Articles

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

Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury

Coagulation disorder and intraoperative hypotension are representative complications of traumatic brain injury which cause worse perioperative outcome. The aim of this study was to survey the relation of coagu...

Authors: Kei Kamiutsuri, Naoki Tominaga and Shunji Kobayashi

Goal-directed therapy reduces fluid balance while maintaining hemodynamic stability in intraoperative management of pancreaticoduodenectomy: a retrospective comparative study

Goal-directed therapy (GDT) is beneficial for surgical patients, especially for those undergoing high-risk surgery. However, little has been reported on the hemodynamic effects of GDT in extensive surgery. We ...

Authors: Satoshi Ishihara, Takeshi Yokoyama and Katsuyuki Katayama

A spinal cord infarction that occurred after laparoscopic gastrectomy performed under general anesthesia and epidural analgesia

Spinal cord infarction (SCI) after epidural anesthesia is quite rare. Although most cases of perioperative SCI are associated with aortic, cardiac, or spinal surgery, and/or abnormal preoperative conditions, s...

Authors: Kei Houri, Shinichi Hamasaki, Takatoshi Tsujimoto, Tomohisa Uchida, Tatsushige Iwamoto, Toru Shirai and Shinichi Nakao

Comparison of inflationary non-invasive blood pressure (iNIBP) monitoring technology and conventional deflationary non-invasive blood pressure (dNIBP) measurement in detecting hypotension during cesarean section

The Nihon Kohden linear inflationary non-invasive blood pressure (iNIBP) monitoring technology is an oscillometric device that measures blood pressure by detecting oscillations during inflation. Systolic blood...

Authors: Akiko Yamashita and Shingo Irikoma

A pediatric case developing critical abdominal distension caused by a combination of humidified high-flow nasal cannula oxygen therapy and nasal airway

We describe a pediatric patient who suffered from critical abdominal distention caused by a combination of humidified, high-flow nasal cannula (HHFNC) oxygen therapy and nasal airway.

Authors: Satoki Inoue, Yumiko Tamaki, Shota Sonobe, Junji Egawa and Masahiko Kawaguchi

Pulmonary embolism caused by ovarian vein thrombosis during cesarean section: a case report

Ovarian vein thrombosis is a rare complication of pregnancy. The representative complaints of patients with ovarian vein thrombosis are abdominal pain and fever. In some cases, however, fatal pulmonary embolis...

Authors: Yutaka Oda, Michie Fujita, Chika Motohisa, Shinichi Nakata, Motoko Shimada and Ryushi Komatsu

Anesthetic management during a cesarean section in a patient with cleidocranial dysplasia: a case report

Cleidocranial dysplasia is a type of skeletal dysplasia, which is primarily characterized by delayed ossification of skeletal structures. It causes facial and oral abnormalities, resulting in difficult airway ...

Authors: Yumiko Nishio, Teruyuki Hiraki, Hiroko Taniguchi and Kazuo Ushijima

Mortality and physical status at hospital discharge in Japanese elderly critically ill patients: a single-center retrospective study

Because there is ongoing population aging, the age of patients admitted to the intensive care unit (ICU) is also higher. However, the evidence about outcomes in elderly patients is insufficient in Japan. There...

Authors: Tomoaki Yatabe, Atsushi Nishigaki, Takahiko Tamura and Masataka Yokoyama

Anesthetic management for laryngeal closure: retrospective evaluation of 50 cases

Authors: Midori Mogami, Chiaki Nemoto, Makoto Kano, Mariko Muto, Youichi Tanaka and Mashahiro Murakawa

Perioperative management of a pregnant patient with mediastinal tumor complicated by tuberculosis

Mediastinal tumor in a pregnant woman, which had needed a multidisciplinary approach, was further complicated by tuberculosis. The clinical course of the current patient was very complicated. A 37-year-old fem...

Authors: Motoi Kumagai, Wakana Koishi, Hiroya Takahashi and Kenji Suzuki

Continuous PECS II block for postoperative analgesia in patients undergoing transapical transcatheter aortic valve implantation

It has been reported that PECS II block can alleviate postoperative pain following transapical transcatheter aortic valve implantation (TA-TAVI). However, the effectiveness of continuous PECS II block with cat...

Authors: Tomoharu Shakuo, Shinichi Kakumoto, Junya Kuribayashi, Katsunori Oe and Katsuhiro Seo

The ultrasound-guided nerve blocks of abdominal wall contributed to anesthetic management of cholecystectomy in a patient with Becker muscular dystrophy without using muscle relaxants

Becker muscular dystrophy (BMD) is a progressive neuromuscular disorder caused by mutations in the dystrophin gene. The sensitivity to non-depolarizing muscle relaxant in a patient with muscle dystrophy is rep...

Authors: Masato Iwata, Naoya Kuzumoto, Yuka Akasaki, Masayo Morioka, Kana Nakayama, Nobuyoshi Matsuzawa, Katsuhiro Kimoto and Toshiyuki Shimomura

Detection of patent ductus arteriosus with intraoperative transesophageal echocardiography in a patient undergoing closure of coronary artery to pulmonary artery fistula

Coronary artery to pulmonary artery fistula is an unusual vascular anomaly, and the shunt ratio of this fistula is usually small.

Authors: Yuka Miyata and Yukio Hayashi

Collaborating with interventional pulmonology in managing a massive tracheoesophageal fistula that extends from cricoid to carina: a case report

Tracheoesophageal fistulas (TEF) present a perioperative management challenge. A 62 year-old man with esophageal carcinoma presented with a large tracheoesophageal fistula extending most of the trachea. Previo...

Authors: Luis E. Tollinche, Mohit Chawla, Eunice W. Lee and A. Rolando Peralta

Left subclavian artery malperfusion due to thoracic outlet syndrome during total vertebrectomy for invasive lung cancer: a case report

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...

Authors: Kazuyuki Mizunoya, Kentaro Ueda, Yoshifumi Takeda, Koichi Takita and Yuji Morimoto