Latest posted articles
Volume 9 Articles
Browse the latest articles published in the current ASJBCCR volume.
Jun 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6449
Abstract
Background: Contrast-induced encephalopathy is a rare but potentially serious neurological complication that occurs after intra-arterial injection of iodinated contrast media. It may manifest as acute encephalopathy, seizures, cortical blindness, hemiplegia, or other focal neurological deficits. Case Presentation: A 46-year-old female developed right-sided limb weakness and language dysfunction during transfer after endovascular treatment of an intracranial aneurysm. After comprehensive management, the patient recovered uneventfully and was discharged without residual neurological deficits. Conclusion: Contrast-induced...
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Jun 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6447
Abstract
Silent lung is an extreme and life-threatening manifestation of severe bronchospasm, characterized by marked attenuation or complete disappearance of bilateral breath sounds and abrupt loss of the end-tidal carbon dioxide (EtCO₂) waveform. This condition may rapidly progress to severe hypoxemia and cardiac arrest. Early recognition, prompt diagnosis, and standardized intervention are critical for reversing bronchospasm and preventing catastrophic perioperative complications. Current clinical studies mainly focus on the prevention of common perioperative airway...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6448
Abstract
Cardiovascular disease (CVD) is the leading cause of death and disability worldwide. Rapid advances in its diagnosis and treatment in recent years have profoundly influenced the perioperative management of patients undergoing surgery. This article reviews recent progress in cardiovascular disease risk assessment, pharmacotherapy, interventional techniques, and surgical procedures, and discusses the new requirements and challenges these advances pose for perioperative anesthetic management.
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6446
Abstract
Perioperative neurocognitive disorders (PND) are highly frequent complications of the central nervous system in elderly patients and are closely related to trauma and neuroinflammation caused by anesthesia and surgery. However, the effect of the depth of anesthesia on PND remains unclear. Previous studies have shown that the use of electroencephalogram (EEG) monitoring to guide the management of anesthesia depth can reduce the dosage of anesthetic drugs and intraoperative awareness, but its preventive...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6445
Abstract
The American Diabetes Association (ADA) has undergone a significant evolution in its stance on carbohydrate-restricted diets for diabetes management. Prior to 2008, the ADA largely rejected low-carbohydrate approaches. From 2008 onward, it progressively acknowledged their short-term efficacy for weight loss, extended this recognition to 2 years by 2011, removed time limits in the 2013 consensus report, and by 2019 explicitly positioned low-carbohydrate eating patterns as among the most studied and viable options...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6444
Abstract
Laparoscopic extended pancreaticoduodenectomy is a radical surgical procedure for malignant tumors of the pancreatic head and periampullary region, characterized by extensive surgical trauma and complex anatomical dissection. Postoperative intra-abdominal hemorrhage is a life-threatening complication with rapid progression and can quickly lead to hemorrhagic shock. As a minimally invasive and precise hemostatic approach with less secondary trauma, transcatheter arterial embolization (TAE) has become the first-choice emergency treatment for postoperative arterial intra-abdominal hemorrhage. However,...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6443
Abstract
The case is a 77-year-old female who was treated for arteriosclerosis and gastroesophageal reflux disease (GERD). In March 2025, type 2 diabetes (T2D) was detected, with HbA1c of 8.8%. Physical examination was negative, with BMI of 21.7 kg/m². Blood chemistry examination revealed LDL of 142 mg/dL, and pulse wave velocity (PWV) showed a cardio-ankle vascular index (CAVI) of 9.9/9.6 and ankle-brachial index (ABI) of 1.11/1.07. She was advised to follow a petite...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6442
Abstract
Introduction: Massive goiter may compress the trachea, causing tracheal deviation and structural abnormalities, resulting in dyspnea. Most patients present with multiple cardiopulmonary complications. Therefore, airway management in such patients carries considerable risks during anesthesia and surgery, and perioperative anesthetic management is relatively complex. Case Presentation: A 78-year-old woman was admitted to the Department of Thyroid Surgery with complaints of a cervical mass with dyspnea. Preoperative multidisciplinary evaluation, detailed airway assessment, and a...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6441
Abstract
Objective: To investigate the clinical characteristics and key points of emergency diagnosis and treatment of acute myocardial infarction with atypical onset symptoms, so as to reduce the rates of misdiagnosis and missed diagnosis. Methods: A retrospective analysis was performed on the diagnosis and treatment process of a middle-aged male patient with acute ST-segment elevation myocardial infarction who presented mainly with subxiphoid pain. Results: A 55-year-old male patient was admitted with 3 hours...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6440
Abstract
The case was a 75-year-old male with hypertension, dyslipidemia, type 2 diabetes (T2D), mild cognitive impairment (MCI), and a general presence of arteriosclerosis for years. HbA1c remained stable at about 7.1–7.4%, and otherwise, no remarkable biochemical results were observed. Pulse wave velocity (PWV) showed an ankle-brachial index (ABI) of 0.96/1.12 and a cardio-ankle vascular index (CAVI) of 9.1/8.6 (right/left), respectively. CAVI values remained stable for 6 years. These results suggested the presence...
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May 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6438
Abstract
Trauma-induced hemorrhage is one of the primary causes of preventable mortality globally, accounting for a substantial proportion of prehospital deaths and underscoring the critical demand for prompt and effective blood management strategies during prehospital transport. This narrative review aims to synthesize the current state, key challenges, and future perspectives of prehospital blood management for trauma patients. This review evaluates established trauma assessment tools (e.g., Shock Index, ABC score), the global implementation of...
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Apr 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6437
Abstract
Perioperative sleep disorders (PSDs), affecting approximately 60% of surgical patients, are a significant yet often overlooked challenge that hinders recovery and increases the risk of complications. This paper provides a systematic analysis of the complex mechanisms and key risk factors contributing to PSDs from four distinct dimensions. It identifies preoperative vulnerabilities such as baseline insomnia, obstructive sleep apnea (OSA), anxiety, and chronic comorbidities as primary predisposing factors. Furthermore, it examines the direct...
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Feb 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6436
Abstract
Venous air embolism (VAE) is a rare but potentially fatal complication of laparoscopic surgery, particularly in procedures requiring Trendelenburg positioning and pneumoperitoneum. This case report describes the successful resuscitation of a 68-year-old male who developed VAE during laparoscopic resection for recurrent rectal cancer. Ninety-four minutes after the start of surgery, the patient developed acute hypotension, bradycardia, hypoxemia, and a marked decrease in end-tidal carbon dioxide (ETCO₂). Bedside transthoracic echocardiography revealed abundant gas...
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Feb 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6435
Abstract
Hip fractures occur frequently in elderly patients, and there is a broad clinical consensus favoring early surgical intervention. However, hip fracture surgery is often prolonged, and elderly patients commonly present with multiple comorbidities, reduced tolerance to anesthetic agents, diminished metabolic capacity, and delayed postoperative recovery. Inappropriate intraoperative anesthesia methods can therefore increase the risk of postoperative cognitive dysfunction and instability of vital signs, leading to greater financial burden and impaired postoperative quality...
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Jan 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6434
Abstract
Delirium is an acute confusional state characterized by inattention, altered level of consciousness, and cognitive dysfunction, whereas dementia is an insidious, chronic, and progressive loss of previously acquired cognitive abilities. The occurrence of delirium is an independent risk factor for subsequent dementia, and conversely, patients with dementia have a significantly higher risk of developing delirium compared to the general population. Although the close relationship between the two is recognized, the specific mechanisms...
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Jan 2026
ASJBCCR
Volume 9
DOI:
10.36502/2026/ASJBCCR.6433
Abstract
Authors have been involved in the reconstruction procedure of three-dimensional computed tomography (3D-CT) by Synapse Vincent based on Artificial Intelligence (AI). The patient was a 62-year-old male, and 3D-CT images showed renal cysts and stones. His clinical problems included high blood pressure, cholelithiasis, alcohol consumption, obesity, liver dysfunction, renal cyst, renal stones, and left renal ureteral obstruction. As the transparent image of 3D-CT reconstruction, the right ureter was traceable, but the left...
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Jan 2026
ASJBCCR
Volume 9
DOI:
10.36502/2025/ASJBCCR.6432
Abstract
Authors have reported several research on the reconstruction of three-dimensional computed tomography (3D-CT) by Synapse Vincent, Japan. The patient was an 87-year-old female with abdominal discomfort. Abdominal CT and 3D-CT images have suggested the presence of hepatic cysts and hemangioma, as well as duplicated and horseshoe kidney. Current disease seems to be the inherited disease, and it is involved in the Congenital Anomalies of the Kidney and the Urinary Tract (CAKUT). Consequently,...
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