ASJBCCR Published Issue

Volume 9, Issue 1

January–April 2026

Asploro Journal of Biomedical and Clinical Case Reports

About This Issue

Clinical Evidence, Case Reports and Medical Insights

Explore Volume 9, Issue 1 of the Asploro Journal of Biomedical and Clinical Case Reports. This issue presents peer-reviewed clinical case reports, research articles, reviews and scholarly perspectives intended to support medical education, evidence-based practice and the exchange of clinically relevant knowledge.

Articles in This Issue

01 Case Report Pages 01-06

Citation: Asp Biomed Clin Case Rep. 2026 Jan 14;9(1):01-06

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 ureter was not. The left kidney shows contrast medium accumulation in the renal calyx, with no urine flow due to the renal stone. Thus, 3D-CT reconstruction would be beneficial.

Read Full Text View PDF Open DOI
02 Systematic Review and Meta-Analysis Pages 07-13

Citation: Asp Biomed Clin Case Rep. 2026 Jan 16;9(1):07-13

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 underlying their interaction remain unclear. In daily life and clinical practice, timely assessment of cognitive function and effective intervention in individuals experiencing delirium may potentially slow cognitive decline and even prevent the onset or progression of dementia. This article reviews the research on the correlation between delirium and dementia, exploring ways to mitigate…

Read Full Text View PDF Open DOI
03 Review Article Pages 14-20

Citation: Asp Biomed Clin Case Rep. 2026 Jan 28;9(1):14-20

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 of life. Consequently, the selection of an appropriate anesthesia method is of significant importance for improving surgical safety and clinical outcomes. Based on these considerations, this article reviews the selection of anesthesia methods for elderly patients undergoing hip fracture surgery.

Read Full Text View PDF Open DOI
04 Case Report Pages 21-26

Citation: Asp Biomed Clin Case Rep. 2026 Feb 19;9(1):21-26

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 echoes within all cardiac chambers, confirming the diagnosis of VAE. Immediate management included repositioning to Durant’s position, ventilation with 100% oxygen, intermittent external chest compressions, and vasopressor support. Despite the occurrence of transient ventricular fibrillation, sinus rhythm was restored within minutes, and the patient achieved full recovery without neurological or cardiac sequelae. This…

Read Full Text View PDF Open DOI
05 Systematic Review and Meta-Analysis Pages 27-33

Citation: Asp Biomed Clin Case Rep. 2026 Apr 01;9(1):27-33

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 impacts of intraoperative factors, including the suppression of sleep architecture by anesthetic drugs (propofol, opioids) and the disruption of circadian rhythms caused by surgical timing and trauma. The review also highlights the synergistic exacerbation of sleep disturbances in the postoperative phase due to pain–inflammation cycles, adverse ward environments (noise and light), and medication…

Read Full Text View PDF Open DOI
06 Systematic Review and Meta-Analysis Pages 34-45

Citation: Asp Biomed Clin Case Rep. 2026 Apr 25;9(1):34-45

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 prehospital blood product transfusion—including low-titer group O whole blood, packed red blood cells, and plasma—by emergency medical services in the United States, Europe, and Australia, as well as non-transfusion interventions such as early tranexamic acid administration, crystalloid/colloid resuscitation, and physical hemostatic interventions. Recent advances, including lyophilized plasma, point-of-care viscoelastic monitoring, telemedicine platforms, artificial…

Read Full Text View PDF Open DOI