Articles

Successful use of recombinant activated factor VII (eptacog alfa, Novoseven®) in a refractory bleeding during pediatric cardiac surgery: a case report

A 2-year-and-7-month-old boy underwent an emergent reconstruction surgery of the right ventricle-pulmonary artery (RV-PA) conduit. Although he was successfully weaned from cardiopulmonary bypass (CPB) after re...

Authors: Mariko Ishihara, Yoshikazu Miyamoto, Akihiro Taniguchi and Keiko Kinouchi

A case requiring tracheal stenting due to superior vena cava syndrome developing after craniotomy

We report a patient who developed sustained hypotension during craniotomy; further, owing to a mediastinal mass, critical tracheal stenosis and brain edema were observed after craniotomy, despite the absence o...

Authors: Shota Sonobe, Satoki Inoue, Kazuaki Atagi and Masahiko Kawaguchi

Thoracic paravertebral block reduced the incidence of chronic postoperative pain for more than 1 year after breast cancer surgery

Thoracic paravertebral block (TPVB) is used to reduce pain after breast cancer surgery (BCS), but the pain-reduction effects more than 1 year after surgery are unclear.

Authors: Hiroki Shimizu, Yoshinori Kamiya, Hironobu Nishimaki, Sadahei Denda and Hiroshi Baba

The management of difficult intubation in infants: a retrospective review of anesthesia record database

We retrospectively reviewed the anesthesia records of infants < 1 year of age for elucidating the incidence of difficult intubation and airway management in a single general hospital. The electronic data recor...

Authors: Junko Aida, Yutaka Oda, Yoshihiro Kasagi, Mami Ueda, Kazuo Nakada and Ryu Okutani

Life-threatening check valve formation due to tracheobronchial aspergillosis

A 12-year-old girl receiving chemotherapy for acute myeloid leukemia had a fever of unknown origin in spite of administration of micafungin. Her respiratory condition suddenly deteriorated. Her trachea was int...

Authors: Hideki Matsuura, Satoki Inoue, Kazuaki Atagi and Masahiko Kawaguchi

Elective use of surgical cricothyroidotomy for maxillofacial fracture fixation with contraindication of nasotracheal intubation: a case report

We report three cases of airway management with elective surgical cricothyroidotomy (SCT) for anesthetic management during surgical repair of maxillofacial injury involving basal skull fracture or nasal-bone f...

Authors: Masayuki Kuroiwa, Kenichi Kumazawa, Sohei Ito, Masayasu Arai and Hirotsugu Okamoto

Pectoral nerve block combined with general anesthesia for breast cancer surgery: a retrospective comparison

Acute postoperative pain is an integral risk factor in the development of chronic pain after breast cancer surgery (BCS). Pectoral nerve block (PECSB) has been recently reported as an analgesic method for BCS....

Authors: Harue Morioka, Yoshinori Kamiya, Takayuki Yoshida and Hiroshi Baba

Management of general anesthesia in a child with Miller–Dieker syndrome: a case report

Miller–Dieker syndrome (MDS) is a rare disorder characterized by type I lissencephaly and a distinctive facial appearance that may include prominent forehead, bitemporal hollowing, and micrognathia. MDS is ass...

Authors: Chiaki Wakiguchi, Kohei Godai, Keika Mukaihara, Tetsuya Ohnou, Tamotsu Kuniyoshi, Mina Masuda and Yuichi Kanmura

Hypercapnic respiratory distress and loss of consciousness: a complication of supraclavicular brachial plexus block

Supraclavicular brachial plexus block is a common anesthetic technique performed for surgery of the upper extremities. We experienced a case of acute hypercapnic respiratory distress with loss of consciousness...

Authors: Yuka Sakuta, Naoko Kuroda, Masatsugu Tsuge and Yoshihisa Fujita

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