Patients with renal failure are susceptible to electrolyte disturbances including life-threatening hyperkalemia, and intraoperative hepatic damage exacerbates it. We report a case on hemodialysis who developed...
Authors: Eriko Takeyama, Nobuyuki Nishimura, Eizo Amano and Hiromi Shibuya
Severe mitral regurgitation (MR) after aortic valve replacement (AVR) is a serious complication. Although several causes of MR after AVR have been reported, severe MR due to geometric changes in the mitral val...
Although 5-aminolevulinic acid (5-ALA) is used for the photodynamic diagnosis of bladder tumors, hypotension is the most commonly observed adverse effect. We present a case of 5-ALA-induced severe hypotension ...
Video-assisted thoracoscopic surgery (VATS) is usually performed under general anesthesia with a double-lumen tube. Recently, VATS without tracheal intubation in a patient with severe respiratory dysfunction h...
Authors: Yuki Kikuchi, Masaki Orihara, Rie Mieda and Shigeru Saito
Urea cycle disorders are rare; arginase-1 deficiency is one of those extremely rare autosomal recessive metabolic disorders. Arginase-1 is one among the enzymes involved in the production of urea from ammonia ...
Authors: Hideya Kato, Ken Kawaguchi and Teiji Sawa
Serotonin syndrome is a rare but potentially severe disease, which is caused by hyperstimulation of serotonin receptors in the central nervous system. Several antidepressants exert their effect by modulating i...
Von Willebrand disease (VWD) is the most common inherited bleeding disorder in humans. Coagulopathies such as VWD are evidently risk factors for post-surgical bleeding. Perioperative management of patients wit...
Authors: Hiroyuki Oshika, Yukihide Koyama, Koichi Tsuzaki, Kohmei Ida and Tomio Andoh
Minimally invasive cardiac surgery (MICS) for simple congenital heart defects has become popular, and monitoring of regional cerebral oxygen saturation (rSO2) is crucial for preventing cerebral ischemia during pe...
Authors: Fumiaki Hayashi, Rei Nishimoto, Kazuyoshi Shimizu, Tomoyuki Kanazawa, Tatsuo Iwasaki and Hiroshi Morimatsu
Retrocaval ureter was diagnosed in a woman complaining of ureteric pain in the last trimester of pregnancy. We describe the rationale behind the administration of epidural analgesia for her colic attack.
Authors: Soshi Iwasaki, Kohsuke Hamada, Kazunobu Takahashi, Mika Takahashi, Eri Mizuno, Naomi Mizukami and Michiaki Yamakage
Surgeries requiring one-lung ventilation (OLV) in patients with Fontan circulation pose great challenges. However, little information is available regarding the safety of OLV in Fontan patients when hemidiaphr...
Kounis syndrome (KS) is defined as the occurrence of acute coronary syndrome (ACS) associated with an anaphylactic reaction, and there have only been a few reports of its occurrence under general anesthesia.
Patients with achondroplasia have various airway deformations and spinal anatomic abnormalities; therefore, performing general anesthesia and neuraxial anesthesia in such patients can be challenging.
Authors: Toshiyuki Nakanishi, Manabu Yoshimura and Takashi Toriumi
Subglottic stenosis is a known complication of traumatic and prolonged endotracheal intubation. It is rare that the causes of severe subglottic stenosis are revealed to be an unexpected foreign body after airw...
Authors: Tatsuya Tsuji, MinHye So and Kazuya Sobue
INTELLiVENT®-ASV (iASV) is a respiration mode on the Hamilton G5. The ventilator uses a closed-loop mechanism that automatically adjusts settings related to oxygenation and ventilation.
Left ventricular pseudoaneurysm (LV-PAN) formation is a rare complication after cardiac surgery and mainly occurs after mitral valve surgery. Echocardiography plays a critical role in the assessment of rupture...
Authors: Futaba Miyoshi, Yusuke Seino, Minoru Nomura and Makoto Ozaki
Lumbar epidural analgesia (LEA) is the most widely used method in reducing labor pain. Previous RCTs have shown that LEA does not increase cesarean section rates; however, the results are inconsistent and may ...
Serum cholinesterase (ChE) in elderly adults is associated with geriatric conditions such as sarcopenia and malnutrition. The aim of this study is to examine the impact of preoperative serum ChE on the develop...
Peripartum cardiomyopathy is an uncommon form of heart failure that occurs in otherwise healthy women during pregnancy or until 5 months postpartum. Here, we report a rare case where a female patient underwent...
Authors: Saya Hakata, Takeshi Umegaki, Takehiro Soeda, Kota Nishimoto, Akiko Ando, Natsuki Anada, Takeo Uba, Chisato Sumi and Takahiko Kamibayashi
The main purposes of awake craniotomy are to minimize postoperative brain dysfunction caused by the surgical procedure and to maximize the tumor resection range. In awake craniotomy, it is important to have a ...
Authors: Shunsuke Tachibana, Masahito Omote and Michiaki Yamakage
Involuntary muscle contraction caused by extracardiac stimulation is a rare complication induced by a pacemaker. We report a case who developed sudden onset diaphragmatic contractions during general anesthesia...
Temperature monitoring in the perioperative periods is important in order to avoid both hyperthermia and hypothermia. In our pilot study, we evaluated the usefulness of Bair Hugger™ temperature monitoring syst...
Authors: Shunsuke Tachibana, Yutaro Chida and Michiaki Yamakage
Although rare, long-lasting fetal tachyarrhythmia often leads to fetal heart failure and hydrops. Some mothers receive transplacental treatment of fetal tachyarrhythmia (TTFT), which can potentially worsen mat...
Hereditary spastic paraplegia (HSP) is a rare, genetic neurodegenerative condition. Thus far, ideal anesthetic management is not established for patients with HSP; therefore, careful selection and dosage of an...
Authors: Masahiro Tada, Kazuyoshi Tateoka, Kenji Yamamoto, Yasuyoshi Inagaki and Takayuki Kunisawa
Primary peritonitis due to Streptococcus pyogenes (S. pyogenes) is uncommon in patients without comorbid conditions such as immunosuppression, nephritic disease, or liver cirrhosis. Furthermore, it does not cause...
We present a rare case of prolonged neuromuscular blockade and insufficient reversal after sugammadex administration in a pregnant patient being treated with magnesium sulfate and nifedipine undergoing cesarea...
Anesthetic considerations for surgery during pregnancy include the safety of both mother and fetus. We successfully administered anesthesia for total mastectomy to a pregnant woman using general anesthesia com...
Authors: Atsushi Sawada, Sayaka Sotome, Mikako Kusakai and Michiaki Yamakage
Esophageal perforation is a rare but serious complication of transesophageal echocardiography (TEE). An enlarged left atrium (LA), which is commonly associated with mitral stenosis (MS), is an under-recognized...
Radiation enteritis following radiotherapy targeting the abdomen occasionally causes ulcers or ileus, which can be difficult to treat and usually progressive and refractory, significantly degrading the patient...
Authors: Moegi Tanaka, Yoshinori Kamiya, Hiroki Shimizu, Tatsunori Watanabe, Natsuko Naito and Hiroshi Baba
Chronic inflammatory demyelinating polyneuropathy (CIPD) is a rare acquired immune-mediated progressive and relapsing disorder that causes peripheral neuropathy lasting more than 2 months. We report the succes...
Renal artery aneurysms (RAAs) in pregnancy are uncommon, with most found after rupturing. The risk of RAA rupture increases during pregnancy and delivery.
Authors: Misa Matsuoka, Takashi Suto, Sayaka Hio and Shigeru Saito
Severe abdominal pain caused by a rectus sheath hematoma (RSH) can decrease a patient’s activities of daily living. A case of postoperative RSH for which a continuous rectus sheath block (RSB) was effective is...
Authors: Sho Kumita, Shunsuke Tachibana, Takahiro Ichimiya and Michiaki Yamakage
Primary pulmonary arterial sarcoma (PPAS) is a rare condition. Although resection is recommended to improve prognosis, optimal anesthesia management for these cases remains unclear.
Authors: Keitaro Tachi, Shinichi Inomata and Makoto Tanaka
Autologous epidural blood patch (AEBP) is effective for post-dural-puncture headache (PDPH). In some cases, repeat procedures are required for complete cure. In rare instances, severe adverse effects can occur...
Wolff-Parkinson-White (WPW) syndrome has the risk of sudden cardiac death. Without appropriate treatment, coronary vasospasm is also a potentially fatal condition due to ischemia-induced ventricular fibrillati...
Authors: Yuka Matsuki, Maki Mizogami and Kenji Shigemi
Status epilepticus requires immediate treatment because treatment delay can cause permanent neurologic complications. Dexmedetomidine may be an option for the treatment of status epilepticus although its effec...
Authors: Shinju Obara, Koh Kakinouchi, Jun Honda, Yoshie Noji, Chie Hanayama and Masahiro Murakawa
