JA Clinical Reports最新文献_第6页

Amino acids to prevent cardiac surgery-associated acute kidney injury: a randomized controlled trial. 预防心脏手术相关急性肾损伤的氨基酸：随机对照试验。

IF 0.9

JA Clinical Reports Pub Date : 2024-03-26 DOI: 10.1186/s40981-024-00703-6

Masahiro Kazawa, Daijiro Kabata, Hisako Yoshida, Kimito Minami, Takuma Maeda, Kenji Yoshitani, Hitoshi Matsuda, Ayumi Shintani

{"title":"Amino acids to prevent cardiac surgery-associated acute kidney injury: a randomized controlled trial.","authors":"Masahiro Kazawa, Daijiro Kabata, Hisako Yoshida, Kimito Minami, Takuma Maeda, Kenji Yoshitani, Hitoshi Matsuda, Ayumi Shintani","doi":"10.1186/s40981-024-00703-6","DOIUrl":"10.1186/s40981-024-00703-6","url":null,"abstract":"Background: This study aimed to examine the preventive effect of amino acids on postoperative acute kidney injury (AKI).Methods: This was single-center, patient- and assessor-blinded, randomized controlled trial. Patients who underwent aortic surgery with cardiopulmonary bypass were included. The intervention group received 60 g/day of amino acids for up to 3 days. The control group received standard care. The primary outcome was the incidence of AKI. We assessed the effect of amino acids on AKI using a Cox proportional hazards regression model.Results: Sixty-six patients were randomly assigned to the control or intervention group. One patient in the control group withdrew consent after randomization. The incidence of AKI was 10 patients (30.3%) in the intervention group versus 18 patients (56.2%) in the control group (adjusted hazard ratio, 0.44; 95% confidence interval, 0.20-0.95; P = 0.04).Conclusions: This trial demonstrated a significant reduction in AKI incidence with amino acid supplementation.Trial registration: jRCT, jRCTs051210154. Registered 31 December 2021, https://jrct.niph.go.jp/re/reports/detail/69916.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140287439","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

Sustained mitigation of ST-segment elevation in a patient with Brugada syndrome type 1 during sevoflurane and remifentanil anesthesia: a case report. 一名 1 型 Brugada 综合征患者在七氟醚和瑞芬太尼麻醉期间 ST 段抬高持续缓解：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-03-12 DOI: 10.1186/s40981-024-00702-7

Kurumi Saito, Hitoshi Yoshida, Kazuyoshi Hirota

引用次数: 0

Successful intraoperative management of laparoscopic hysterectomy in a patient with Eisenmenger syndrome: a case report. 艾森曼格综合征患者腹腔镜子宫切除术的术中成功管理：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-03-04 DOI: 10.1186/s40981-024-00700-9

Yuki Maeda, Nami Kakuta, Asuka Kasai, Hiroki Yonezawa, Ryosuke Kawanishi, Katsuya Tanaka

{"title":"Successful intraoperative management of laparoscopic hysterectomy in a patient with Eisenmenger syndrome: a case report.","authors":"Yuki Maeda, Nami Kakuta, Asuka Kasai, Hiroki Yonezawa, Ryosuke Kawanishi, Katsuya Tanaka","doi":"10.1186/s40981-024-00700-9","DOIUrl":"10.1186/s40981-024-00700-9","url":null,"abstract":"Background: Patients with Eisenmenger syndrome (ES) requiring noncardiac surgery are at a significantly high risk of perioperative morbidity and mortality. However, perioperative management of patients with ES requiring laparoscopic surgery remains unclear.Case presentation: We describe the case of a patient with ES who underwent laparoscopic hysterectomy under general anesthesia with a peripheral nerve block. The objectives of the perioperative management included the following: (1) maintaining systemic vascular resistance and cardiac output through euvolemia, facilitated by the infusion of noradrenaline, and (2) preventing a reduction in oxygen-carrying capacity and factors that elevate pulmonary vascular resistance, such as pain, hypoxia, and decreased body temperature. Although laparoscopic procedures involved an increased risk in patients with ES, they are less invasive than open surgeries.Conclusion: This report describes the successful anesthetic management of a patient with ES, ensuring a balance between systemic and pulmonary vascular resistance.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10909790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021748","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

Combination of high-flow nasal oxygen and ketamine/dexmedetomidine sedation for diagnostic catheterization in a child with pulmonary arterial hypertension: a case report 一名肺动脉高压患儿在诊断性导管插入术中合并使用高流量鼻氧和氯胺酮/右美托咪定镇静剂：病例报告

IF 0.9

JA Clinical Reports Pub Date : 2024-02-22 DOI: 10.1186/s40981-024-00699-z

Kaoru Tsuboi, Misuzu Asai, Toshiki Nakamura, Jun Ninagawa, Hiroshi Ono, Shugo Kasuya

引用次数: 0

Left common peroneal nerve palsy caused by cross-legged sitting during epidural labor analgesia: a case report. 硬膜外分娩镇痛时盘腿坐姿导致左腓总神经麻痹：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-21 DOI: 10.1186/s40981-024-00698-0

Shunya Ogawa, Hirotsugu Kanda, Hiromichi Kurosaki, Tomoyuki Kawamata

引用次数: 0

Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report. 胸腔镜下巨大胸膜内瘤切除术的麻醉管理：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-19 DOI: 10.1186/s40981-024-00697-1

Ryosuke Nakazawa, Kenichi Masui, Takahisa Goto

{"title":"Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report.","authors":"Ryosuke Nakazawa, Kenichi Masui, Takahisa Goto","doi":"10.1186/s40981-024-00697-1","DOIUrl":"10.1186/s40981-024-00697-1","url":null,"abstract":"Background: Diagnosed intrathoracic meningocele is an uncommon complication of neurofibromatosis type 1. We report an anesthesia management for a rare case undergoing thoracoscopic resection of a huge intrathoracic meningocele.Case presentation: A 51-year-old woman was scheduled for thoracoscopic meningectomy under general anesthesia. We monitored intrathecal pressure during anesthesia to prevent a decrease in intrathecal pressure. During surgery, the intrathecal pressure occasionally increased by around 5 cmH2O immediately after the insertion of the drainage tube and occasionally decreased by up to 10 cmH2O during the careful slow aspiration of the cerebrospinal fluid (CSF). The pressure rapidly recovered after the interruption of the procedures. She was discharged on postoperative day 4 without major complications.Conclusions: The CSF pressure was fluctuated by procedures during thoracoscopic resection of a huge meningocele. A CSF pressure monitoring was useful to detect the sudden change of CSF pressure immediately, which can cause intracranial hemorrhage.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899877","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

Stroke volume variation remains accurate in the presence of proximal stenosis. 在存在近端狭窄的情况下，冲程量的变化仍然准确。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-13 DOI: 10.1186/s40981-024-00693-5

Hiroatsu Sakamoto, Atsuhiro Kitaura, Shota Tsukimoto, Yukari Yoshino, Takashi Mino, Haruyuki Yuasa, Yasufumi Nakajima

引用次数: 0

Tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide levels during mediastinoscopic subtotal esophagectomy: a case report. 纵隔镜下食管次全切除术中潮气末二氧化碳浓度突然升高导致气管损伤：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-13 DOI: 10.1186/s40981-024-00695-3

Natsuho Haraguchi, Yoshifumi Naito, Masayuki Shibasaki, Teiji Sawa

{"title":"Tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide levels during mediastinoscopic subtotal esophagectomy: a case report.","authors":"Natsuho Haraguchi, Yoshifumi Naito, Masayuki Shibasaki, Teiji Sawa","doi":"10.1186/s40981-024-00695-3","DOIUrl":"10.1186/s40981-024-00695-3","url":null,"abstract":"Background: Mediastinoscopic surgery for esophageal cancer facilitates early postoperative recovery. However, it can occasionally cause serious complications. Here, we present the case of a patient with a tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide (EtCO2) during mediastinoscopic subtotal esophagectomy.Case presentation: A 52-year-old man diagnosed with esophageal cancer was scheduled to undergo mediastinoscopic subtotal esophagectomy. During the mediastinoscopic procedure, the EtCO2 level suddenly increased above 200 mmHg, and the blood pressure dropped below 80 mmHg. We immediately asked the operator to stop insufflation and found a tracheal injury on the right side of the trachea near the carina by bronchoscopy. The endotracheal tube was replaced with a double-lumen tube, and the trachea was repaired via right thoracotomy. There were no further intraoperative complications. After surgery, the patient was extubated and admitted to the intensive care unit.Conclusions: Monitoring EtCO2 levels and close communication with the operator is important for safely managing sudden tracheal injury during mediastinoscopic esophagectomy.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10864238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722648","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

Successful radiofrequency thermocoagulation of the mandibular nerve for intractable pain associated with medication-related osteonecrosis of the jaw: a case report. 下颌神经射频热凝术成功治疗药物性下颌骨骨坏死引起的顽固性疼痛：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-13 DOI: 10.1186/s40981-024-00696-2

Sho Shinotsuka, Aiko Maeda, Tomoka Eri, Nozomi Kameyama, Chiaki Yamada, Masako Asada, Ken Yamaura

{"title":"Successful radiofrequency thermocoagulation of the mandibular nerve for intractable pain associated with medication-related osteonecrosis of the jaw: a case report.","authors":"Sho Shinotsuka, Aiko Maeda, Tomoka Eri, Nozomi Kameyama, Chiaki Yamada, Masako Asada, Ken Yamaura","doi":"10.1186/s40981-024-00696-2","DOIUrl":"10.1186/s40981-024-00696-2","url":null,"abstract":"Background: Bisphosphonates may cause serious adverse events, including osteonecrosis of the jaw. This article describes a case of successful application of radiofrequency thermocoagulation for pain caused by osteonecrosis of the jaw.Case presentation: An 86-year-old woman who had received alendronate sodium hydrate for osteoporosis was diagnosed with osteonecrosis of the right mandible after dental treatment. Despite repeated conservative and debridement treatments, the patient could not eat due to intractable pain; accordingly, her condition was debilitated. The patient was referred to our pain management clinic for radiofrequency thermocoagulation of the right mandibular nerve. Immediately after the procedure, her pain drastically improved and she could eat; moreover, the pain has not recurred for 3 years.Conclusion: Our findings demonstrate that minimally invasive radiofrequency thermocoagulation may have long-term effects in patients with chronic pain caused by osteonecrosis of the jaw that is refractory to conservative treatment.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10864227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722647","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

Analgesic effect of neuromodulation using the AT-04 portable magnetic field-generating device in a patient with neuropathic pain: a case report. 使用 AT-04 便携式磁场发生装置对神经病理性疼痛患者进行神经调控的镇痛效果：病例报告。

IF 0.9

JA Clinical Reports Pub Date : 2024-02-10 DOI: 10.1186/s40981-024-00694-4

Atsushi Sawada, Michiaki Yamakage

{"title":"Analgesic effect of neuromodulation using the AT-04 portable magnetic field-generating device in a patient with neuropathic pain: a case report.","authors":"Atsushi Sawada, Michiaki Yamakage","doi":"10.1186/s40981-024-00694-4","DOIUrl":"10.1186/s40981-024-00694-4","url":null,"abstract":"Background: Neuromodulation by magnetic field through the AT-04 (ait® (AT-04); Peace of Mind Co., Ltd., Kumamoto, Japan) has improved allodynia in neuropathic pain model rats. This report focuses on neuromodulation through magnetic field exposure using the AT-04 that provided an analgesic effect in a patient with neuropathic pain.Case presentation: A 47-year-old man presented with flaccid paralysis and extensive neuropathic pain and scored 7 on the 11-point Numerical Rating Scale (NRS) for his left upper limb. The patient was treated with neuromodulation by magnetic field exposure using the AT-04. Baseline NRS scores were obtained three times daily during the baseline period (days 1-5). Magnetic field exposure was then performed for 30 min three times daily (morning, noon, and evening) at home for 36 days, which was termed the intervention period (days 6-41). During the baseline period, the median NRS score was 7 and the baseline NRS score for calculating the percentage of nonoverlap data (PND) was 6. During the intervention period, the median NRS score was 4 and the PND value of the NRS score was 77.8% (28/36). Neuromodulation by magnetic field exposure using the AT-04 effectively decreased the patient's NRS score. The patient had no adverse effects during the intervention period.Conclusions: Neuromodulation by magnetic field exposure using the AT-04 was effective in decreasing the NRS score in a patient with neuropathic pain. The AT-04 portable magnetic field-generating device shows potential as a therapeutic option for refractory neuropathic pain.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10857986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139712236","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