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  1. Clinical research letter

    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...

    Mitsuhiko Oohata, Yuko Aoki, Michiko Miyata, Hiroki Mizobe and Kenji S. Suzuki

    JA Clinical Reports 2017 3:60

    Published on: 27 October 2017

  2. Case report

    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...

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

    JA Clinical Reports 2017 3:59

    Published on: 18 October 2017

  3. Clinical research letter

    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 ...

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

    JA Clinical Reports 2017 3:58

    Published on: 13 October 2017

  4. Case report

    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...

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

    JA Clinical Reports 2017 3:57

    Published on: 11 October 2017

  5. Clinical research letter

    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...

    Yuta Kumada, Kenji Yoshitani, Yusuke Shimabara and Yoshihiko Ohnishi

    JA Clinical Reports 2017 3:55

    Published on: 4 October 2017

  6. Case report

    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.

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

    JA Clinical Reports 2017 3:54

    Published on: 3 October 2017

  7. Case report

    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 ...

    Yui Yamane, Takeshi Omae, Keito Kou and Sonoko Sakuraba

    JA Clinical Reports 2017 3:53

    Published on: 3 October 2017

  8. Case report

    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...

    Kunitaro Watanabe, Shingo Mitsuda, Akira Motoyasu, Joho Tokumine, Kumi Moriyama and Tomoko Yorozu

    JA Clinical Reports 2017 3:51

    Published on: 18 September 2017

  9. Clinical research letter

    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...

    Mitsuhiro Matsuo, Satoru Honma, Takahiro Sonomura and Mitsuaki Yamazaki

    JA Clinical Reports 2017 3:50

    Published on: 11 September 2017

  10. Clinical research letter

    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...

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

    JA Clinical Reports 2017 3:49

    Published on: 2 September 2017

  11. Clinical research letter

    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...

    Takashi Kobayashi, Yoko Watanabe, Jun Aizawa and Kenji S. Suzuki

    JA Clinical Reports 2017 3:47

    Published on: 31 August 2017

  12. Case report

    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...

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

    JA Clinical Reports 2017 3:46

    Published on: 31 August 2017

  13. Clinical research letter

    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...

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

    JA Clinical Reports 2017 3:45

    Published on: 29 August 2017

  14. Case report

    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...

    Kaori K. Kuroiwa, Masaaki Nishizawa, Nami Kondo, Haruka Nakazawa and Takanobu Hirabayashi

    JA Clinical Reports 2017 3:43

    Published on: 23 August 2017

  15. Case report

    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...

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

    JA Clinical Reports 2017 3:42

    Published on: 16 August 2017

  16. Case report

    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...

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

    JA Clinical Reports 2017 3:40

    Published on: 15 August 2017

  17. Clinical research letter

    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 ...

    Tatsunori Watanabe, Koji Moriya, Takuya Yoda, Naoto Tsubokawa, Andrey B. Petrenko and Hiroshi Baba

    JA Clinical Reports 2017 3:39

    Published on: 27 July 2017

  18. Clinical research letter

    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...

    Akihiro Kanaya, Norifumi Kuratani, Yoshinori Nakata and Masanori Yamauchi

    JA Clinical Reports 2017 3:38

    Published on: 26 July 2017

  19. Clinical research letter

    Desflurane anesthesia worsens emergence agitation in adult patients undergoing thyroid surgery compared to sevoflurane anesthesia

    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...

    Takeshi Suzuki, Takuya Kurazumi, Tomomi Ueda, Hiromasa Nagata, Takashige Yamada, Shizuko Kosugi, Saori Hashiguchi, Koichi Ito and Hiroshi Morisaki

    JA Clinical Reports 2017 3:36

    Published on: 19 June 2017

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