JA Clinical Reports最新文献_第9页

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":null,"pages":null},"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":null,"pages":null},"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

Correction: A successful case of anesthetic management of awake craniotomy using remimazolam and flumazenil in an elderly patient. 更正：一例老年患者在清醒开颅手术中使用雷米唑仑和氟马西尼进行麻醉管理的成功案例。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-06 DOI: 10.1186/s40981-023-00671-3

Takehito Sato, Kimitoshi Nishiwaki

引用次数: 0

Is meningomyelocele an absolute contraindication for epidural labor analgesia? 脊膜膨出是硬膜外分娩镇痛的绝对禁忌症吗？

IF 0.9

JA Clinical Reports Pub Date : 2023-11-04 DOI: 10.1186/s40981-023-00666-0

Masahiko Bougaki, Kanji Uchida

引用次数: 0

Selective estrogen receptor modulators and deep venous thrombosis after an emergent operation in senior women. 选择性雌激素受体调节剂与老年妇女紧急手术后深静脉血栓形成。

IF 0.9

JA Clinical Reports Pub Date : 2023-11-03 DOI: 10.1186/s40981-023-00665-1

Keiko Kishida, Masanobu Furukawa, Masayuki Nakashima, Idumi Kubota, Yukio Hayashi

{"title":"Selective estrogen receptor modulators and deep venous thrombosis after an emergent operation in senior women.","authors":"Keiko Kishida, Masanobu Furukawa, Masayuki Nakashima, Idumi Kubota, Yukio Hayashi","doi":"10.1186/s40981-023-00665-1","DOIUrl":"10.1186/s40981-023-00665-1","url":null,"abstract":"Background: Selective estrogen receptor modulators (SERMs), clinically applied to osteoporosis, may have potential risk of deep venous thrombosis (DVT) and discontinuation of SERMs may be required before surgery. However, we cannot discontinue SERMs for a certain duration, when patients undergo an emergent operation.Case presentation: We reported two aged patients undergoing an emergent orthopedic surgery for lower extremities while taking SERMs for osteoporosis before the operation. DVT was newly developed in one patient and worsened in the other patient after the operation. We found eight aged patients underwent the same operation while taking SERMs for recent 3 years, including the two cases and DVT did not occur in the other six patients. Thus, the incidence of DVT in our patient population was 25%.Conclusion: We showed that DVT developed or worsened after operation in two patients taking SERMs before operation. Ultrasound examination after operation may be recommended in these population. (149 words).","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434303","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

The effect of unilateral chest drainage for transpulmonary pressure during mechanical ventilation. 单侧胸腔引流对机械通气过程中经肺压力的影响。

IF 0.9

JA Clinical Reports Pub Date : 2023-10-28 DOI: 10.1186/s40981-023-00664-2

Takayuki Hasegawa, Yuzo Iseki, Atsuyuki Hosono, Satoki Inoue

{"title":"The effect of unilateral chest drainage for transpulmonary pressure during mechanical ventilation.","authors":"Takayuki Hasegawa, Yuzo Iseki, Atsuyuki Hosono, Satoki Inoue","doi":"10.1186/s40981-023-00664-2","DOIUrl":"10.1186/s40981-023-00664-2","url":null,"abstract":"Introduction: Chest tube drainage is usually performed through an underwater seal at a level of 10-20 cmH2O. Based on the definition of transpulmonary pressure, continuous chest drainage creates continuous negative pressure, decreasing pleural surface pressure and increasing transpulmonary pressure. We investigated how unilateral chest drainage could affect the tidal volume or driving pressure during mandatory mechanical ventilation.Methods: This study was an experimental study using a lung-thoracic model and anesthesia ventilator. Tidal volume was set to 300 mL with pressure-controlled ventilation or volume-controlled ventilation. Left tidal volume and right tidal volume were measured independently using respirometers with positive end-expiratory pressure (PEEP) levels of 0, 10, and 20 cmH2O. Simultaneously, left negative pressure of the chest drainage was changed to 0, 10, and 20 cmH2O.Results: In all conditions, a tidal volume of 300 mL was achieved. In both pressure-controlled ventilation and volume-controlled ventilation, the left tidal volume increased with the application of chest drainage at 10 cmH2O when the PEEP level was 0 cmH2O, but left tidal volume decreased with the application of chest drainage at 20 cmH2O. Furthermore, when PEEP was 10 cmH2O, the left tidal volume decreased in proportion to the pressure of thoracic drainage. The right tidal volumes changed inversely with their counterpart left tidal volumes.Conclusion: Unilateral chest drainage caused unbalanced ventilation of the left and right lungs regardless of pressure-controlled ventilation or volume-controlled ventilation.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61562768","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 successful case of anesthetic management of awake craniotomy using remimazolam and flumazenil in an elderly patient. 一例老年患者清醒开颅手术中使用雷米唑仑和氟马西尼麻醉管理的成功案例。

IF 0.9

JA Clinical Reports Pub Date : 2023-10-28 DOI: 10.1186/s40981-023-00663-3

Takehito Sato, Kimitoshi Nishiwaki

引用次数: 1