JA Clinical Reports
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General anesthesia for treating scoliosis with congenital myasthenia syndrome: a case report
JA Clinical Reports - Tập 8 - Trang 1-3 - 2022
Congenital myasthenia syndrome is a heterogeneous disease with impaired neuromuscular transmission. This report describes a 13-year-old child with congenital myasthenia syndrome who underwent surgery for scoliosis under general anesthesia. We used a small dose of rocuronium, neuromuscular transmission monitoring, and non-invasive positive pressure ventilation for postoperative respiratory manageme...... hiện toàn bộ
General anesthesia with remimazolam for a pediatric patient with MELAS and recurrent epilepsy: a case report
JA Clinical Reports - Tập 8 - Trang 1-4 - 2022
Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) is a mitochondrial disease. We report here the safe use of remimazolam in a pediatric MELAS patient. A 10-year-old girl (118 cm, 16 kg) was scheduled for an open gastrostomy to improve nutrition and epileptic seizure control. We induced and maintained general anesthesia with remimazolam, remifentanil, fentanyl, and ...... hiện toàn bộ
Dexmedetomidine administration in a patient with status epilepticus under color density spectral array monitoring
JA Clinical Reports - Tập 5 Số 1 - 2019
Intercostal misplacement of a thoracic epidural catheter discovered during lung cancer surgery: a case report
JA Clinical Reports - Tập 5 - Trang 1-4 - 2019
Blind epidural catheter placement can lead to inadvertent misplacement. We present a case of intercostal misplacement of a thoracic epidural catheter. A 67-year-old male underwent left lung cancer surgery via thoracotomy with epidural analgesia via the Th 5–6 intervertebral space, although with some difficulty. We detected dermatomal cold sensory loss around Th five min after initial administratio...... hiện toàn bộ
Long-term delayed emergence after remimazolam-based general anesthesia: a case report
JA Clinical Reports - Tập 8 - Trang 1-4 - 2022
Remimazolam is an ultra-short-acting benzodiazepine anesthetic that is antagonized by flumazenil, and it is typically expected to be applied in anesthesia with the purpose of ensuring early postoperative recovery. We report a case of long-term delayed emergence with re-sedation even after three times of flumazenil administration. A 71-year-old man was scheduled for a robotic-assisted laparoscopic ...... hiện toàn bộ
A refractory head tremor appearing after volatile anesthesia combined with epidural anesthesia in a patient with spinocerebellar ataxia type 6
JA Clinical Reports - Tập 4 - Trang 1-3 - 2018
A 64-year-old female patient with spinocerebellar ataxia type 6 was referred to our department for pancreatic cancer and anesthetized with volatile anesthesia combined with epidural anesthesia for pancreaticoduodenectomy. No complications arose during surgery. On postoperative day 4, a head tremor was noticed at the time of mobilization. The tremor was a postural and “no-no” tremor rather than an ...... hiện toàn bộ
Anesthetic management of a patient with situs inversus totalis undergoing coronary artery bypass grafting surgery: a case report
JA Clinical Reports - Tập 7 - Trang 1-7 - 2021
Anesthetic management of coronary artery bypass grafting surgery (CABG) in a dextrocardia patient with situs inversus totalis is rarely encountered and seldom reported in the literature. A 76-year-old Japanese female patient had been diagnosed with situs inversus totalis and coronary artery disease of 3 vessels, and she subsequently underwent elective CABG. A preoperative examination showed almost...... hiện toàn bộ
#Anesthesiology #Pain Medicine #Intensive / Critical Care Medicine #Emergency Medicine
Blockade of intercostobrachial nerve by an erector spinae plane block at T2 level: a case report
JA Clinical Reports - Tập 9 - Trang 1-4 - 2023
The intercostobrachial nerve blockade is required, in addition to brachial plexus block, to anesthetize the entire upper arm. No studies have described the use of erector spinae plane (ESP) block for an intercostobrachial nerve block. A 72-year-old man was scheduled to undergo left brachial vein transposition-arteriovenous fistula creation for hemodialysis access. An ultrasound-guided infraclavicu...... hiện toàn bộ
Knot formation in a thoracic epidural catheter: a case report
JA Clinical Reports - Tập 7 - Trang 1-4 - 2021
Although most epidural catheter knot formation has been reported in lumbar epidural catheter placement, knot formation in a thoracic epidural catheter has been experienced. A 72-year-old woman was scheduled for laparoscopic cholecystectomy under general anesthesia combined with epidural anesthesia. The epidural catheter was inserted through the Th10–Th11 intervertebral space and was placed 7 cm in...... hiện toàn bộ
Correlation between perioperative immunological changes and the onset of surgical site infection after surgery for scoliosis: a retrospective cohort study
JA Clinical Reports - Tập 6 - Trang 1-2 - 2020
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