper limb surgery is important for preventing adverse events that can prolong hospital stay and cause readmission. This study aimed to identify the risk factors associated ...
Authors: Tatsunori Watanabe, Koji Moriya, Takuya Yoda, Naoto Tsubokawa, Andrey B. Petrenko and Hiroshi Baba
In pediatric general anesthesia, our goal should be quicker extubation to facilitate rapid turnover in the operating room without compromising on safety and quality of anesthesia. Although many studies have fo...
Authors: Akihiro Kanaya, Norifumi Kuratani, Yoshinori Nakata and Masanori Yamauchi
Narcolepsy is a neurological disease characterized by excessive daytime sleepiness, cataplexy, and/or a sudden loss of muscle tone due to malfunction of the orexinergic system, which may cause delayed emergenc...
Authors: Daiki Takekawa, Tetsuya Kushikata, Masato Kitayama and Kazuyoshi Hirota
The effect of volatile anesthetics on emergence agitation in adults remains unclear. We compared the degree of emergence agitation between desflurane and sevoflurane anesthesia in adults undergoing thyroid sur...
Authors: Takeshi Suzuki, Takuya Kurazumi, Tomomi Ueda, Hiromasa Nagata, Takashige Yamada, Shizuko Kosugi, Saori Hashiguchi, Koichi Ito and Hiroshi Morisaki
Warfarin, a widely used anticoagulant, interacts with various agents used in palliative care, such as oxycodone, morphine, acetaminophen, and non-steroidal anti-inflammatory drugs (NSAIDs); however, there are ...
Aortobronchial fistula (ABF) is a rare and potentially lethal complication of thoracic aortic replacement surgery. Currently, thoracic endovascular aortic repair (TEVAR) has emerged as a less invasive alternat...
Rectus sheath block is a common peripheral nerve block for patients undergoing umbilical hernia repair surgery. However, rectus sheath block alone can affect only anterior branches of intercostal nerves and, t...
Authors: Masayuki Akatsuka, Takeshi Murouchi, Johji Arakawa and Michiaki Yamakage
Schwartz–Jampel syndrome (SJS) is a rare syndrome that is clinically characterized by myotonia and skeletal abnormalities. Most reports regarding SJS have stated that patients with SJS are susceptible to malig...
Respiratory management in patients with esophagobronchial fistulae is challenging since positive pressure ventilation (PPV) may not be feasible due to air leaks and possible risks for regurgitation and aspirat...
Authors: Seiji Ishikawa, Tsubasa Akune, Tomoko Ishibashi and Koshi Makita
The accuracy of simulation-predicted fentanyl concentration in different types of surgical procedure is not fully understood. We wished to estimate the effect of different types of surgical procedure on the ac...
Authors: Yoshihito Fujita, Saya Yoshizawa, Maiko Hoshika, Koichi Inoue, Shoko Matsushita, Hisao Oka and Kazuya Sobue
We report that sevoflurane not only caused marked QTc interval prolongation but also increased transmural dispersion of repolarization in a patient with long QT syndrome 3 (LQT3). A 16-year-old male with LQT3 ...
The major perioperative concern in patients with second-degree atrioventricular (AV) block is the progression to complete AV block. Therefore, the prophylactic implantation of a temporary pacemaker prior to su...
Authors: Marie Shigematsu-Locatelli, Takashi Kawano, Atsushi Nishigaki, Daiki Yamanaka, Bun Aoyama, Hiroki Tateiwa, Noriko Kitaoka and Masataka Yokoyama
Patients with vascular Ehlers-Danlos syndrome (EDS) are susceptible to significant vascular complications, such as aortic and visceral arterial ruptures, aneurysms, and dissection. We describe a case of repeat...
Bacillus cereus (B. cereus) rarely causes lower respiratory tract infections, although most reported cases of B. cereus pneumonia are fatal despite intensive antibiotic therapy. We pre...
We encountered a case of abdominal compartment syndrome during hip arthroscopic surgery, caused by the irrigation fluid flowing into the peritoneal cavity.
Authors: Tomoharu Shakuo, Kiyoko Bito, Seiichi Yasuda and Chie Asagi
Central venous catheters (CVCs) are commonly used in the management of critically ill patients. This study aimed to determine whether an educational program could reduce the rate of catheter-related bloodstrea...
Hyperventilation syndrome (HVS) sometimes occurs in patients under stressful conditions and may provoke severe complications such as myocardial infarction and death. The authors report a case of HVS following ...
Authors: Junichi Saito, Erika Amanai and Kazuyoshi Hirota
Extubation is a more challenging medical practice than intubation, and countermeasures against it are similar to those described in the Difficult Intubation Guidelines, but problems cannot be overcome by compl...
Since acute respiratory failure (ARF) is a life-threatening complication, particularly in the gestational period, differential diagnosis and rapid treatment are required. Among the various causes of sudden ons...
Authors: Yuki Sugiyama, Ryusuke Tanaka, Yuki Yoshiyama, Takashi Ichino, Norimasa Hishinuma, Sari Shimizu, Noriko Imai, Kunihiro Mitsuzawa and Mikito Kawamata
Patients with complex congenital heart disease increasingly undergo noncardiac surgeries because of advancements in surgical techniques and medical management. In Fontan circulation, maintaining an adequate tr...
Authors: Toshiyuki Nakanishi, Kazuyoshi Ishida, Kiyotaka Shiramoto and Mishiya Matsumoto
As pregnancy accelerates glioma growth, therapeutic abortion has been recommended prior to tumor resection. Additionally, it has also been suggested that the extent of glioma resection is closely correlated wi...
Authors: Kotoe Kamata, Risa Fukushima, Minoru Nomura and Makoto Ozaki
Following cerebral arteriovenous malformation (AVM) surgery, severe brain edema and hemorrhage may be caused by postoperative normal perfusion pressure breakthrough (NPPB). Sedation is necessary for this popul...
Authors: Chanatthee Kitsiripant, Kotoe Kamata, Rie Kanamori, Koji Yamaguchi, Makoto Ozaki and Minoru Nomura
Easier to perform than the conventional procedure, mini-tracheostomy (MT) is widely used in the operating room or intensive care unit to remove sputum or other obstructions of the upper airway. This option, ho...
Authors: Hiroshi Inoue, Jun Ito, Hiroaki Uchida, Mariko Morita, Takahiko Masuda, Kazuhiro Yamaya, Masaki Hata and Shigeaki Kato
Acute bioprosthetic valve thrombosis can occur after surgery and sometimes cause hemodynamic instability and cardiogenic shock. Risk factors for bioprosthetic valve thrombosis are hypercoagulability, atrial fi...
Authors: Tatsuyuki Imada, Sho Carl Shibata, Kenta Okitsu and Yuji Fujino
Coronary ostial stenosis is a life-threatening complication of aortic valve replacement (AVR). Clinical symptoms usually appear within the first 6 months after AVR (Funada and Mizuno et al., Circ J 70:1312–7, ...
Authors: Naomi Ono, Toshiyuki Sawai and Hisanari Ishii
Regional cerebral oxygen saturation (rSO2) monitoring by near-infrared spectroscopy provides valuable information regarding cerebral oxygen delivery, and it has been increasingly used in cardiovascular surgery. A...
Authors: Shino Matsukawa, Miho Hamada and Toshiyuki Mizota
A 13-month-old infant weighing 8.3 kg with a height of 72.3 cm visited our hospital for surgical resection of facial vascular malformation detected at birth. Because we anticipated the patient would have diffi...
Authors: Kumi Moriyama, Masanori Mitsuda, Masakazu Kurita, Mine Ozaki, Kiyoshi Moriyama and Tomoko Yorozu
