Articles
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Citation: JA Clinical Reports 2022 8:21
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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 -
Plasma orexin A does not reflect severity of illness in the intensive care units patients with systemic inflammation
Systemic inflammatory response occurs by sepsis and invasive surgery. Recent articles suggest that not only CRP but also procalcitonin, presepsin, and neutrophil gelatinase-associated lipocalin may reflect the...
Citation: JA Clinical Reports 2022 8:7 -
Incidence and factors associated with postoperative delirium in patients undergoing transurethral resection of bladder tumor
Postoperative delirium is an important complication after surgery, including urological surgery. This study evaluated the incidence of postoperative delirium and its associated factors after transurethral rese...
Citation: JA Clinical Reports 2022 8:6 -
Frequent tracheal suctioning is associated with extubation failure in patients with successful spontaneous breathing trial: a single-center retrospective cohort study
Extubation failure, i.e., reintubation in ventilated patients, is a well-known risk factor for mortality and prolonged stay in the intensive care unit (ICU). Although sputum volume is a risk factor, the freque...
Citation: JA Clinical Reports 2022 8:5 -
Three cases of difficulty in achieving definitive loss of consciousness with remimazolam
Remimazolam is a novel, ultra-short-acting benzodiazepine used for general anesthesia. Because remimazolam is an emerging drug, the tolerance to remimazolam in benzodiazepine-taking patients has been unclear. ...
Citation: JA Clinical Reports 2022 8:4 -
Respiration and circulation affected by gas leakage into the abdominal cavity during endoscopic esophageal submucosal dissection after gastrostomy: a case report
Pneumoperitoneum is a common complication of percutaneous endoscopic gastrostomy (PEG). We report a case of circulatory and respiratory depression due to pneumoperitoneum caused by PEG dislodgement during endo...
Citation: JA Clinical Reports 2022 8:3 -
Prevention of trigeminocardiac reflex-induced severe bradycardia during cerebral aneurysm clipping surgery by topical anesthesia of the dura surface and atropine administration: a case report
Trigeminocardiac reflex (TCR) by stimulation of the sensory branch of the trigeminal nerve induces transient bradycardia and hypotension. We report a case in which light mechanical stimulation to the dura mate...
Citation: JA Clinical Reports 2022 8:2 -
Anesthetic management of cesarean section in a patient with Takayasu’s arteritis: a case report
Takayasu’s arteritis (TA) is a chronic, progressive, inflammatory arteritis. We presented the case of cesarean section in a patient with TA.
Citation: JA Clinical Reports 2022 8:1 -
Temporary worsening of mitral regurgitation due to conduction disturbance after transcatheter aortic valve implantation
Mitral regurgitation after transcatheter aortic valve implantation (TAVI) can be caused by various etiologies.
Citation: JA Clinical Reports 2021 7:87 -
Successful treatment of severe adrenaline-resistant anaphylactic shock with glucagon in a patient taking a beta-blocker: a case report
The efficacy of glucagon for adrenaline-resistant anaphylactic shock in patients taking β-blockers is controversial. However, understanding the efficacy of glucagon is important because adrenaline-resistant an...
Citation: JA Clinical Reports 2021 7:86 -
Treatment and outcome of COVID-19 patients in a specialized hospital during the third wave: advance of age and increased mortality compared with the first/second waves
To elucidate the clinical course of patients with coronavirus disease 2019 (COVID-19) treated at a specialized hospital mainly for those with mild and moderate severity during the third wave, and to compare th...
Citation: JA Clinical Reports 2021 7:85 -
Esophageal achalasia detected by vomiting during induction of general anesthesia: a case report
Esophageal achalasia is a rare disease with a high risk of aspiration during anesthesia induction. Here, we describe our experience involving a case of undiagnosed esophageal achalasia with profuse vomiting du...
Citation: JA Clinical Reports 2021 7:84 -
Evaluation of microbial contamination on cuff syringe, cuff pressure gauge, and their surroundings in the operating room
Some institutions reuse cuff syringes and do not periodically sterilize cuff pressure gauges. Pathogenic bacterial contamination of such equipment may increase the probability of pathogen transmission to patie...
Citation: JA Clinical Reports 2021 7:83 -
Remifentanil-induced penile erection in elderly patients undergoing urethroscopic surgery
Citation: JA Clinical Reports 2021 7:82 -
Intact survival from severe cardiogenic shock caused by the first attack of atrial tachycardia treated with extracorporeal membrane oxygenation and surgical left atrium appendage resection: a case report
Atrial tachycardia (AT) is rare in children and can usually be reversed to sinus rhythm with pharmacotherapy and cardioversion. We report a rare case of severe left-sided heart failure due to refractory AT.
Citation: JA Clinical Reports 2021 7:81 -
Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
We present three cases of severe peripartum cardiomyopathy (PPCM) that required mechanical circulatory supports.
Citation: JA Clinical Reports 2021 7:80 -
Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report desc...
Citation: JA Clinical Reports 2021 7:79 -
General anesthesia with remimazolam in a patient with clinically suspected malignant hyperthermia
Citation: JA Clinical Reports 2021 7:78 -
Veno-venous extracorporeal membrane oxygenation in the management of refractory bilateral bronchial dehiscence after lung transplant: a case report
Bronchial dehiscence is a life-threatening complication after lung transplant. If it is not treated by placement of stent or reanastomosis, the chance of survival will depend on the availability of a new graft...
Citation: JA Clinical Reports 2021 7:77 -
Successful treatment of bepridil-induced intraoperative torsades de pointes by isoproterenol infusion
Several types of antiarrhythmic drugs are known to induce QT prolongation and torsades de pointes.
Citation: JA Clinical Reports 2021 7:76 -
Clonazepam for pain due to muscle spasm in a patient with vertebral compression fractures caused by multiple myeloma: a case report
Vertebral compression fractures can cause severe back pain. Although many types of analgesics and interventional treatments are available, they are sometimes ineffective in mitigating the pain. We encountered ...
Citation: JA Clinical Reports 2021 7:75 -
Persistent sciatic artery within the paraneural sheath of the sciatic nerve at the popliteal fossa
Citation: JA Clinical Reports 2021 7:74 -
Treatment-resistant venous thrombosis and pulmonary embolism in a patient with granulomatosis with polyangiitis: a case report
We herein present a case of venous thrombosis that developed more than 20 years after diagnosis of granulomatosis with polyangiitis (GPA), although many reports of GPA have described venous thrombosis within 1...
Citation: JA Clinical Reports 2021 7:73 -
A case of spinal nerve neurotoxicity with ropivacaine after combined spinal and epidural anesthesia
Neurotoxicity caused by a local anesthetic after regional anesthesia is a rare but serious problem for anesthesiologists. It is difficult to diagnose neurotoxicity from anesthetics because of the large number ...
Citation: JA Clinical Reports 2021 7:72 -
Anesthetic management of super-elderly patients with remimazolam: a report of two cases
Remimazolam is a newly developed benzodiazepine with more rapid onset and offset of sedation effects than midazolam. We report elderly patients in whom a small dose of remimazolam was successfully used for gen...
Citation: JA Clinical Reports 2021 7:71 -
Intra-operative intravascular effect of the difference in colloid solutions during acute normovolemic hemodilution
Acute normovolemic hemodilution (ANH) is used to reduce the risk of peri-operative allogeneic blood transfusion. Although crystalloid and/or colloid solutions have been used for volume replacement during ANH, ...
Citation: JA Clinical Reports 2021 7:70 -
Right ventricular perforation, pneumothorax, and a pneumatocele by a pacemaker lead: a case report
Perforation of the right ventricle by a pacemaker lead is a rare and potentially life-threatening complication. We present a patient who developed right ventricular perforation, pneumothorax, and a cyst and un...
Citation: JA Clinical Reports 2021 7:69 -
Intraoperative anaphylaxis due to aprotinin after local application of fibrin sealant diagnosed by skin tests and basophil activation tests: a case report
There are few cases of anaphylaxis after local application of fibrin sealant diagnosed by skin tests.
Citation: JA Clinical Reports 2021 7:68 -
Platypnea–orthodeoxia syndrome associated with COVID-19 pneumonia: a case report
Platypnea–orthodeoxia syndrome (POS) is a rare clinical condition characterized by respiratory distress and/or hypoxia developing in the sitting/upright position, which is relieved in the recumbent position. T...
Citation: JA Clinical Reports 2021 7:67 -
Bispectral Indexâ„¢ variation during living donor liver transplantation in a child with hepatic encephalopathy: a case report
It is unclear whether perioperative Bispectral Indexâ„¢ (BIS) monitoring in pediatric cases with acute liver failure (ALF) is effective for evaluation of neurological function. We describe a pediatric patient wi...
Citation: JA Clinical Reports 2021 7:66 -
Interpretation of concurrent positive skin tests to prophylactic antibiotics and rocuronium
Citation: JA Clinical Reports 2021 7:65 -
Radiating pain during epidural needle insertion and catheter placement cannot be associated with postoperative persistent paresthesia: a retrospective review
It has been suggested that radiating pain during spinal or epidural needle insertion and catheter placement can be an indicator of needle-related nerve injury. In this study, using a historical cohort, we inve...
Citation: JA Clinical Reports 2021 7:64 -
Examination of the frequency of upward and downward fluctuations in the pressure obtained from the cuff pressure-time curve by continuous measurement of endotracheal tube cuff pressure during thyroid surgery: a case series
Few studies examined time-to-time changes of cuff pressure of an endotracheal tube during surgery. We retrospectively analyzed the changes of cuff pressure during thyroid surgery and examined its relationships...
Citation: JA Clinical Reports 2021 7:63 -
Co-infection with Legionella and SARS-CoV-2: a case report
We report a case of COVID-19 with Legionella co-infection that was treated successfully.
Citation: JA Clinical Reports 2021 7:62 -
Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
Hyperactive dysfunction syndrome (HDS) refers to a constellation of symptoms developing from cranial nerve overactivity caused by neurovascular compression at the root entry or exit zone near the brainstem. Al...
Citation: JA Clinical Reports 2021 7:61 -
Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report
Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion ...
Citation: JA Clinical Reports 2021 7:60 -
Catheter-induced anaphylaxis and determination of the causative catheter in a patient undergoing neuroendovascular surgery: a case report
Anaphylaxis caused by a catheter itself used for endovascular surgery is rare, and a method for detection of a causative catheter has not been established. We report a case of catheter-induced anaphylaxis in w...
Citation: JA Clinical Reports 2021 7:59
- ISSN: 2363-9024 (electronic)