JA clinical reports
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JA clinical reports · Jun 2020
Opioid-free anesthesia for a child with trisomy 13 with obstructive sleep apnea: a case report.
Most children with trisomy 13 display central apnea, and are prone to opioid-induced respiratory depression. We conducted opioid-free anesthesia for a patient with trisomy 13 and obstructive sleep apnea, and safely extubated the patient in the operating room. ⋯ Opioid-free anesthesia with adequate non-narcotic analgesics is safe for children with trisomy 13 with multiple apnea-related comorbidities.
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JA clinical reports · Jun 2020
Downfolding of the epiglottis into the laryngeal inlet after tracheal intubation using the McGRATHTM MAC videolaryngoscope: a case report.
Downfolding of the epiglottis into the laryngeal inlet is considered to be a rare complication of tracheal intubation. We describe a case of epiglottic downfolding during tracheal intubation using a McGrath videolaryngoscope (McGRATHTM MAC). ⋯ When using the McGrath videolaryngoscope, both glottic exposure similar to that achieved with the Macintosh laryngoscope and careful observation of the epiglottis should enable the prevention, detection, and treatment of epiglottic downfolding into the laryngeal inlet.
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JA clinical reports · Jun 2020
Retraction Of PublicationRetraction Note: Successful clavicle fracture surgery performed under selective supraclavicular nerve block using the new subclavian approach.
An amendment to this paper has been published and can be accessed via the original article.
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JA clinical reports · May 2020
Identification of risk factors for post-induction hypotension in patients receiving 5-aminolevulinic acid: a single-center retrospective study.
5-Aminolevulinic acid (5-ALA) is useful as a photodynamic agent, but its use commonly leads to hypotension. Although avoiding a mean arterial pressure (MAP) < 60 mmHg is important, the incidence of MAP < 60 mmHg when using 5-ALA is unclear. Therefore, we conducted a retrospective study to assess the incidence of post-induction hypotension and identified risk factors of this phenomenon. ⋯ The incidence of post-induction hypotension was 70% in patients using 5-ALA. Female sex, systolic blood pressure < 100 mmHg before anesthesia induction, and general anesthesia might be independent factors of post-induction hypotension when using 5-ALA.
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JA clinical reports · Feb 2020
Perianesthetic death: a 10-year retrospective observational study in a Japanese university hospital.
Studies reporting on perianesthetic death and anesthesia-related death are limited. The present study aimed to assess the incidence of perianesthetic death and its relation to anesthesia and to describe the patient characteristics and main events leading to death in cases of anesthesia-related death and anesthesia-contributory death. ⋯ The incidence of perianesthetic death was 8.8/10,000 anesthetics; however, anesthesia-related death was not detected. Ten patients experienced anesthesia-contributory death, and hypovolemia during or after surgery was most frequently associated with anesthesia-contributory death.