JA Clinical Reports最新文献

Anatomical landmark-guided compartment block in pediatric lateral thoracotomy: implications for the vertebral arch surface. 小儿侧胸廓切开术中解剖地标引导的隔间阻滞：对椎弓表面的影响。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-28 DOI: 10.1186/s40981-024-00751-y

Tomohiro Yamamoto, Marian Mikus

引用次数: 0

Appropriate use of inhaled nitric oxide in line with sustainable development goals. 根据可持续发展目标适当使用吸入式一氧化氮。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-28 DOI: 10.1186/s40981-024-00752-x

Keisuke Yoshida, Fumika Kawamata, Takayuki Hasegawa, Taichi Shiraishi, Satoki Inoue

引用次数: 0

Successful management of anaphylactic shock prior to elective cesarean delivery: a case report. 选择性剖宫产前过敏性休克的成功处理：病例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-26 DOI: 10.1186/s40981-024-00750-z

Kaede Watanabe, Nazuha Mohd Najid, Yusuke Mazda

{"title":"Successful management of anaphylactic shock prior to elective cesarean delivery: a case report.","authors":"Kaede Watanabe, Nazuha Mohd Najid, Yusuke Mazda","doi":"10.1186/s40981-024-00750-z","DOIUrl":"10.1186/s40981-024-00750-z","url":null,"abstract":"Background: Anaphylactic cardiovascular collapse is complicated by aortocaval compression during pregnancy, exacerbated by neuraxial anesthesia. Despite recommendations to administer perioperative antibiotics before anesthesia, common practice in Japan involves administering them after anesthesia induction. We report a case of possible antibiotics-induced anaphylaxis just before anesthesia for cesarean delivery.Case presentation: A 24-year-old woman at 37 weeks of gestation presented for a scheduled repeat cesarean under spinal anesthesia. After starting administration of cefazolin prior to anesthesia, she developed anaphylactic symptoms. Hypotension refractory to adrenaline necessitated conversion to an emergency cesarean section under general anesthesia. A neonate was delivered with favorable Apgar scores. Post-delivery, the mother's hemodynamics stabilized significantly. Elevated plasma tryptase confirmed anaphylaxis. Both mother and infant were discharged without further complications.Conclusions: This case emphasizes the importance of administering prophylactic antibiotic before anesthesia in mitigating severity of shock induced by anaphylaxis and the crucial role of prompt emergency cesarean in achieving successful outcomes.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500630","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

Dynamic shunt flow alterations through patent foramen ovale during off-pump coronary artery bypass grafting induced by airway pressure changes: a case report. 由气道压力变化引起的体外冠状动脉旁路移植术中通过卵圆孔的动态分流量改变：病例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-15 DOI: 10.1186/s40981-024-00748-7

Ayano Honda, Koichi Yoshinaga, Yuji Hirasaki, Yusuke Iizuka, Yuji Otsuka

{"title":"Dynamic shunt flow alterations through patent foramen ovale during off-pump coronary artery bypass grafting induced by airway pressure changes: a case report.","authors":"Ayano Honda, Koichi Yoshinaga, Yuji Hirasaki, Yusuke Iizuka, Yuji Otsuka","doi":"10.1186/s40981-024-00748-7","DOIUrl":"https://doi.org/10.1186/s40981-024-00748-7","url":null,"abstract":"Background: Interatrial right-to-left shunt flow through a patent foramen ovale (PFO) can be caused by changes in heart position for anastomosis during off-pump coronary artery bypass (OPCAB). We herein present a case in which the direction of PFO shunt flow changed with heart position during OPCAB and the ventilation settings after sternal closure.Case presentation: A 66-year-old man with interstitial pneumonia underwent OPCAB. Preoperative transesophageal echocardiography revealed right-to-left shunt flow through a PFO induced by the Valsalva maneuver. During OPCAB, heart displacement resulted in right-to-left shunting and acute hypoxemia, which quickly improved with increase of inspired oxygen fraction. After chest closure, bidirectional shunt flow developed under increased airway pressure.Conclusions: Vigilant intraoperative monitoring with TEE and postoperative airway pressure management are important to address shunt flow and hypoxemia due to PFO.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465689","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 cross-sectional survey of prehabilitation among surgeons and anesthesiologists. 对外科医生和麻醉师进行的康复前横断面调查。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-15 DOI: 10.1186/s40981-024-00749-6

Mariko Sato, Mitsuru Ida, Shohei Nakatani, Masahiko Kawaguchi

{"title":"A cross-sectional survey of prehabilitation among surgeons and anesthesiologists.","authors":"Mariko Sato, Mitsuru Ida, Shohei Nakatani, Masahiko Kawaguchi","doi":"10.1186/s40981-024-00749-6","DOIUrl":"https://doi.org/10.1186/s40981-024-00749-6","url":null,"abstract":"Background: Prehabilitation, which includes nutritional and exercise therapies, is recommended for patients before surgery to improve physical and cognitive functions. This study aimed to identify the awareness, understanding, and issues among surgeons and anesthesiologists regarding the implementation of prehabilitation.Methods: We conducted a survey on prehabilitation targeting surgeons and anesthesiologists working at a university hospital and two private hospitals. The survey collection period was set for 1 month, commencing on February 5, 2024. Descriptive statistics were employed to summarize the characteristics of the participants.Results: A total of 254 surgeons and 49 anesthesiologists from three hospitals participated, with a response rate of 61.7%. Regarding the understanding of prehabilitation, 16.7% of anesthesiologists and only 2% of surgeons had a good grasp of its content. When enquired about the necessity of prehabilitation, 100% of anesthesiologists indicated it as necessary or somewhat necessary, whereas 98.7% of surgeons responded similarly. Several barriers to the implementation of prehabilitation were identified, with the most common reason being the busy schedule of outpatient services.Conclusion: This study highlights that while both surgeons and anesthesiologists recognize the importance of prehabilitation, significant challenges exist in its practical implementation. This underscores the need for simple explanatory tools for patients, the introduction of remote care options, and simple orders to relevant departments, which are essential and require multidisciplinary collaboration.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465687","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 of a patient with mandibular hypoplasia, deafness, progeroid features, lipodystrophy syndrome: a case report. 下颌骨发育不良、耳聋、早衰特征、脂肪营养不良综合征患者的麻醉管理：病例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-10 DOI: 10.1186/s40981-024-00747-8

Ryo Sekiguchi, Michiko Kinoshita, Yoko Sakai, Katsuya Tanaka

{"title":"Anesthetic management of a patient with mandibular hypoplasia, deafness, progeroid features, lipodystrophy syndrome: a case report.","authors":"Ryo Sekiguchi, Michiko Kinoshita, Yoko Sakai, Katsuya Tanaka","doi":"10.1186/s40981-024-00747-8","DOIUrl":"https://doi.org/10.1186/s40981-024-00747-8","url":null,"abstract":"Background: Mandibular hypoplasia, deafness, progeroid features, and lipodystrophy (MDPL) syndrome is a rare autosomal dominant disorder that presents unique challenges for anesthetic management due to its multisystemic manifestations. This report outlines the anesthetic considerations for MDPL patients based on our case experience.Case presentation: A 15-year-old male with MDPL syndrome underwent testicular extraction under general anesthesia. Insertion of a peripheral venous catheter was challenging due to scleroderma-like skin. Although the facial features of MDPL syndrome suggested a difficult airway, intubation with a McGrath™ Mac video laryngoscope was successful. Despite MDPL syndrome's association with hypertriglyceridemia due to lipodystrophy, this patient's triglyceride levels were normal. Thiamylal and sevoflurane were used without issues such as delayed emergence from anesthesia.Conclusions: MDPL syndrome requires careful preoperative assessment and tailored anesthetic management due to potential airway challenges arising from its distinctive facial features and the possibility of altered anesthetic pharmacokinetics associated with lipodystrophy.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465688","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

Dexamethasone versus 5-HT3 receptor antagonists in preventing nausea during awake craniotomy: a propensity score matching study. 地塞米松与 5-HT3 受体拮抗剂在预防清醒开颅手术中的恶心作用：倾向得分匹配研究。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-07 DOI: 10.1186/s40981-024-00746-9

Takehito Sato

{"title":"Dexamethasone versus 5-HT3 receptor antagonists in preventing nausea during awake craniotomy: a propensity score matching study.","authors":"Takehito Sato","doi":"10.1186/s40981-024-00746-9","DOIUrl":"10.1186/s40981-024-00746-9","url":null,"abstract":"Background: Nausea and vomiting during awake craniotomy (AC) can increase cerebral pressure and cause asphyxia and aspiration. 5-HT3 receptor antagonists, such as granisetron, are often administered before awakening to prevent nausea during AC. Recently, dexamethasone was reported to prevent nausea and vomiting during AC; however, the efficacy of both drugs in preventing nausea has not yet been investigated.Methods: We examined the frequency of nausea and vomiting in AC patients (n = 170) treated at our hospital until the end of September 2019. We divided patients as those who received dexamethasone (n = 71) and or granisetron (n = 99) before awakening and examined the frequency of nausea and vomiting after propensity score (PS) matching.Result: Eighty-two patients were selected after PS matching. The incidence of nausea was significantly lower in the dexamethasone group than in the granisetron group (9.8% vs 41.5%, p = 0.002). In the logistic regression analysis after matching, the incidence of nausea significantly reduced with dexamethasone treatment (odds ratio: 0.12, 95% confidence interval: 0.029-0.499, p = 0.03).Conclusion: In conclusion, dexamethasone was more effective than granisetron in preventing nausea during AC.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380771","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

Intracranial epidural hematoma after spinal anesthesia for cesarean section: a case report. 剖腹产脊髓麻醉后颅内硬膜外血肿：病例报告。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-07 DOI: 10.1186/s40981-024-00744-x

Hiroshi Nagasaka, Yuta Horikoshi, Tina Nakamura, Hiroshi Hoshijima, Noritaka Imamachi, Katsushi Doi, Tsutomu Mieda

引用次数: 0

A successful combined spinal-epidural anesthesia for cesarean section in a patient with neurofibromatosis type 1-associated dural ectasia. 为一名患有神经纤维瘤病 1 型相关硬膜异位症的患者成功实施了脊髓-硬膜外联合麻醉剖腹产手术。

IF 0.8

JA Clinical Reports Pub Date : 2024-10-01 DOI: 10.1186/s40981-024-00745-w

Hitomi Taka, Nobuyoshi Kusama, Minami Sakamoto, Nobuko Sasano, Motoshi Tanaka

{"title":"A successful combined spinal-epidural anesthesia for cesarean section in a patient with neurofibromatosis type 1-associated dural ectasia.","authors":"Hitomi Taka, Nobuyoshi Kusama, Minami Sakamoto, Nobuko Sasano, Motoshi Tanaka","doi":"10.1186/s40981-024-00745-w","DOIUrl":"10.1186/s40981-024-00745-w","url":null,"abstract":"Background: Dural ectasia is a common manifestation of neurofibromatosis type 1. Although there have been reports of unsuccessful spinal anesthesia due to dual ectasia in Marfan syndrome, reports describing similar unsuccessful spinal anesthesia in neurofibromatosis type 1 are lacking.Case presentation: A parturient with neurofibromatosis type 1 was scheduled for a repeat cesarean section. During a previous cesarean section, she had experienced a failed spinal anesthesia, which resulted in a conversion to general anesthesia. Preoperative lumbar magnetic resonance imaging revealed dural ectasia, which was speculated to be the cause of the previous spinal anesthesia failure. Therefore, combined spinal-epidural anesthesia was implemented. Because the block level of spinal anesthesia was insufficient as predicted, supplemental administration of epidural anesthesia successfully provided adequate analgesia for the surgery.Conclusions: Combined spinal-epidural anesthesia can be useful for the management of cesarean sections in patients with neurofibromatosis type 1-associated dural ectasia.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346870","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

Investigation of the optimal method of oxygen administration with simultaneous use of a surgical mask in postoperative patients: a randomized cross-over study. 术后患者同时使用手术面罩的最佳给氧方法研究：一项随机交叉研究。

IF 0.8

JA Clinical Reports Pub Date : 2024-09-28 DOI: 10.1186/s40981-024-00741-0

Aya Kamiyama, Tomonori Takazawa, Yusuke Matsui, Kazuhiro Nagumo, Seiji Arai, Shigeru Saito

{"title":"Investigation of the optimal method of oxygen administration with simultaneous use of a surgical mask in postoperative patients: a randomized cross-over study.","authors":"Aya Kamiyama, Tomonori Takazawa, Yusuke Matsui, Kazuhiro Nagumo, Seiji Arai, Shigeru Saito","doi":"10.1186/s40981-024-00741-0","DOIUrl":"https://doi.org/10.1186/s40981-024-00741-0","url":null,"abstract":"Background: From the standpoint of infection prevention, anesthesiologists need to simultaneously use a surgical mask and an oxygen mask when administering oxygen to patients. However, there is a lack of scientific evidence to justify this method. We aimed to investigate a suitable method of oxygen administration when using a surgical mask in postoperative patients.Methods: This was a randomized, single-blind, cross-over study involving 42 patients admitted to the ICU. We compared three methods of oxygen administration: nasal cannula under the surgical mask, oxygen mask under the surgical mask, and oxygen mask above the surgical mask, using a cross-over design. The primary endpoint was partial pressure of arterial oxygen (PaO2). The secondary endpoint was partial pressure of arterial carbon dioxide (PaCO2).Results: PaO2 was higher when the oxygen mask was placed under the surgical mask (median values 197.7 mmHg), the nasal cannula was under the surgical mask (180.6 mmHg), and the oxygen mask was above the surgical mask (143.0 mmHg), in descending order, with significant differences between all groups (P < 0.001). PaCO2 did not differ between groups.Conclusions: The current standard method of administering oxygen to postoperative patients using an oxygen mask over a surgical mask results in poor oxygenation. Adopting the method of oxygen administration under the surgical mask via an oxygen mask or nasal cannula should be considered instead.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11438753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346871","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