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BACKGROUND Perioperative myocardial infarction is a rare but highly fatal complication, which often occurs in patients with poor preoperative cardiac conditions undergoing high-risk surgery. We report a case of acute myocardial infarction in a patient without cardiac risk factors during emergence from general anesthesia for removal of spinal screws. CASE PRESENTATION A 37-year-old, 60 kg, and 160 cm man, who had no history of cardiovascular diseases, underwent removal of loosen spinal plug screw...
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#1Mariko Ezaka (Teikyo University)
Last. Kazue Yamaoka (Teikyo University)H-Index: 18
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BACKGROUND Lactate is a well-known marker to estimate prognosis after cardiac surgery and critically ill patients. The liver and kidney have a major role in lactate metabolism; however, there was less characterized about the change of lactate and threshold to predict in-hospital mortality in dialysis-dependent patients undertaking cardiac surgery. We conducted this retrospective observational study to characterize when and how lactate values after cardiac surgery affected in-hospital mortality. ...
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#1Makiko Yamamoto (Nippon Medical School)
#2Izumi Miyazaki (Nippon Medical School)
Last. Atsuhiro Sakamoto (Nippon Medical School)H-Index: 25
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BACKGROUND 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. CASE PRESENTATION A 27-month-old girl with trisomy 13 underwent tonsillectomy. Given her high sensitivity to opioids, general anesthesia was introduced and maintained only with 2-5% sevoflurane and 33% nitrous oxide in oxygen. We...
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#1Ryo Wakabayashi (Shinshu University)H-Index: 1
#2Satoshi Tanaka (Shinshu University)H-Index: 5
Last. Mikito Kawamata (Shinshu University)H-Index: 23
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BACKGROUND Musculocontractural Ehlers-Danlos syndrome is a new and rare subtype of Ehlers-Danlos syndrome in which anesthetic considerations for airway and respiratory management, prevention of skin injuries and joint dislocations, and hemostatic management for severe perioperative bleeding are required. CASE PRESENTATION A 19-year-old woman with musculocontractural Ehlers-Danlos syndrome was scheduled to undergo posterior spinal fusion from the 4th thoracic to the 4th lumbar vertebrae under gen...
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#1Makishi Maeda (Sapporo Medical University)
#2Tomohiro Chaki (Sapporo Medical University)H-Index: 2
Last. Michiaki Yamakage (Sapporo Medical University)H-Index: 23
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Psoriasis vulgaris, a chronic inflammatory skin disease, rarely causes temporomandibular arthritis. We report a case of difficult airway management of a patient with limited range of motion in the temporomandibular joint and cervical extension caused by psoriatic arthritis. A 33-year-old man was scheduled to undergo laparoscopic colectomy. On admission, he was diagnosed with psoriatic arthritis. After induction of general anesthesia, we attempted intubation using Pentax Airway Scope® with a thin...
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#1Yutaro Kammura (Kyushu University)
#2Ai Fujita (Kyushu University)H-Index: 2
Last. Ken Yamaura (Kyushu University)H-Index: 12
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Cardiac sarcoidosis (CS) causes severe conduction abnormalities and arrhythmias. CS patients are increasingly being treated with cardiac resynchronization therapy-defibrillators (CRT-Ds). For the first time, we report the anesthetic management of a CS patient with a CRT-D. A 65-year-old male with an implanted CRT-D due to CS was scheduled for a laparoscopy-assisted total proctocolectomy for his transverse colon cancer. His left ventricular ejection fraction was 32.0%, and his physical status was...
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#1Haruno Soma (Niigata University)
#2Kenta Furutani (Niigata University)H-Index: 5
Last. Hiroshi Baba (Niigata University)H-Index: 27
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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). A 44-year-old female was scheduled for breast reconstruction surgery. Intubation was performed using a McGrath videolaryngoscope. After intubation, videolaryngoscopy revealed that the epiglottis was inverted and folded down into the laryngeal inlet. We eleva...
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#1Hironobu Ueshima (Showa University)H-Index: 14
#2Hiroshi Otake (Showa University)H-Index: 12
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#1Kenichi TakechiH-Index: 5
Last. Ichiro ShimizuH-Index: 3
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Carbon dioxide embolism is a life-threatening complication of laparoscopic hepatectomy. A 59-year-old man was admitted for laparoscopic hepatectomy. Approximately 5 h after commencing the operation, we observed a gradual decline in the SpO2 from 100 to 94%, reduction in the ETCO2 from 44 to 19 mmHg, reduction in the systolic blood pressure from 100 to 82 mmHg, and elevation of the heart rate from 82 to 120 beats/min. Intraoperatively, the image displayed on the laparoscopic monitor revealed a sm...
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#1Yuka MiyataH-Index: 2
Last. Yukio HayashiH-Index: 26
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PURPOSE: A pulmonary artery catheter (PAC) has to pass the tricuspid and pulmonary valves for its proper placement. Although several factors were reported to hinder the placement, there have been no reports to identify the factors that prolong the individual time for passing through each valve. METHOD: We individually measured the time required for a PAC to pass through the tricuspid and pulmonary valves. We examined the effect of the following factors on those times: the patient's age, sex, hei...
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