JA Clinical Reports最新文献

Acute aortic dissection during minimally invasive cardiac surgery: a case report.

IF 0.8

JA Clinical Reports Pub Date : 2025-01-31 DOI: 10.1186/s40981-025-00771-2

Taisuke Kumamoto

引用次数: 0

Acute decompensated right heart failure potentially triggered by multiple factors including pulmonary vasodilator removal during plasma exchange: a case report.

IF 0.8

JA Clinical Reports Pub Date : 2025-01-27 DOI: 10.1186/s40981-025-00765-0

Takayuki Toki, Kazuyuki Mizunoya, Misa Itabashi, Naoki Nishikawa, Koji Hoshino, Hitoshi Saito, Yuji Morimoto

{"title":"Acute decompensated right heart failure potentially triggered by multiple factors including pulmonary vasodilator removal during plasma exchange: a case report.","authors":"Takayuki Toki, Kazuyuki Mizunoya, Misa Itabashi, Naoki Nishikawa, Koji Hoshino, Hitoshi Saito, Yuji Morimoto","doi":"10.1186/s40981-025-00765-0","DOIUrl":"10.1186/s40981-025-00765-0","url":null,"abstract":"Background: Plasma exchange (PE) removes high-molecular-weight substances and is sometimes used for antineutrophil cytoplasmic antibody-associated vasculitis (AAV) with alveolar hemorrhage. Hypotension during PE is rare, except in allergic cases. We report a case of shock likely caused by increased pulmonary vascular resistance (PVR) during PE.Case presentation: A 66-year-old man with pulmonary hypertension (PH) and glomerulonephritis was admitted with dyspnea. He had discontinued sildenafil prior to admission. Alveolar hemorrhage associated with AAV was suspected, and PE was performed. Soon after, he developed circulatory failure and hyperlactatemia. Echocardiography revealed right ventricular dilation, suggesting increased PVR. Inhaled nitric oxide (iNO) was administered, rapidly improving hyperlactatemia and oxygenation. The shock observed during PE was attributed to multiple factors, including the potential removal of sildenafil, which may have led to an increase in PVR.Conclusions: The shock was attributable to acute right heart failure caused by an exacerbation of PH, possibly due to sildenafil removal via PE, although other contributing factors could not be excluded.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"5"},"PeriodicalIF":0.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous transcatheter aortic valve implantation and femoral osteosynthesis: a case report.

IF 0.8

JA Clinical Reports Pub Date : 2025-01-27 DOI: 10.1186/s40981-025-00769-w

Yuki Mitsuta, Yukiko Okamura, Yosuke Miyamoto, Dai Tanahira

{"title":"Simultaneous transcatheter aortic valve implantation and femoral osteosynthesis: a case report.","authors":"Yuki Mitsuta, Yukiko Okamura, Yosuke Miyamoto, Dai Tanahira","doi":"10.1186/s40981-025-00769-w","DOIUrl":"10.1186/s40981-025-00769-w","url":null,"abstract":"Background: Simultaneous cardiac and non-cardiac surgeries can be beneficial for patients, but there are still few reports on this approach.Case presentation: A 90-year-old woman was diagnosed with a femoral trochanteric fracture and severe aortic stenosis. A heart team conference decided to perform transcatheter aortic valve implantation (TAVI) and femoral osteosynthesis under general anesthesia on the same day. A preoperative simulation was conducted to review the surgical procedure and confirm the arrangement of the operating table and instruments. Preoperative management was carried out with attention to the risk of myocardial ischemia caused by bleeding or pain from the fracture. Transfemoral TAVI was completed without trouble, and after the patient was moved to the traction table, osteosynthesis was started. Back-up pacing with a temporary pacemaker was activated for atrioventricular block and bradycardia. After completing the surgery, the patient recovered from anesthesia, and extubation was performed after confirming the absence of paralysis. The patient had no noticeable postoperative complications and successfully underwent rehabilitation.Conclusions: Through meticulous preparation and perioperative management, we were able to perform TAVI and femoral osteosynthesis simultaneously, achieving a favorable outcome.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"4"},"PeriodicalIF":0.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae. 纠正：在有多个大泡的患者麻醉苏醒期间有效使用声门上气道（i-gel™）。

IF 0.8

JA Clinical Reports Pub Date : 2025-01-22 DOI: 10.1186/s40981-025-00768-x

Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito

引用次数: 0

Intraoperative vascular anastomosis occlusion due to cold agglutinin disease during brain surgery: a case report. 脑外科手术中冷凝素病致术中血管吻合口闭塞1例。

IF 0.8

JA Clinical Reports Pub Date : 2025-01-18 DOI: 10.1186/s40981-025-00766-z

Kazuma Kitamura, Mayumi Nakanishi, Naokazu Fukuoka, Kumiko Tanabe, Yoshinori Kamiya

{"title":"Intraoperative vascular anastomosis occlusion due to cold agglutinin disease during brain surgery: a case report.","authors":"Kazuma Kitamura, Mayumi Nakanishi, Naokazu Fukuoka, Kumiko Tanabe, Yoshinori Kamiya","doi":"10.1186/s40981-025-00766-z","DOIUrl":"https://doi.org/10.1186/s40981-025-00766-z","url":null,"abstract":"Background: Cold agglutinin disease (CAD) is an autoimmune hemolytic anemia that induces blood coagulation and hemolysis upon exposure to cold temperatures. Strict temperature control is essential to mitigate these effects, especially during surgical procedures where hypothermia is possible.Case presentation: A 57-year-old male, 165 cm and 72 kg, diagnosed with CAD, underwent cerebral vascular anastomosis. Intraoperatively, mean arterial pressure was maintained at or above 65 mmHg with phenylephrine administration, while body temperature was rigorously controlled between 36.5 °C and 37.5 °C using forced-air warming blankets and heated intravenous infusions. Despite these measures, thrombotic occlusion occurred, necessitating surgical thrombus removal, intravenous heparin administration, and irrigation of the surgical field with warmed saline followed by re-anastomosis. The anastomosis remained patent without recurrence of thrombus formation thereafter.Conclusion: Preventing hypothermia is extremely important in the anesthesia management of CAD patients. However, careful attention must also be paid to temperature regulation in the surgical field.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"2"},"PeriodicalIF":0.8,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report. 低温射频热凝联合双侧Gasserian神经节脉冲射频治疗多发性硬化所致双侧三叉神经痛1例报告。

IF 0.8

JA Clinical Reports Pub Date : 2025-01-13 DOI: 10.1186/s40981-025-00764-1

Mihoko Tamura, Masayuki Nakagawa, Yoichiro Abe

{"title":"A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report.","authors":"Mihoko Tamura, Masayuki Nakagawa, Yoichiro Abe","doi":"10.1186/s40981-025-00764-1","DOIUrl":"10.1186/s40981-025-00764-1","url":null,"abstract":"Background: Bilateral trigeminal neuralgia secondary to multiple sclerosis is an extremely rare condition. When Gasserian ganglion block is performed, it is necessary to achieve reliable long-term analgesic effects while avoiding treatment-related complications.Case presentation: A 49-year-old male with multiple sclerosis exhibited persistent dull pain and paroxysmal electric shock-like pain in his bilateral maxillary molars and mandible. He was diagnosed with trigeminal neuralgia due to multiple sclerosis. Due to severe side effects, it was difficult to achieve adequate pain control with medication alone. By performing low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the Gasserian ganglion while monitoring masseter muscle contraction, a satisfactory and rapid analgesic effect was obtained without masticatory atonia.Conclusions: To the best of our knowledge, this is the first case of bilateral trigeminal neuralgia due to multiple sclerosis in which low-temperature radiofrequency thermocoagulation combined with pulsed radiofrequency was successfully performed for pain relief without masticatory atonia.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"1"},"PeriodicalIF":0.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential role of electroencephalographic monitoring for diagnosis and treatment of local anesthetic systemic toxicity during general anesthesia: a case report. 脑电图监测在全麻时局麻全身毒性的诊断和治疗中的潜在作用：1例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-12-28 DOI: 10.1186/s40981-024-00763-8

Ryo Wakabayashi, Seiichi Azuma, Saori Hayashi, Yuji Ueda, Masaki Iwakiri, Masaaki Asamoto, Kanji Uchida

{"title":"Potential role of electroencephalographic monitoring for diagnosis and treatment of local anesthetic systemic toxicity during general anesthesia: a case report.","authors":"Ryo Wakabayashi, Seiichi Azuma, Saori Hayashi, Yuji Ueda, Masaki Iwakiri, Masaaki Asamoto, Kanji Uchida","doi":"10.1186/s40981-024-00763-8","DOIUrl":"10.1186/s40981-024-00763-8","url":null,"abstract":"Background: Local anesthetic systemic toxicity (LAST) is a rare but potentially life-threatening complication. Under general anesthesia, neurological signs are often masked, delaying diagnosis and increasing the risk of sudden cardiovascular collapse. Therefore, early detection methods are critically needed.Case presentation: A 48-year-old male patient (height: 182 cm, weight: 98 kg) underwent resection of a mediastinal goiter. He received 10 mL of 4% lidocaine for topical airway anesthesia and 20 mL of 1% lidocaine with 1:100,000 epinephrine for chest wall anesthesia. Thirty minutes after airway anesthesia, continuous theta waves appeared on the frontal electroencephalogram (EEG), which were enhanced following chest wall anesthesia. These waves transitioned into a repeating pattern and evolved into sharp periodic discharges. After administering 150 mL of 20% lipid emulsion, the EEG normalized.Conclusions: This case highlights that EEG monitoring during general anesthesia may facilitate the early detection of LAST and provide real-time feedback on treatment efficacy.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"10 1","pages":"80"},"PeriodicalIF":0.8,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anesthetic management using desflurane and nitrous oxide in a child with non-ketotic hyperglycinemia: a case report. 地氟醚和一氧化二氮在非酮症高血糖症患儿中的麻醉管理：1例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-12-27 DOI: 10.1186/s40981-024-00762-9

Akifumi Mashima, Kenta Furutani, Hiroshi Baba

{"title":"Anesthetic management using desflurane and nitrous oxide in a child with non-ketotic hyperglycinemia: a case report.","authors":"Akifumi Mashima, Kenta Furutani, Hiroshi Baba","doi":"10.1186/s40981-024-00762-9","DOIUrl":"10.1186/s40981-024-00762-9","url":null,"abstract":"Background: Non-ketotic hyperglycinemia (NKH) is a rare autosomal recessive disorder caused by defects in the glycine cleavage system, leading to elevated glycine levels in the central nervous system. NKH manifests in various forms, with the neonatal type being the most severe and often associated with high mortality and significant neurological impairment. This case report highlights the successful uses of desflurane and nitrous oxide for anesthetic management in a patient with NKH.Case presentation: A 6-year-old girl with severe NKH, who had a history of delayed emergence from sevoflurane anesthesia, underwent tracheostomy for recurrent upper airway obstruction and severe obstructive sleep apnea. To address the previous issues with sevoflurane, general anesthesia was induced with propofol and fentanyl and maintained with 4% desflurane and 60% nitrous oxide. The electroencephalogram (EEG) showed near-complete suppression upon induction, which gradually resolved. Following cessation of desflurane and nitrous oxide, the patient exhibited early recovery, with eyes opening 3 min later and spontaneous breathing restored 19 min later. The patient experienced no postoperative complications and was discharged on the 14th postoperative day.Conclusion: This case suggests that desflurane, with its favorable pharmacological profile, may offer a superior alternative to sevoflurane for anesthetic management in NKH patients, particularly those with a history of delayed emergence. The observed EEG suppression may indicate heightened sensitivity to anesthetics in NKH, highlighting the need for tailored anesthetic strategies in this population.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"10 1","pages":"79"},"PeriodicalIF":0.8,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-invasive removal of a misplaced and knotted guidewire during ultrasound-guided central venous catheter insertion in a hybrid operating room: a case report. 超声引导下中心静脉置管时无创去除错位打结导丝一例。

IF 0.8

JA Clinical Reports Pub Date : 2024-12-21 DOI: 10.1186/s40981-024-00761-w

Mizuho Matsushita, Yoshikazu Yamaguchi, Honoka Yamashita, Chiyori Yamauchi, Hajime Hayami, Joseph D Tobias, Gaku Inagawa

{"title":"Non-invasive removal of a misplaced and knotted guidewire during ultrasound-guided central venous catheter insertion in a hybrid operating room: a case report.","authors":"Mizuho Matsushita, Yoshikazu Yamaguchi, Honoka Yamashita, Chiyori Yamauchi, Hajime Hayami, Joseph D Tobias, Gaku Inagawa","doi":"10.1186/s40981-024-00761-w","DOIUrl":"10.1186/s40981-024-00761-w","url":null,"abstract":"Background: The standard of care for placement of a central venous catheter (CVC) includes a real-time ultrasound (US)-guided technique. We describe a rare case in which the guidewire penetrated the posterior wall of the vessel, forming a knot, which precluded simple removal. This occurred despite the procedure being performed under real-time US guidance. The guidewire was eventually removed under fluoroscopic guidance in a hybrid operation room.Case presentation: An 89-year-old male underwent the placement of a CVC in the left internal jugular vein. During the US-guided procedure, the guidewire penetrated the posterior wall of the vessel and formed a knot, which impeded simple removal. This was confirmed by radiologic imaging. Using a short sheath and a push-pull technique, the radiologist was able to untangle the knot to allow for catheter removal. The guidewire was safely removed without vascular injury.Conclusions: A very rare complication of guidewire knotting was observed despite the use of US-guidance during needle and wire placement. The use of US, computed tomography, and fluoroscopy were beneficial for diagnosis, while the hybrid operating room provided the optimal environment for the removal procedure.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"10 1","pages":"78"},"PeriodicalIF":0.8,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intramuscular quadratus lumborum block can be a good analgesic option for lumbar spine surgery. 腰方肌阻滞是腰椎手术中一种很好的镇痛方法。

IF 0.8

JA Clinical Reports Pub Date : 2024-12-20 DOI: 10.1186/s40981-024-00758-5

Keisuke Yoshida, Shiori Tanaka, Takayuki Hasegawa, Tatsumi Yakushiji, Satoki Inoue

引用次数: 0