JA Clinical Reports最新文献_第10页

Predictive underestimation of difficult direct laryngoscopy in a patient with rheumatoid arthritis-associated immobilized craniocervical junction. 类风湿性关节炎相关颅颈交界处固定患者直接喉镜检查困难的预测性低估。

IF 0.9

JA Clinical Reports Pub Date : 2023-12-05 DOI: 10.1186/s40981-023-00679-9

Hirotaka Matsuyama, Masato Hara, Atsushi Seto, Teruyuki Hiraki

{"title":"Predictive underestimation of difficult direct laryngoscopy in a patient with rheumatoid arthritis-associated immobilized craniocervical junction.","authors":"Hirotaka Matsuyama, Masato Hara, Atsushi Seto, Teruyuki Hiraki","doi":"10.1186/s40981-023-00679-9","DOIUrl":"10.1186/s40981-023-00679-9","url":null,"abstract":"Background: The upper cervical spine is a major focus of damage by rheumatoid arthritis (RA). Specific screening for mobility of the upper cervical spine, which is essential for direct laryngoscopy, is lacking. Herein, we present a case of RA with Cormack-Lehane grade IV, which was not predicted by preoperative examination.Case presentation: A 66-year-old woman with RA was scheduled for a right total knee arthroplasty and right elbow synovectomy. She had a long history of RA without symptoms related to the cervical spine or spinal cord. Although physical examination suggested moderate risk of difficult intubation with preserved cervical retroflexion, her Cormack-Lehane classification was grade IV under muscle relaxation. Bony integration of the occiput to axis was considered to be the main cause of difficult direct laryngoscopy, and restricted neck rotation was found postoperatively.Conclusions: RA patients may have limited upper cervical spine motion despite normal cervical retroflexion.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"9 1","pages":"85"},"PeriodicalIF":0.9,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138487495","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

Unexpected abnormal positive pressure due to misconnection of excess gas tube. 由于过量气体管连接错误导致的意外正压异常。

IF 0.9

JA Clinical Reports Pub Date : 2023-12-01 DOI: 10.1186/s40981-023-00677-x

Atsuhiro Kitaura, Hiroatsu Sakamoto, Kensuke Toho, Shota Tsukimoto, Haruyuki Yuasa, Yasufumi Nakajima

引用次数: 0

Cardiac tamponade developing during Trousseau's syndrome with pulmonary embolism. 特鲁索综合征合并肺栓塞时出现的心包填塞。

IF 0.9

JA Clinical Reports Pub Date : 2023-12-01 DOI: 10.1186/s40981-023-00678-w

Yuya Itakura, Takahiro Hakozaki, Satoki Inoue

引用次数: 0

Association between delirium and grip strength in ICU patients for cardiac surgery (D-GRIP study). 心脏手术ICU患者谵妄与握力的关系(D-GRIP研究)。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-25 DOI: 10.1186/s40981-023-00676-y

Taichi Kotani, Satoki Inoue, Mitsuru Ida, Yusuke Naito, Masahiko Kawawguchi

引用次数: 0

Severe pressure ulcer caused by an electrode belt for monitoring electrical impedance tomography in two patients in the prone position. 两例俯卧位患者因电阻抗断层监测电极带引起的严重压疮。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-25 DOI: 10.1186/s40981-023-00675-z

Takayuki Hasegawa, Keisuke Yoshida, Takahiro Hakozaki, Satoki Inoue

引用次数: 0

Difficult ventilation due to an undetected mask crack. 由于未检测到掩膜裂缝导致通风困难。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-16 DOI: 10.1186/s40981-023-00672-2

Atsuhiro Kitaura, Issei Fukuda, Haruyuki Yuasa, Shota Tsukimoto, Yasufumi Nakajima

引用次数: 0

Negative pressure pulmonary edema in a 2-month-old infant after general anesthesia: a case report. 2个月婴儿全麻后负压肺水肿1例报告。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-15 DOI: 10.1186/s40981-023-00670-4

Yusuke Miyazaki, Yoshie Taniguchi, Chika Miyazaki, Elissa Allen, Fumina Yoshimoto

引用次数: 0

Pericapsular nerve group block for osteoarthritis-related chronic hip joint pain: a case report. 骨关节炎相关慢性髋关节疼痛的囊周神经阻滞1例。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-14 DOI: 10.1186/s40981-023-00673-1

Reiko Sato, Rina Kato, MinHye So, Takeshi Sugiura, Kazuya Sobue

引用次数: 0

Intraoperative cardiac arrest caused by unexpected vasospastic angina requiring prolonged resuscitation using extracorporeal membrane oxygenation: a case report. 意外血管痉挛性心绞痛导致术中心脏骤停，需要使用体外膜肺氧合进行长时间复苏：一例报告。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-09 DOI: 10.1186/s40981-023-00667-z

Shinji Sugita, Masanobu Obata, Fumihiko Hasunuma, Atsuhiro Sakamoto

{"title":"Intraoperative cardiac arrest caused by unexpected vasospastic angina requiring prolonged resuscitation using extracorporeal membrane oxygenation: a case report.","authors":"Shinji Sugita, Masanobu Obata, Fumihiko Hasunuma, Atsuhiro Sakamoto","doi":"10.1186/s40981-023-00667-z","DOIUrl":"10.1186/s40981-023-00667-z","url":null,"abstract":"Background: Vasospastic angina (VSA) occurring during surgery is rare but can lead to sudden intraoperative cardiac arrest.Case presentation: A 77-year-old man with hypertension, and no history of coronary artery disease, displayed an abrupt ST-segment elevation on the electrocardiogram (ECG) during laparoscopic inguinal hernia surgery under general anesthesia. Subsequently, ventricular fibrillation (VF) occurred, with a finding suggesting ischemic myocardial contracture by transesophageal echocardiography. VF was refractory to cardiopulmonary resuscitation (CPR), and veno-arterial extracorporeal membrane oxygenation (VA ECMO) was introduced. Spontaneous circulation resumed 77 min post-cardiac arrest. VSA was confirmed through the patient's clinical course and coronary angiography. Subsequently, VA ECMO was terminated, and the patient was discharged uneventfully.Conclusions: Extracorporeal CPR may be a valuable alternative to extended resuscitation for refractory ventricular arrhythmias by VSA.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"9 1","pages":"77"},"PeriodicalIF":0.9,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71521390","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

Bilateral multiple stroke, left upper extremity ischemia, and transient complete atrioventricular block in transcatheter aortic valve implantation: a case report. 经导管主动脉瓣植入术中双侧多发性卒中、左上肢缺血和短暂性完全性房室传导阻滞：一例报告。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-07 DOI: 10.1186/s40981-023-00669-x

Yuki Mitsuta, Shingo Nakamura, Yumiko Uemura, Koichiro Tashima, Takafumi Oyoshi, Naoyuki Hirata

{"title":"Bilateral multiple stroke, left upper extremity ischemia, and transient complete atrioventricular block in transcatheter aortic valve implantation: a case report.","authors":"Yuki Mitsuta, Shingo Nakamura, Yumiko Uemura, Koichiro Tashima, Takafumi Oyoshi, Naoyuki Hirata","doi":"10.1186/s40981-023-00669-x","DOIUrl":"10.1186/s40981-023-00669-x","url":null,"abstract":"Background: Transcatheter aortic valve implantation (TAVI) is a minimally invasive surgery. However, there is a risk of surgical manipulation causing detachment of a lesion of the aortic valve, which can result in various embolisms.Case presentation: An 87-year-old woman with symptomatic severe aortic valve stenosis was scheduled for transfemoral TAVI under monitored anesthesia. Preoperative examination revealed severe calcification of the aortic valve, but there was no calcification in the ascending aorta. After a delivery catheter system passed the aortic valve, left radial arterial pressure dropped significantly, and complete atrioventricular block (CAVB) occurred. Catecholamine administration and ventricular pacing improved hemodynamics, and a self-expandable valve was implanted. CAVB resolved after surgery, but her state of consciousness was poor, and her left hand became ischemic. Imaging studies revealed multiple embolic infarcts in her bilateral cerebrum and cerebellum.Conclusions: It should be noted that there is a risk of detachment of a calcified lesion of the aortic valve during TAVI, which can cause embolisms not only in the brain but also in the extremities and coronary arteries.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"9 1","pages":"76"},"PeriodicalIF":0.9,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10628090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71481567","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