Rapid sequence spinal anesthesia for the most urgent cesarean section: a simulation and clinical application [0.03%]
紧急剖宫产的快速连续脊髓麻醉：模拟和临床应用研究
Kotaro Hori,Yutaka Oda,Masayoshi Ryokai et al.
Kotaro Hori et al.
Rapid sequence spinal anesthesia is a recently developed technique for the most urgent, category-1 cesarean section. To successfully perform this technique, it is important to multi-disciplinarily discuss with all staffs related to delivery...
Reiterative ventricular fibrillation caused by R-on-T during temporary epicardial pacing: a case report [0.03%]
临时心外膜起搏时R-on-T引发的室速室颤1例报告
Yuki Nakamori,Takuma Maeda,Yoshihiko Ohnishi
Yuki Nakamori
Epicardial pacemaker wire insertion is standard following cardiothoracic surgery. However, undersensing of pacing wires may cause the R-on-T phenomenon, which induces ventricular fibrillation. We report a case of a male patient with severe ...
A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp [0.03%]
一只大的无症状鼻咽部息肉导致的意外困难插管病例报告
Yoko Hori,Kana Taniguchi,Tadashi Okabe et al.
Yoko Hori et al.
We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal int...
Ligation of the internal jugular vein increased regional cerebral oxygen saturation but decreased the bispectral index in a 72-year-old man: a case report [0.03%]
锁骨下静脉穿刺损伤致右侧颈内静脉夹闭综合征：病例报告
Maiko Hasegawa-Moriyama,Kohei Godai,Tomotsugu Yamada et al.
Maiko Hasegawa-Moriyama et al.
Regional cerebral oxygen saturation (rSO2) and the bispectral index (BIS) are used to detect cerebral perfusion abnormalities. However, whether rSO2 and BIS values change during ligation of the internal jugular vein (IJV) is unknown. We rep...
Cardiac arrest after thoracic paravertebral block with ropivacaine in a 6-year-old child [0.03%]
罗哌卡因胸椎旁阻滞致6岁患儿心脏骤停
Yu Yamane,Tetsuro Kagawa
Yu Yamane
We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She ...
Takuma Maeda,Ryo Sakurai,Yoshihiko Ohnishi
Takuma Maeda
The patient was a 67-year-old woman with a history of worsening dyspnea over several months. Cardiac echocardiography showed a large, mobile left atrial myxoma. Emergency surgery was performed. Cardiac arrest occurred during repositioning o...
Ventricular tachycardia observed during cesarean section in a patient without structural cardiac disease [0.03%]
无结构性心脏病产妇剖宫产手术中出现室性心动过速
Mika Nakanishi,Kaoru Masumo,Takako Oota et al.
Mika Nakanishi et al.
A 32-year-old gravida 2, para 1 woman without structural cardiac disease was scheduled for her second cesarean section under combined spinal and epidural anesthesia (CSEA). She had stable hemodynamics after delivery; however, 16 min after t...
A case of myocardial infarction caused by obstruction of a drug-eluting stent during the perioperative period [0.03%]
围术期药物洗脱支架堵塞致急性心肌梗死1例报告
Hiroaki Toyama,Kazutomo Saito,Hiroyuki Anzai et al.
Hiroaki Toyama et al.
We report a patient who developed drug-eluting stent (DES) thrombosis induced by discontinuation of dual antiplatelet therapy (DAPT) and subsequently had a massive surgical site bleed caused by restarting heparin and DAPT during the periope...
Transversus abdominis plane block for bilateral orchiopexy in an 8-year-old patient with Eisenmenger's syndrome [0.03%]
艾森曼格综合征8岁患儿腹股沟斜疝高位结扎术的腹横筋膜平面阻滞麻醉
Yu Matsumoto,Satoshi Shibuta,Tomotaka Morita et al.
Yu Matsumoto et al.
Non-cardiac surgery should only be performed in patients with Eisenmenger's syndrome if absolutely mandatory because these patients are at high risk of perioperative mortality. Proper anesthetic and perioperative pain management in these pa...
A case requiring tracheal stenting due to superior vena cava syndrome developing after craniotomy [0.03%]
经颅手术后上腔静脉综合征导致需要气管支架置入的病例报告
Shota Sonobe,Satoki Inoue,Kazuaki Atagi et al.
Shota Sonobe et al.
We report a patient who developed sustained hypotension during craniotomy; further, owing to a mediastinal mass, critical tracheal stenosis and brain edema were observed after craniotomy, despite the absence of preoperative symptomatic supe...