Articles
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Citation: JA Clinical Reports 2022 8:57
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Two cases of hemodynamic improvement by modulation of atrioventricular delay in cardiac operations
Symptomatic sick sinus syndrome is one of the indications for pacemaker implantation, and we have to consider to program the pacemaker to an asynchronous pacing mode during an operation.
Citation: JA Clinical Reports 2022 8:56 -
One-lung ventilation and 3D image analysis in a case of tracheal bronchus with steeply angled branching of left main bronchus: a case report
Establishing one-lung ventilation (OLV) in patients with tracheal bronchus (TB) may be challenging due to its unusual bronchial anatomy. We present a case of difficult OLV in a patient with right TB and steepl...
Citation: JA Clinical Reports 2022 8:55 -
Two cases of catheters inserted from the femoral vein straying into the hepatic vein, possibly owing to a Eustachian valve: a case report
In minimally invasive cardiac surgery (MICS) and extracorporeal membrane oxygenation (ECMO), a guidewire is inserted from the femoral vein (FV) into the right atrium. However, rarely, the guidewire or catheter...
Citation: JA Clinical Reports 2022 8:54 -
Subacute postoperative myofascial pain diagnosed and treated successfully by ultrasound: a case after laparoscopic hepatectomy
Myofascial pain syndrome is one of the causes of prolonged postoperative pain after abdominal surgery. However, diagnosis and treatment of myofascial pain syndrome, especially its myofascial trigger point (MTr...
Citation: JA Clinical Reports 2022 8:53 -
Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report
Thyroid storm is a life-threatening manifestation of thyrotoxicosis and presents with fever, diaphoresis, tachycardia, hypertension, and widened pulse pressure.
Citation: JA Clinical Reports 2022 8:52 -
A case of afterload mismatch associated with shivering leading to fatal hypoxia in a COVID-19 patient
Fever and associated shivering are frequent symptoms in patients with coronavirus disease 2019 (COVID-19). High body temperature activates the immune system, which might be beneficial. However, shivering leads...
Citation: JA Clinical Reports 2022 8:51 -
Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
Thoracic endovascular aortic repair (TEVAR) has become a widely accepted treatment strategy for patients with thoracic aortic pathologies. We present a case of TEVAR where transesophageal echocardiography (TEE...
Citation: JA Clinical Reports 2022 8:50 -
Anesthetic management of a patient with subclinical myasthenia gravis who underwent a thymectomy: a case report
Some individuals with subclinical myasthenia gravis (MG) are positive for serum anti-acetylcholine receptor antibodies, without neurological symptoms. There are no anesthetic management guidelines for subclini...
Citation: JA Clinical Reports 2022 8:49 -
Temporary hypotension and ventilation difficulty during endoscopic injection sclerotherapy for esophageal varices in a child with Fontan circulation: a case report
Endoscopic procedures are rarely performed in children with congenital heart disease (CHD); therefore, the associated complications are unknown. We report an abrupt change in circulatory and respiratory condit...
Citation: JA Clinical Reports 2022 8:48 -
A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation
Independent lung ventilation (ILV) allows separate positive end-expiratory pressures (PEEP) and inspiratory pressures for each lung. However, only a few articles have reported ILV management for lungs affected...
Citation: JA Clinical Reports 2022 8:47 -
Awake intubation for thoracic aortic aneurysm causing esophageal stenosis with food residues and compression of the pulmonary artery and left bronchi: a case report
Anesthetic management of thoracic aortic aneurysms (TAAs) is sometimes difficult due to fatal complications, including hypovolemic shock secondary to aneurysm rupture. We report the successful management of an...
Citation: JA Clinical Reports 2022 8:46 -
Postoperative respiratory depression in patients on sublingual buprenorphine: a retrospective cohort study for comparison between postoperative continuation and discontinuation of buprenorphine
We tested the hypothesis that patients who continued buprenorphine postoperatively experience postoperative respiratory depression less frequently than those who discontinued buprenorphine.
Citation: JA Clinical Reports 2022 8:45 -
Assessing the anesthetic effectiveness of remimazolam in MELAS patients requires careful investigations
Citation: JA Clinical Reports 2022 8:44 -
Symptomatic absorption of normal saline during transurethral resection of the prostate: a case report
Transurethral resection of the prostate (TUR-P) could incidentally cause hyponatremia, known as TUR syndrome due to intravascular absorption of non-electrolytic irrigation fluid. Recently, normal saline has be...
Citation: JA Clinical Reports 2022 8:43 -
Postoperative complications of ultrasound-guided inferior alveolar nerve and maxillary nerve blocks: a retrospective study
Citation: JA Clinical Reports 2022 8:42 -
The effect of anesthesia without opioid on perioperative opioid demand in children with severe obstructive sleep apnea (OSA) for adenotonsillectomies — single-center retrospective observational study
Children with severe obstructive sleep apnea (OSA) carry a higher risk of respiratory complications after adenotonsillectomy. Their altered sensitivity to opioids may be a significant contributor to respirator...
Citation: JA Clinical Reports 2022 8:41 -
Electroencephalogram evaluation of accidental cerebral congestion during unexpected superior vena cava clamping: a case report
Intraoperative superior vena cava (SVC) clamping causes hypotension and cerebral congestion. There is no established method for monitoring brain function during cerebral congestion. We encountered a case of ce...
Citation: JA Clinical Reports 2022 8:40 -
Neural lesions in obstetrics: a diagnostic tree
Citation: JA Clinical Reports 2022 8:39 -
Remimazolam anesthesia for transcatheter mitral valve repair in a patient with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome: a case report
Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is characterized by cardiac depression, respiratory failure, myopathy, and anesthesia for affected patients is...
Citation: JA Clinical Reports 2022 8:38 -
A case of severe sciatica caused by a lymphocele after renal transplantation
Sciatica is commonly caused by lumbar spinal disease. However, it can also be caused by tumors, infectious diseases, or muscle entrapment. We present a case of sciatica caused by a lymphocele after renal trans...
Citation: JA Clinical Reports 2022 8:37 -
A case requiring re-thoracotomy due to a significant reduction of tidal volume after commencement of chest tube drainage under pressure control ventilation following lower lobectomy
The use of pressure-controlled ventilation (PCV) during one lung ventilation (OLV) has been popular to avoid high airway pressure. We experienced a case of a significant reduction of tidal volume (TV) after co...
Citation: JA Clinical Reports 2022 8:36 -
Abnormally high Patient State Index associated with epicardial pacing: a case report
Anesthesiologists monitor electroencephalography (EEG) intraoperatively to maintain adequate depth of anesthesia. However, the EEG signal is affected by noise and interference. The SedLine® is a brain function...
Citation: JA Clinical Reports 2022 8:35 -
Respiratory support strategy in adults with acute hypoxemic respiratory failure: a systematic review and network meta-analysis
Network meta-analyses (NMAs) of respiratory management strategies for acute hypoxemic respiratory failure (AHRF) have been reported, but no previous study has compared noninvasive ventilation (NIV), high-flow ...
Citation: JA Clinical Reports 2022 8:34 -
Complete atrioventricular block under epidural ropivacaine infusion in a patient with first-degree atrioventricular block and myasthenia gravis: a case report
First-degree atrioventricular block (AVB) may lead to complete AVB. Herein, we present a case of a complete AVB under thoracic epidural catheter infusion of ropivacaine with fentanyl in a patient with first-de...
Citation: JA Clinical Reports 2022 8:33 -
The evaluation of decision-to-delivery interval in category-1 emergency cesarean section: a report of six cases
In category-1 emergency cesarean section, decision-to-delivery interval (DDI) is an important indicator for evaluating the quality of maternity care. I thus evaluated DDI and neonatal outcome in category-1 eme...
Citation: JA Clinical Reports 2022 8:32 -
Obstructive shock due to tracheal perforation following long-term placement of a tracheostomy tube in a pediatric patient: a case report
Tracheal perforation, although rare, is a known late complication of tracheostomy tube placement.
Citation: JA Clinical Reports 2022 8:31 -
Dilutional acidosis during whole lung lavage under general anesthesia due to excessive absorption of normal saline
Whole lung lavage (WLL) is an effective therapy for pulmonary alveolar proteinosis. We report a rare dilutional acidosis following WLL in a female patient.
Citation: JA Clinical Reports 2022 8:30 -
Venous cannula occlusion during cardiopulmonary bypass recognized by ultrasonography of the internal jugular vein
Occlusion or malposition of the venous cannula during cardiopulmonary bypass (CPB) increases central venous pressure (CVP). When high CVP is measured, we need to determine if it is actually high or if it is me...
Citation: JA Clinical Reports 2022 8:29 -
Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report
Adhesive arachnoiditis has been described as a deteriorating neurological complication after neuraxial blockade; however, few pieces of literatures have reported minor cases that resemble peripheral neuropathy.
Citation: JA Clinical Reports 2022 8:28 -
Effect of cryoprecipitate on an increase in fibrinogen level in patients with excessive intraoperative blood loss: a single-center retrospective study
Cryoprecipitate, which contains fibrinogen and factor VIII in large quantities, is concentrated from fresh frozen plasma, and it has hemostatic effects in severe bleeding. We retrospectively examined the effec...
Citation: JA Clinical Reports 2022 8:27 -
Ventricular fibrillation during carotid endarterectomy and bailout stenting: a case report
Carotid artery manipulation is not a special technique but reports of intraoperative ventricular fibrillation are rare. The risk of fatal arrhythmias may be hidden behind routine surgical techniques and anesth...
Citation: JA Clinical Reports 2022 8:26 -
Remimazolam enabled safe anesthetic management during tracheostomy in a patient with amyotrophic lateral sclerosis: a case report
Amyotrophic lateral sclerosis (ALS) is known to cause generalized muscle atrophy and respiratory complications. Anesthetic agents and methods for patients with ALS are extremely important because they critical...
Citation: JA Clinical Reports 2022 8:25 -
A case of monosomy 21 presented with difficult tracheal intubation
Monosomy 21 is a rare chromosomal abnormality. It is mainly associated with mental retardation, intellectual disability, growth retardation, microcephaly, and characteristic facial features. General anesthesia...
Citation: JA Clinical Reports 2022 8:24 -
Spinal anesthesia for cesarean section in a woman with an intrathecal baclofen pump
Intrathecal baclofen pumps are commonly used for the management of lower extremity spasticity in the setting of spinal cord injury. There have been no reports of the performance of spinal anesthesia in patient...
Citation: JA Clinical Reports 2022 8:23 -
One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
One-lung ventilation is a standard technique for thoracic anesthesia. Usually, one-lung ventilation requires a large-bore tracheal tube. Therefore, in patients with vocal cord morbidity, it is challenging to a...
Citation: JA Clinical Reports 2022 8:22 -
Anesthetic management of living-donor lung transplantation for end-stage COVID-19 lung failure
Citation: JA Clinical Reports 2022 8:21 -
Hyperchloremic metabolic acidosis due to saline absorption during laser enucleation of the prostate: a case report
Recent technological advancements have enabled the use of electrolyte solutions such as saline or buffered electrolyte solution during transurethral resection or laser enucleation of the prostate. However, sal...
Citation: JA Clinical Reports 2022 8:20 -
Intraoperative myocardial infarction and refractory cardiogenic shock during major hepatectomy: a case report
Myocardial infarction (MI) complicated by cardiogenic shock during non-cardiac surgery is a rare but fatal complication. The management of intraoperative MI is challenging.
Citation: JA Clinical Reports 2022 8:19 -
Two cases of circulatory collapse due to suspected remimazolam anaphylaxis
Remimazolam was approved in Japan in January 2020. We report two cases of circulatory collapse due to suspected remimazolam anaphylaxis during anesthetic induction.
Citation: JA Clinical Reports 2022 8:18 -
Rapid detection of single nucleotide polymorphisms using the MinION nanopore sequencer: a feasibility study for perioperative precision medicine
Precision medicine is a phrase used to describe personalized medical care tailored to specific patients based on their clinical presentation and genetic makeup. However, despite the fact that several single nu...
Citation: JA Clinical Reports 2022 8:17 -
Lateral position for difficult intubation in a patient with history of hemiglossectomy and flap reconstruction: a case report
Reconstructive head and neck surgery can alter upper airway anatomy. We report a difficult intubation in a patient with a history of hemiglossectomy and reconstruction.
Citation: JA Clinical Reports 2022 8:16 -
Enhanced recovery from fulminant myocarditis by treatment with the combined use of the Impella left ventricular assist device with extracorporeal membrane oxygenation: a case series
We experienced two adult cases of fulminant myocarditis with severe cardiogenic shock where Impella left ventricular assist device [left ventricle (LV)-Impella] was concomitantly used with venoarterial extraco...
Citation: JA Clinical Reports 2022 8:15 -
Poor echocardiographic view can be a sign of the development of thoracic pneumatosis
Citation: JA Clinical Reports 2022 8:14 -
Major intraoperative bleeding and drastic change in circulatory dynamics in a pregnant patient with metastatic pheochromocytoma: a case report
Metastatic pheochromocytoma in the spine is a very rare complication during pregnancy. We report anesthesia in a pregnant woman for resection of an undiagnosed spinal tumor, accompanied by remarkable hemodynam...
Citation: JA Clinical Reports 2022 8:13 -
Successful lung-protective ventilatory management during the VV-ECMO in a severe COVID-19 pneumonia patient with extensive pneumomediastinum and subcutaneous emphysema: a case report
Ventilatory management of respiratory failure with pneumomediastinum/subcutaneous emphysema is not established. Herein, we report a case of severe COVID-19 pneumonia with extensive pneumomediastinum/subcutaneo...
Citation: JA Clinical Reports 2022 8:12 -
Massive hemoptysis managed by prolonged anticoagulation-free veno-venous extracorporeal membrane oxygenation with which thoracic surgeries were accompanied: a case report
Massive hemoptysis causing inadequate ventilation results in life-threatening consequences. We present a patient who developed respiratory insufficiency produced by bronchiectatic massive hemoptysis and underw...
Citation: JA Clinical Reports 2022 8:11 -
Positive end-expiratory pressure setting based on transpulmonary pressure during robot-assisted laparoscopic prostatectomy: an observational intervention study
In robot-assisted laparoscopic prostatectomy (RALP), concerns include the formation of atelectasis and reduced functional residual capacity. The present study aimed to examine the feasibility of positive end-e...
Citation: JA Clinical Reports 2022 8:10 -
Anesthetic management of tracheal stent extraction using a double gum elastic bougie technique
Tracheal stenosis is a life-threatening condition, and management of a patient with a risk of tracheal stenosis is challenging for anesthesiologists. In this report, we describe a method for airway management ...
Citation: JA Clinical Reports 2022 8:9 -
Efficacy of point-of-care thromboelastography 6s to evaluate platelet function in a patient with pseudothrombocytopenia undergoing cardiopulmonary bypass: a case report
Pseudothrombocytopenia is a phenomenon caused by in vitro platelet aggregation induced by anticoagulants contained in blood sampling tubes. Thromboelastography (TEG) 6s is a common point-of-care viscoelastic t...
Citation: JA Clinical Reports 2022 8:8
- ISSN: 2363-9024 (electronic)