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  1. Wilson’s disease is a rare autosomal recessive disorder affecting copper metabolism, which presents liver and brain dysfunction caused by abnormal copper accumulation. We report a patient who showed exacerbati...

    Authors: Kana Saito, Eiko Onishi, Jun Itagaki, Noriko Toda, Azusa Haitani and Masanori Yamauchi

    Citation: JA Clinical Reports 2019 5:75

    Content type: Case report

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  2. 5-Aminolevulinic acid (5-ALA) is utilized for photodynamic diagnosis-assisted (PDD) surgery. However, it has been associated with vasodilation, hence, occasional hypotension.

    Authors: Tohru Shiratori, Kunihisa Hotta, Masaaki Satoh, Chiaki Kiuchi, Noriyuki Ogawa and Takayuki Kamigaito

    Citation: JA Clinical Reports 2019 5:74

    Content type: Case report

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  3. Information on epidemiology of prolonged mechanical ventilation (PMV) patients in the acute care setting in Japan is totally lacking. We aimed to investigate clinical features, impact, and long-term outcomes o...

    Authors: Isao Nagata, Tetsuhiro Takei, Junji Hatakeyama, Masafumi Toh, Hiroyuki Yamada and Michiko Fujisawa

    Citation: JA Clinical Reports 2019 5:73

    Content type: Original article

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  4. Intraoperative hemodynamic management is challenging because precise assessment of the adequacy of the intravascular volume is difficult during surgery. Perfusion index (PI) has been shown to reflect changes i...

    Authors: Kohei Godai, Akira Matsunaga and Yuichi Kanmura

    Citation: JA Clinical Reports 2019 5:72

    Content type: Original article

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  5. The incidence of postoperative nausea and vomiting (PONV) is higher in patients receiving volatile anesthetics than those receiving total intravenous anesthesia (TIVA) with propofol. However, it is unclear whe...

    Authors: Yuka Uchinami, Satoshi Takikawa, Fumiki Takashima, Yosuke Maeda, Satoki Nasu, Ayumi Ito and Tatushi Saito

    Citation: JA Clinical Reports 2019 5:70

    Content type: Original article

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  6. Long-term opioid treatment for chronic non-cancer pain has become controversial, given the increasing prevalence of opioid dependence. However, there is little information on therapeutic strategies for this co...

    Authors: Marie Shigematsu-Locatelli, Takashi Kawano, Tsuyoshi Koyama, Hideki Iwata, Atsushi Nishigaki, Bun Aoyama, Hiroki Tateiwa, Noriko Kitaoka and Masataka Yokoyama

    Citation: JA Clinical Reports 2019 5:68

    Content type: Case report

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  7. The use of deep pericardial suture (DPS) is a widely used technique to lift the heart and expose the targeted vessels during off-pump coronary artery bypass grafting (OPCAB). Several reports alert massive blee...

    Authors: Mirei Nagai, Satoshi Kurokawa, Makoto Ozaki and Minoru Nomura

    Citation: JA Clinical Reports 2019 5:67

    Content type: Case report

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  8. The right external iliac vein (REIV) is often used for portal vein reconstruction in patients undergoing pancreatoduodenectomy with portal-superior mesenteric vein resection. We report a case of cardiac arrest...

    Authors: Koji Hoshino, Toru Nakamura, Mineji Hayakawa, Yusuke Itosu, Hitoshi Saito, Satoshi Hirano and Yuji Morimoto

    Citation: JA Clinical Reports 2019 5:65

    Content type: Case report

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  9. Hypertrophic obstructive cardiomyopathy (HOCM) is a type of hypertrophic cardiomyopathy associated with left ventricular outflow tract stenosis. The increased pressure gradients across the left ventricular out...

    Authors: Sho Yamazaki, Takeshi Omae, Keito Koh, Sonoko Sakuraba, Yosuke Katsuda and Masateru Kumemura

    Citation: JA Clinical Reports 2019 5:64

    Content type: Case report

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  10. The Geriatric Nutritional Risk Index (GNRI) based on serum albumin level and body weight and the Controlling Nutritional Status Score (CONUT) based on serum albumin level, total cholesterol level, and total ly...

    Authors: Atsushi Kotera

    Citation: JA Clinical Reports 2019 5:62

    Content type: Original article

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  11. 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

    Citation: JA Clinical Reports 2019 5:60

    Content type: Case report

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  12. 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...

    Authors: Ryo Wakabayashi, Susumu Ide, Takashi Ishida, Satoshi Tanaka and Mikito Kawamata

    Citation: JA Clinical Reports 2019 5:59

    Content type: Case report

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  13. 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 ...

    Authors: Tomoaki Yatabe, Shigematsu-Locatelli Marie, Hideo Fukuhara, Takeshi Karashima, Keiji Inoue and Masataka Yokoyama

    Citation: JA Clinical Reports 2019 5:58

    Content type: Case report

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  14. 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

    Citation: JA Clinical Reports 2019 5:57

    Content type: Case report

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  15. 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

    Citation: JA Clinical Reports 2019 5:56

    Content type: Case report

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  16. 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...

    Authors: Junko Takata, Tomoko Arashi, Ayako Abe, Shoko Arai and Naoko Haruyama

    Citation: JA Clinical Reports 2019 5:55

    Content type: Case report

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  17. 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

    Citation: JA Clinical Reports 2019 5:54

    Content type: Case report

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  18. 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

    Citation: JA Clinical Reports 2019 5:53

    Content type: Case report

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  19. 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

    Citation: JA Clinical Reports 2019 5:52

    Content type: Case report

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  20. 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...

    Authors: Yusuke Sasaki, Jungo Kato, Rie Minoshima, Hiromasa Nagata, Shizuka Minamishima, Takeshi Suzuki and Hiroshi Morisaki

    Citation: JA Clinical Reports 2019 5:50

    Content type: Case report

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  21. Resuscitative endovascular balloon occlusion of the aorta (REBOA) can control massive postpartum hemorrhage.

    Authors: Mitsunori Ikeda, Toshihiro Kitai, Nobuhiro Hayashi, Isao Ukai, Toshikatsu Nobunaga, Masanobu Kohno and Tatsuya Sugino

    Citation: JA Clinical Reports 2019 5:48

    Content type: Case report

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  22. 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

    Citation: JA Clinical Reports 2019 5:47

    Content type: Case report

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  23. 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.

    Authors: Takayuki Taira, Tatsuya Fuchigami, Misuzu Hayashi, Kouta Kamizato, Kouji Teruya and Manabu Kakinohana

    Citation: JA Clinical Reports 2019 5:42

    Content type: Case report

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  24. 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

    Citation: JA Clinical Reports 2019 5:41

    Content type: Case report

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  25. 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 ...

    Authors: Yusuke Naito, Mitsuru Ida, Ryo Yamamoto, Kazuya Tachibana and Keiko Kinouchi

    Citation: JA Clinical Reports 2019 5:40

    Content type: Original article

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  26. 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...

    Authors: Mitsuhiro Matsuo and Tohru Yamagami

    Citation: JA Clinical Reports 2019 5:39

    Content type: Original article

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  27. 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

    Citation: JA Clinical Reports 2019 5:38

    Content type: Case report

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  28. 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

    Citation: JA Clinical Reports 2019 5:37

    Content type: Case report

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  29. 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...

    Authors: Kanae Tanabe, Masakazu Kotoda, Daiki Nakashige, Kazuha Mitsui, Kodai Ikemoto and Takashi Matsukawa

    Citation: JA Clinical Reports 2019 5:36

    Content type: Case report

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  30. 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...

    Authors: Nobuhiro Tanaka, Tomoaki Fujii, Niina Mikami, Yuka Uchinami, Hitoshi Saito and Yuji Morimoto

    Citation: JA Clinical Reports 2019 5:31

    Content type: Case report

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  31. 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

    Citation: JA Clinical Reports 2019 5:30

    Content type: Case report

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  32. 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...

    Authors: Masashi Inoue, Eisuke Kako, Rie Kinugasa, Fumiaki Sano, Hironobu Iguchi and Kazuya Sobue

    Citation: JA Clinical Reports 2019 5:29

    Content type: Case report

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  33. 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...

    Authors: Kuniaki Moriwaki and Kenji Kayashima

    Citation: JA Clinical Reports 2019 5:28

    Content type: Case report

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  34. Following publication of the original article [1], the authors reported an error in Fig. 1b and c. A black bar and arrows were added.

    Authors: Shinju Obara, Koh Kakinouchi, Jun Honda, Yoshie Noji, Chie Hanayama and Masahiro Murakawa

    Citation: JA Clinical Reports 2019 5:26

    Content type: Correction

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    The original article was published in JA Clinical Reports 2019 5:12