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  1. In single-space combined spinal-epidural anesthesia (CSEA), it is important to correctly determine if the fluid coming out of the spinal needle is cerebrospinal fluid (CSF) or the liquid used in the loss of re...

    Authors: Hiromi Ikegami, Kunihisa Hotta and Yoshie Toba
    Citation: JA Clinical Reports 2020 6:75
  2. Hyponatremia can be developed during hysteroscopic surgery with electrolyte-free irrigation fluid. We experienced severe hyponatremia with postoperative seizures and confirmed mild brain edema.

    Authors: Haruko Okazaki, Norikazu Miura, Yuki Kashima, Ryoichi Miyashita, Katsunori Oe, Keiko Kawakami, Tetsuya Ishikawa and Kenichi Masui
    Citation: JA Clinical Reports 2020 6:74
  3. Excessive dynamic airway collapse (EDAC) is an uncommon cause of high airway pressure during mechanical ventilation. However, EDAC is not widely recognized by anesthesiologists, and therefore, it is often misd...

    Authors: Shunichi Murakami, Shunsuke Tsuruta, Kazuyoshi Ishida, Atsuo Yamashita and Mishiya Matsumoto
    Citation: JA Clinical Reports 2020 6:73
  4. In a patient with very long-chain acyl-Coenzyme A dehydrogenase (VLCAD) deficiency, metabolism of fatty acids is impaired and a supply of alternative energy is limited when glucose level is insufficient on sta...

    Authors: Haruyuki Yuasa, Yukio Onoda, Atsuhiro Kitaura, Takashi Mino, Shota Tsukimoto and Shinichi Nakao
    Citation: JA Clinical Reports 2020 6:72
  5. Pulmonary vein thrombosis (PVT) and cerebral infarction are rare but critical complications after video-assisted thoracic surgery (VATS).

    Authors: Yosuke Fujii, Yumiko Mori, Kei Kambara, Kiichi Hirota, Masashi Yanada, Shogo Toda and Mitsuko Hashiguchi
    Citation: JA Clinical Reports 2020 6:71
  6. Approximately half of Kawasaki disease patients are expected to have transitioned to adulthood, and an increasing number of patients with cardiovascular sequelae have gotten pregnant. Management of women with ...

    Authors: Rie Inoue, Yusuke Mazda, Hiroaki Tanaka, Kayo Tanaka, Jun Yoshimatsu, Kazumi Tamura and Katsuo Terui
    Citation: JA Clinical Reports 2020 6:67
  7. Periarticular anesthetic infiltration (PAI) with a corticosteroid is a modality for pain control following total knee arthroplasty (TKA). Systemic corticosteroids are an established antiemetic for the prophyla...

    Authors: Toshiyuki Yano, Takashi Imaizumi, Hidemi Matsu-ura and Tomoki Takahashi
    Citation: JA Clinical Reports 2020 6:66
  8. There has been increasing attention regarding quadratus lumborum block (QLB) and erector spinae plane block (ESPB) as effective truncal blocks. There have been reports of combined QLB and ESPB usage in hip sur...

    Authors: Nobuhiro Tanaka, Takuzo Kitazawa, Saki Mitani, Takanori Suzuka, Yuma Kadoya and Masahiko Kawaguchi
    Citation: JA Clinical Reports 2020 6:65
  9. Erector spinae plane block (ESPB) is useful for providing analgesia after thoracic surgery. Previous reports show that ESPB is safely performed in patients receiving antithrombotic drugs. We effectively perfor...

    Authors: Yu Yamane, Masayuki Kosaka, Haruki Akiizumi and Mitsuo Kuroda
    Citation: JA Clinical Reports 2020 6:64
  10. The left internal jugular vein may be an alternative route for the placement of a pulmonary artery catheter when the right jugular vein is not available. Although the placement through the left internal jugula...

    Authors: Akiko Tomita, Shoko Takada, Tomoko Fujimoto, Mitsuo Iwasaki and Yukio Hayashi
    Citation: JA Clinical Reports 2020 6:63
  11. Spinal muscular atrophy (SMA) is a mostly autosomal recessive genetic disease characterized by progressive muscle weakness from anterior horn degeneration. Nusinersen has recently been approved as a disease-mo...

    Authors: Takashi Nagano, Shinichi Sakura, Noritaka Imamachi and Yoji Saito
    Citation: JA Clinical Reports 2020 6:61
  12. We report a patient in whom we failed to suppress ventricular fibrillation (VF) using nifekalant but succeeded using amiodarone during cardiopulmonary bypass (CPB).

    Authors: Mitsuharu Kodaka, Tetsu Mori, Junko Ichikawa, Kazuyoshi Ando and Makiko Komori
    Citation: JA Clinical Reports 2020 6:60
  13. Spontaneous intracranial hypotension (SIH) is rare but can lead to life-threatening complications including cerebral venous thrombosis (CVT). The concurrence of CVT and SIH raises questions regarding priority.

    Authors: Atsuko Yamamoto, Yoshiyasu Hattammaru and Shoichi Uezono
    Citation: JA Clinical Reports 2020 6:59
  14. Patients with left ventricular assist devices (LVAD) require specific anesthetic and hemodynamic considerations. We report the specific anesthetic preparation and management in this scenario.

    Authors: Andrew J. B. Pisansky, Nelson Burbano-Vera and Matthias F. Stopfkuchen-Evans
    Citation: JA Clinical Reports 2020 6:57
  15. There is no fully recommended methodology for surgery for Barlow’s disease. Various methods have been proposed. The aim of this study was to investigate the effectiveness of transesophageal echocardiography (T...

    Authors: Musashi Yahagi, Takuma Maeda, Hiroko Kanazawa, Kenji Yoshitani and Yoshihiko Ohnishi
    Citation: JA Clinical Reports 2020 6:56
  16. Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease of obstructive pulmonary artery remodeling as a consequence of major vessel thromboembolism. Balloon pulmonary angioplasty (BPA) is an alterna...

    Authors: Tomoko Ota, Kazumi Kawai, Tomoko Niihata and Hideki Fukuda
    Citation: JA Clinical Reports 2020 6:55
  17. The number of elderly patients undergoing elective as well as emergent cardiac surgery is increasing. Octogenarian and older patients undergoing surgery for acute type A aortic dissection (AAD) have a signific...

    Authors: Tetsuhito Masubuchi, Kenji Yoshitani, Kimito Minami, Chisaki Yokoyama, Akito Tsukinaga, Takahisa Goto and Yoshihiko Ohnishi
    Citation: JA Clinical Reports 2020 6:52
  18. Schwartz–Jampel syndrome (SJS) is a very rare inherited disorder characterized by multiple skeletal deformities, limited joint mobility, micrognathia, blepharophimosis, myotonia, and growth retardation. SJS is...

    Authors: Osama Shaalan, Mahmoud Daoud, Ashraf EL-Molla, Rashed Al-Otaibi and Abdulaleem Alatassi
    Citation: JA Clinical Reports 2020 6:51
  19. Previous studies explored the benefits related to early ambulation postoperatively, but few focused on patients with rheumatoid arthritis (RA). We retrospectively evaluated the incidence and predictors of the ...

    Authors: Shunsaku Goto, Yusuke Kasuya, Keiko Okuyama, Katsunori Ikari and Makoto Ozaki
    Citation: JA Clinical Reports 2020 6:50
  20. Complete removal of pain with regional anesthesia has been reported to cause fatal respiratory depression in opioid-dependent patients, which leads us to choose general anesthesia. We hereby report three cases...

    Authors: Natsuko Nozaki-Taguchi, Yuko Ueda, Azusa Inada, Kyongsuk Son and Shiroh Isono
    Citation: JA Clinical Reports 2020 6:49
  21. Perioperative myocardial infarction is a rare but highly fatal complication, which often occurs in patients with poor preoperative cardiac conditions undergoing high-risk surgery. We report a case of acute myo...

    Authors: Thu Nguyen Dang, Nam Tran Hoai, Son Nguyen Viet, Tri Le Huu, Khuong Truong Van, Cuong Nguyen Manh and Tiep Tran Dac
    Citation: JA Clinical Reports 2020 6:48
  22. Lactate is a well-known marker to estimate prognosis after cardiac surgery and critically ill patients. The liver and kidney have a major role in lactate metabolism; however, there was less characterized about...

    Authors: Mariko Ezaka, Junko Tsukamoto, Koichi Matsuo, Nobuhide Kin and Kazue Yamaoka
    Citation: JA Clinical Reports 2020 6:47
  23. Musculocontractural Ehlers-Danlos syndrome is a new and rare subtype of Ehlers-Danlos syndrome in which anesthetic considerations for airway and respiratory management, prevention of skin injuries and joint di...

    Authors: Ryo Wakabayashi, Satoshi Tanaka, Keiko Tsuchiyama, Katsumi Yamamoto, Yuki Maruyama, Kaori Numata and Mikito Kawamata
    Citation: JA Clinical Reports 2020 6:46
  24. Most children with trisomy 13 display central apnea, and are prone to opioid-induced respiratory depression. We conducted opioid-free anesthesia for a patient with trisomy 13 and obstructive sleep apnea, and s...

    Authors: Makiko Yamamoto, Izumi Miyazaki, Hiroaki Kishikawa and Atsuhiro Sakamoto
    Citation: JA Clinical Reports 2020 6:45
  25. Psoriasis vulgaris, a chronic inflammatory skin disease, rarely causes temporomandibular arthritis. We report a case of difficult airway management of a patient with limited range of motion in the temporomandi...

    Authors: Makishi Maeda, Tomohiro Chaki, Ryoichi Kawaguchi, Tomohiko Kimijima and Michiaki Yamakage
    Citation: JA Clinical Reports 2020 6:44
  26. Cardiac sarcoidosis (CS) causes severe conduction abnormalities and arrhythmias. CS patients are increasingly being treated with cardiac resynchronization therapy-defibrillators (CRT-Ds). For the first time, w...

    Authors: Yutaro Kammura, Ai Fujita, Yuji Karashima, Shoko Nakayama, Kazuhiro Shirozu, Tadashi Kandabashi and Ken Yamaura
    Citation: JA Clinical Reports 2020 6:43
  27. Downfolding of the epiglottis into the laryngeal inlet is considered to be a rare complication of tracheal intubation. We describe a case of epiglottic downfolding during tracheal intubation using a McGrath vi...

    Authors: Haruno Soma, Kenta Furutani, Ayaka Hibino, Akinobu Hibino and Hiroshi Baba
    Citation: JA Clinical Reports 2020 6:42
  28. A pulmonary artery catheter (PAC) has to pass the tricuspid and pulmonary valves for its proper placement. Although several factors were reported to hinder the placement, there have been no reports to identify...

    Authors: Yuka Miyata, Shoko Takada, Tomoko Fujimoto, Mitsuo Iwasaki and Yukio Hayashi
    Citation: JA Clinical Reports 2020 6:38
  29. Tracheo-innominate artery fistula (TIF) is a life-threatening complication of tracheostomy. We describe perioperative management for innominate artery transection in a case with TIF.

    Authors: Satoko Noguchi, Junichi Saito, Jun Kawaguchi, Tetsuya Kushikata and Kazuyoshi Hirota
    Citation: JA Clinical Reports 2020 6:37
  30. 5-Aminolevulinic acid (5-ALA) is useful as a photodynamic agent, but its use commonly leads to hypotension. Although avoiding a mean arterial pressure (MAP) < 60 mmHg is important, the incidence of MAP < 60 mm...

    Authors: Tomoaki Yatabe, Takashi Karashima, Motohiko Kume, Yu Kawanishi, Hideo Fukuhara, Tetsuya Ueba, Keiji Inoue, Yoshiyasu Okuhara and Masataka Yokoyama
    Citation: JA Clinical Reports 2020 6:35
  31. Landiolol hydrochloride reduces the incidence of perioperative atrial fibrillation (AF) in cardiac surgery; however, little evidence is available regarding its effects in other types of surgery, including esop...

    Authors: Yoshitaka Aoki, Yohei Kawasaki, Kazuki Ide, Yuichiro Shimizu, Shinsuke Sato and Junichiro Yokoyama
    Citation: JA Clinical Reports 2020 6:34
  32. Trousseau’s syndrome, also known as cancer-associated thrombosis, has several perioperative considerations, including the timing of surgery, anticoagulant therapy, and anesthetic technique. While appropriate a...

    Authors: Yasuhiro Watanabe, Kayoko Matsunuma and Toru Kaneda
    Citation: JA Clinical Reports 2020 6:32
  33. A mitral cleft may be an important etiological factor for significant mitral regurgitation. We diagnose an additional cleft mitral valve by a combination of 2-dimensional (2-D) and 3-dimensional (3-D) echocard...

    Authors: Kazuto Miyata and Sayaka Shigematsu
    Citation: JA Clinical Reports 2020 6:30
  34. Associated laryngeal paralysis is a clinical condition merged with other cranial nerve disorders associated with vocal cord paralysis. It is a rare complication in patients after general anesthesia. Here, we r...

    Authors: Kyotaro Koshika, Takashi Ouchi, Ryohei Serita and Toshiya Koitabashi
    Citation: JA Clinical Reports 2020 6:29
  35. Spinal muscular atrophy (SMA) is a genetic disease characterized by degeneration of the spinal cord, resulting in progressive muscle atrophy. Recently, nusinersen has been approved for treating SMA, which shou...

    Authors: Sayo Nakao, Shinichi Yamada, Katsuya Tsuda, Taishi Yokomizo, Teruyuki Sato, Shuichi Tanoue and Teruyuki Hiraki
    Citation: JA Clinical Reports 2020 6:28
  36. There have been only few reports on butylscopolamine-induced anaphylaxis despite its global usage as an anticholinergic agent for approximately 70 years. We present a case of anaphylaxis caused by butylscopola...

    Authors: Toshie Shiraishi, Mitsuyo Nakamura, Tatsuo Horiuchi and Tomonori Takazawa
    Citation: JA Clinical Reports 2020 6:26