JA Clinical Reports最新文献_第3页

Appropriate shape of a stylet for tracheal intubation using the McGrath® MAC videolaryngoscope in neonates: a randomized crossover simulation study. 新生儿使用McGrath®MAC视频喉镜气管插管的合适样式：一项随机交叉模拟研究。

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JA Clinical Reports Pub Date : 2025-02-17 DOI: 10.1186/s40981-025-00772-1

Katsuhide Masui, Naoyuki Tsunoda, Ayaka Ito, Takashi Asai

{"title":"Appropriate shape of a stylet for tracheal intubation using the McGrath® MAC videolaryngoscope in neonates: a randomized crossover simulation study.","authors":"Katsuhide Masui, Naoyuki Tsunoda, Ayaka Ito, Takashi Asai","doi":"10.1186/s40981-025-00772-1","DOIUrl":"10.1186/s40981-025-00772-1","url":null,"abstract":"Background: Guidelines on airway management in neonates and infants recommend using a stylet when a videolaryngoscope is used, but it is not clear if the use of a stylet facilitates tracheal intubation and which shape of the stylet is suitable in neonates.Methods: As a preliminary simulation study of a randomized controlled cross-over design, 25 anesthesiologists (3 specialists, 11 senior residents, and 11 junior residents) used a McGrath® MAC videolaryngoscope (Covidien, Medtronic, Tokyo, Japan) blade 1 for tracheal intubation (of a 3.5-mm ID Shiley™ tube with a cuff), with one of four differently shaped stylets (C-shaped, J-shaped, hockey stick-shaped and double C-shaped) or without a stylet in a manikin of a neonate, and compared intubation times.Results: Compared with intubation time without the use of a stylet, intubation time was significantly longer with the use of the J-shaped stylet (P = 0.007; median (95% CI) difference: 2 (1 to 2) s) or with the hockey stick-shaped stylet (P = 0.0002; median (95% CI) difference: 9 (9 to 10) s). In contrast, intubation time was similar between no stylet and the C-shaped stylet (P = 0.90; median (95% CI) difference: 0 (0 to 0) s) or between no stylet and the double C-shaped style (P = 0.60; median (95% CI) difference: 0 (0 to 0) s).Conclusions: In conclusion, while time to tracheal intubation would be similar with and without the use of a stylet, the shape of the stylet would affect intubation time in neonates.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"11"},"PeriodicalIF":0.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440800","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

Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports. 经尿道手术中菌血症患者血压明显升高、心动过速和意识改变：两例报告。

IF 0.8

JA Clinical Reports Pub Date : 2025-02-17 DOI: 10.1186/s40981-025-00774-z

Arisa Hotta, Momoka Nishimura, Daisuke Nakada, Riko Uchida, Hiroshi Matsuura, Naoko Torii, Naoko Fujita, Taku Hamada, Ai Nakamoto, Noriko Yoshikawa

{"title":"Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports.","authors":"Arisa Hotta, Momoka Nishimura, Daisuke Nakada, Riko Uchida, Hiroshi Matsuura, Naoko Torii, Naoko Fujita, Taku Hamada, Ai Nakamoto, Noriko Yoshikawa","doi":"10.1186/s40981-025-00774-z","DOIUrl":"10.1186/s40981-025-00774-z","url":null,"abstract":"Background: Transurethral surgery is often accompanied by postoperative urinary tract infection. Although early detection and adequate treatment of bacteremia are required to prevent sepsis, it is usually undetectable during surgery. We report two cases with remarkable hypertension and tachycardia during transurethral surgery in which bacteremia was diagnosed by an intraoperative blood test.Case presentation: An 80-year-old man (Case 1) underwent transurethral holmium laser prostate enucleation under spinal anesthesia, and an 88-year-old woman (Case 2) underwent transurethral resection of bladder tumor under general anesthesia. Altered consciousness (Case 1) and postoperative delirium (Case 2) were noted, in addition to remarkable intraoperative hypertension and tachycardia. We administered broad-spectrum antibiotics for possible bacteremia in both cases. The patients' hemodynamics positively recovered the following day. Intraoperative blood samples revealed gram-negative bacillus.Conclusions: Hypertension, tachycardia, and altered consciousness may suggest the onset of symptomatic bacteremia during transurethral surgery, and adequate treatment is required to prevent sepsis.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"12"},"PeriodicalIF":0.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440801","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

Maximum oxygenation during surgical abortion with sedatives and analgesics - a simple suggestion from an anesthesiological perspective. 手术流产中使用镇静剂和镇痛药时最大氧合-从麻醉学角度的一个简单建议。

IF 0.8

JA Clinical Reports Pub Date : 2025-02-15 DOI: 10.1186/s40981-025-00775-y

Keisuke Yoshida, Riho Yazawa, Satoki Inoue

引用次数: 0

Anesthetic management in the lateral position in a patient with Parkinson's disease who developed severe long-seated forward flexion with the face buried between the knees: a case report. 帕金森氏症患者出现严重的长坐姿前屈，面部埋在两膝之间，侧位麻醉处理1例。

IF 0.8

JA Clinical Reports Pub Date : 2025-02-14 DOI: 10.1186/s40981-025-00773-0

Takayuki Morimoto, Masaaki Ono, Yayoi Harada, Taiga Ichinomiya, Ushio Higashijima, Tetsuya Hara

{"title":"Anesthetic management in the lateral position in a patient with Parkinson's disease who developed severe long-seated forward flexion with the face buried between the knees: a case report.","authors":"Takayuki Morimoto, Masaaki Ono, Yayoi Harada, Taiga Ichinomiya, Ushio Higashijima, Tetsuya Hara","doi":"10.1186/s40981-025-00773-0","DOIUrl":"10.1186/s40981-025-00773-0","url":null,"abstract":"Background: Camptocormia, a postural deformity seen in Parkinson's disease (PD), complicates general anesthesia, especially airway management, owing to severe spinal flexion in advanced stages.Case presentation: We report the anesthetic management of a 76-year-old man with PD who developed severe long-seated forward flexion with the face buried between the knees, from camptocormia and multiple spinal surgeries. Removal of the exposed spinal implants was necessary, and general anesthesia was planned. Anesthesia was administered in the right lateral position from induction to awakening. Video laryngoscopy enabled successful intubation, and remimazolam with flumazenil ensured good recovery without complications.Conclusions: This case demonstrates the feasibility of managing the airway and administering anesthesia in the right lateral position in patients with PD with severe long-seated forward flexion. Video-laryngoscopy and remimazolam with flumazenil offer advantages in such cases, although further studies are required to validate their broader applications.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"9"},"PeriodicalIF":0.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414179","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

Comment on: "Dexmedetomidine as a useful adjunctive agent for preventing lung injury during emergence from anesthesia and tracheal extubation"-a reply. 评论：“右美托咪定作为一种有效的辅助药物预防麻醉和气管拔管术后肺损伤”——回复。

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JA Clinical Reports Pub Date : 2025-02-01 DOI: 10.1186/s40981-025-00770-3

Hayato Arime, Takashi Asai

引用次数: 0

Dexmedetomidine as a useful adjunctive agent for preventing lung injury during emergence from anesthesia and tracheal extubation. 右美托咪定在麻醉和气管拔管急救中预防肺损伤的辅助作用。

IF 0.8

JA Clinical Reports Pub Date : 2025-02-01 DOI: 10.1186/s40981-025-00767-y

Yasuhiro Watanabe

引用次数: 0

Acute aortic dissection during minimally invasive cardiac surgery: a case report. 微创心脏手术中急性主动脉夹层1例。

IF 0.8

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

Taisuke Kumamoto

{"title":"Acute aortic dissection during minimally invasive cardiac surgery: a case report.","authors":"Taisuke Kumamoto","doi":"10.1186/s40981-025-00771-2","DOIUrl":"10.1186/s40981-025-00771-2","url":null,"abstract":"Background: Management of acute aortic dissection (AAD) caused by retrograde perfusion through the femoral artery during minimally invasive cardiac surgery (MICS) remains controversial. We present a case of AAD occurring during the late cardiopulmonary bypass (CPB) phase, which was successfully managed by vascular graft replacement, without altering the blood supply route.Case presentation: A 63-year-old man was scheduled for totally endoscopic aortic valve replacement. CPB was initiated through the right femoral artery and venous cannulation. Approximately 120 min after the initiation of CPB, mean arterial pressure and bilateral cerebral regional oxygen saturation temporarily decreased. Transesophageal echocardiography revealed type A AAD. Cerebral perfusion was preserved, allowing us to proceed to deep hypothermic circulatory arrest and successfully perform ascending aortic replacement without altering the blood supply route.Conclusions: In MICS, continuous monitoring is crucial as AAD can occur at any point during CPB, and early detection enables successful outcomes.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"11 1","pages":"6"},"PeriodicalIF":0.8,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065566","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

Acute decompensated right heart failure potentially triggered by multiple factors including pulmonary vasodilator removal during plasma exchange: a case report. 血浆置换期间肺血管扩张剂去除等多种因素可能引发急性失代偿性右心衰1例报告

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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046607","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

Simultaneous transcatheter aortic valve implantation and femoral osteosynthesis: a case report. 经导管主动脉瓣植入术联合股骨骨融合术1例。

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™）。

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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