Articles

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

Japanese traditional herbal medicine reduces use of pregabalin and opioids for pain in patients with lumbar spinal canal stenosis: a retrospective cohort study

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

Anesthetic management of a hydrocephalus patient with inclusion body myositis

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...

Authors: Daiki Takekawa, Hirotaka Kinoshita, Tomoyuki Kudo, Masato Kitayama, Tetsuya Kushikata and Kazuyoshi Hirota

Incidence of life-threatening respiratory events after laparoscopic colon surgery with or without continuous respiratory rate monitoring

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 ...

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

Adhesions in the epidural space caused by frequent epidural blocks

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...

Authors: Nobuhiro Shimada, Takashi Igarashi, Kunihiko Murai, Tetsuhito Hara, Tomoko Kuramochi and Mamoru Takeuchi

Differences in heart rate variability may be related to the appearance of postoperative pain in patients undergoing breast cancer surgery

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

Perioperative risk factors for acute kidney injury after off-pump coronary artery bypass grafting: a retrospective study

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 developed after endovascular surgery for unruptured cerebral aneurysm under general anesthesia: a case report

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.

Authors: Sachiko Ito, Shihoko Iwata, Izumi Kondo, Motoyo Iwade, Makoto Ozaki, Tatsuya Ishikawa and Takakazu Kawamata

Successful use of femoral nerve block with dexmedetomidine for fracture fixation of an intracapsular fracture of the femoral neck in a patient with severe aortic stenosis: a case report

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

Effect of Goreisan, a traditional Japanese Kampo medicine, on postoperative nausea and vomiting in gynecological patients

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

Iatrogenic carpal tunnel syndrome induced by wrist extension for placement of an indwelling radial artery catheter: a case report

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

Clinical anatomy of the cephalic vein for safe performance of venipuncture

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

Neutrophil to lymphocyte ratio and platelet to lymphocyte ratio are superior to other inflammation-based prognostic scores in predicting the mortality of patients with gastrointestinal perforation

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...

Authors: Yuichiro Shimoyama, Osamu Umegaki, Tomoyuki Agui, Noriko Kadono and Toshiaki Minami

Anesthetic management of one-stage scheduled surgery for adrenal cortical carcinoma complicated by massive pulmonary tumor embolism

Authors: Kazuma Yunoki, Tsutomu Wada, Ikuko Miyawaki, Kazuo Yamazaki and Hiroyuki Mima

Factors affecting the early post-operative prognosis in morbidly obese surgical patients after laparoscopic sleeve gastrectomy – a retrospective cohort study

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

Conscious sedation with dexmedetomidine for implantation of a phrenic nerve stimulator in a pediatric case of late-onset congenital central hypoventilation syndrome

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...

Authors: Keiko Hirooka, Kotoe Kamata, Shiro Horisawa, Minoru Nomura, Takaomi Taira and Makoto Ozaki

A case series of continuous paravertebral block in minimally invasive cardiac surgery

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...

Authors: Shintaro Tahara, Akito Inoue, Hajime Sakamoto, Yasuaki Tatara, Kayoko Masuda, Yoichiro Hattori, Yusaku Nozumi, Mitsumasa Miyagi and Surakshya Sigdel

Successful pulmonary embolectomy for massive pulmonary embolism during pregnancy: a case report

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

Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

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

Spinal cord infarction following epidural and general anesthesia: a case report

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...

Authors: Kaori Kobayashi, Noriko Narimatsu, Takafumi Oyoshi, Takashi Ikeda and Toshimitsu Tohya

A case in which a capnometer was useful for diagnosing laryngospasm following administration of sugammadex

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 functional assessment by three-dimensional transesophageal echocardiography is useful for withdrawal from a right ventricular assist device: a case report

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...

Authors: Hiroki Taenaka, Tatsuyuki Imada, Ryuichiro Abe, Akinori Uchiyama and Yuji Fujino

Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases

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

Factors affecting extubation time following pediatric ambulatory surgery: an analysis using electronic anesthesia records from an academic university hospital

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

Anesthetic management of a patient with narcolepsy by combination of total intravenous and regional anesthesia: a case report

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

A case of a warfarinized renal cancer patient monitored for prothrombin time-international normalized ratio during methadone introduction

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 ...

Authors: Kaoru Yoshioka, Katsuya Ohmori, Soshi Iwasaki, Kazunobu Takahashi, Akemi Sato, Hiromasa Nakata, Atsushi Miyamoto and Michiaki Yamakage