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High-flow nasal oxygen combined with multimodal sedation to preserve spontaneous ventilation during airway stenting: A case report

Tomoyuki Saito, M.D., Ph.D; Yuka Narumi, M.D

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Airway stenting for tracheomalacia-related airway stenosis is associated with a high risk of airway collapse. We report a case of an 83-year-old man with severe tracheal stenosis and tracheomalacia in whom high-flow nasal oxygen (HFNO) combined with multimodal sedation was successfully used to…

Cardiac arrest following magnesium sulfate administration in a patient with severe preeclampsia: A case report

Swati Jindal; Vivek Pandit; Deepika Gupta dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Magnesium sulfate is the standard prophylactic treatment for seizures in severe preeclampsia, but its use requires careful monitoring due to potential toxicity, particularly when combined with antihypertensive agents. We report a 29-year-old primigravida at 35 + 6 weeks gestation with severe…

Late hemorrhage after radiofrequency denervation for chronic hip pain: A CASE report

Rachel J.H. Smits; Sezai Özkan; Micha Holla dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Chemical or thermal hip denervation is a feasible alternative to surgery for pain relief in patients who are at risk for complications after total hip arthroplasty. It is considered to be a minimal invasive intervention with negligible risk of hemorrhagic events.We report on a 68-year-old woman…

Beyond awake intubation: Cardiopulmonary bypass and ECMO as rescue strategies in retrosternal goiter surgery

Basil Babu, MBBS, MS, DNB; L. Pfokreni

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Intraoperative leak due to an armored endotracheal tube damage during head and neck surgery: A rare but dreaded complication – A case report

Ashutosh Kaushal; Bhagyashree Gupta; Chitra Srinivas dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Head and neck cancer surgeries are precariously known for intraoperative damage to the endotracheal tube due to the presence of a shared airway and the routine use of sharp surgical instruments in close proximity to the airway. Such damage can result in significant airway compromise, leading to…

Emergency airway management of intratracheal mass in a patient with stridor: A case report

Sangeeta Sahoo; P.P. Jasmin; Upendra Hansda dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Management of tracheal masses poses significant challenges, especially in patients with difficult airways. We report a case of a 70-year-old male with a large tracheal mass and limited neck extension who underwent successful awake tracheostomy with dexmedetomidine nebulization and resection of the…

Evaluating the five-target, three-approach scapular block technique for scapular surgeries – A prospective case series

Kartik Sonawane; S. Hemashree; Gadicharala Samiksha dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Scapular surgeries pose unique anesthetic challenges due to complex innervation, diverse surgical approaches, and difficult patient positioning. Traditional regional anesthesia (RA) techniques often fail to provide complete coverage, necessitating either multiple blocks or general anesthesia (GA)…

Perioperative and airway management of a giant occipital encephalocele in a neonate: A case report

Shubhkarman Kahlon, MD, DNB, EDAIC; Anudeep Jafra, MD, DNB; Gautham Patel, MD, DNB

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Giant occipital encephalocele is a rare congenital neural-tube defect characterized by herniation of brain tissue and meninges through a large cranial defect, often exceeding the size of the cranium itself. Such lesions present formidable anesthetic and surgical challenges due to difficult airway…

Povidone-iodine-induced skin injury: Chemical burn or allergy?

Basil Babu

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Staphylococcus aureus detection and transmission in the anesthesia work area during cesarean delivery

Arnav Bhushan, BA; Franklin Dexter, MD, PhD, FASA; Carmen Brindeiro, PhD dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Background: Earlier, we found that non-obstetrical patients developed surgical site infection for 2.0 % of cases without Staphylococcus aureus transmission through anesthesia work areas, 11 % with S. aureus transmitted susceptible to prophylactic antibiotic, and 18 % with transmission of…

Post-extubation airway obstruction following uvulopalatopharyngoplasty in an undiagnosed Pierre Robin sequence: A case report

Min Joo Shin; Jin Huh

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Pierre Robin Sequence (PRS) is a rare congenital condition characterized by micrognathia, glossoptosis, and often cleft palate, predisposing patients to severe airway management difficulties. While typically diagnosed in infancy, an undiagnosed presentation in adulthood poses a unique and critical…

Emergency front-of-neck access for a cannot ventilate, cannot intubate crisis after cervical spine fixation in a resource-limited setting: A case report

L. Pfokreni, MD; Matte Siba, MD, DNB; Jalli Indira, MBBS dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Airway emergencies outside the operating theatre can rapidly become life-threatening, especially in resource-limited settings where advanced airway equipment and trained personnel may not be readily available. Patients with postoperative cervical spine fixation are particularly vulnerable due to…

Near complete airway obstruction due to a laryngeal cyst: A case report

Nicolas Mario Mas D. Alessandro, MD; Connor Keuchel, BA; Alexander W. Estright, BS dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Voice disorders can arise from various causes, complicating diagnosis. Vocal cord cysts, though nonmalignant, have a prevalence of 114 per 100,000 and can lead to severe complications including death. This case report details the anesthetic management of a 60-year-old African American female…

Immediate postoperative cardiac arrest after resection of a Giant Craniopharyngioma in a pediatric patient: A case report

L. Pfokreni, MD; Ashutosh Kaushal, MD, DNB, PDCC, DM; Vaishali Waindeskar, MD dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Craniopharyngioma resection in children is surgically challenging due to its proximity to critical hypothalamic and vascular structures, and although rare, sudden postoperative hemodynamic collapse may occur. We report a 5-year-old female with a giant suprasellar craniopharyngioma who underwent…

Opioid-free Anesthesia protocol for Biportal endoscopic spine surgery: A preliminary clinical experience

Santiago Barrientos, MD; Ana Milena Herrera

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Alcohol-based skin disinfection of the umbilicus resulting in the electrosurgical device-related fire: A case report

Momoka Kobayashi; Chiaki Nemoto; Satoki Inoue

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Alcohol-based antiseptic solutions are widely used for preoperative skin preparation but may rarely cause surgical fires. We report a case of surgical drape ignition during transumbilical laparoscopic surgery in a woman in her late 30s. A fire occurred shortly after starting to use an…

Anesthetic management of life-threatening hemorrhagic shock in a patient with Wellens' syndrome: A case report

Min Joo Shin; Gi Yong Yoon; Jin Huh

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

Wellens' syndrome, characterized by pathognomonic precordial T-wave inversions (V2–V4) signifying critical proximal left anterior descending (LAD) coronary artery stenosis, represents a high-risk form of unstable angina requiring urgent revascularization. We detail the challenging anesthetic…

Orbital swelling and subcutaneous emphysema following robotic hiatal hernia repair and roux-en-Y gastric bypass surgery: A report of two cases

Soudad Asim Shila; Arunabha Karmakar; Mohamed H. Fadul dkk.

JCA Advances, Vol. 3 No. 1 · 2026 · Inggris · DOAJ Scopus

While laparoscopic surgery is very safe in experienced hands, several complications, including those due to forced gas insufflation into the peritoneal cavity, may occur. One rare sequela is subcutaneous emphysema. In many cases, the condition is clinically silent. Various risk factors for this…

Life-threatening hypotension triggered by wall suction-applied epidural drainage during spinal fusion surgery: A report of two cases

Mariko Wada, MD; Masato Nakasuji, MD

JCA Advances, Vol. 3 No. 4 · 2026 · Inggris · DOAJ Scopus

Negative-pressure suction drains are commonly used in spinal surgery; however, negative pressure may provoke serious intraoperative complications. Acute circulatory collapse associated with epidural drainage remains underrecognized, and its underlying mechanisms have not been fully elucidated. We…

High-flow nasal oxygen-assisted rapid sequence induction in a patient with intestinal obstruction: A case report

Naoi Tsurumachi, MD, PhD; Ryosuke Osawa, MD; Hidetoshi Nagayama, MD dkk.

JCA Advances, Vol. 3 No. 4 · 2026 · Inggris · DOAJ Scopus

High-flow nasal oxygenation (HFNO) is used during induction of general anesthesia, particularly in patients with limited oxygen reserve. Although previous studies suggest a low risk of gastric insufflation with HFNO in healthy adults, the risk in high-risk patients remains uncertain. We report a…