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  1. Article ; Online: Postoperative neurocognitive disorders in ambulatory surgery: a narrative review.

    In, Junyong / Chen, Brian / Bae, Hansu / Kinjo, Sakura

    Korean journal of anesthesiology

    2024  

    Abstract: Postoperative neurocognitive disorders (PoNCDs), such as postoperative delirium and cognitive dysfunction or decline can occur after surgery, especially in older patients. This significantly affects patient morbidity and surgical outcomes. Among various ... ...

    Abstract Postoperative neurocognitive disorders (PoNCDs), such as postoperative delirium and cognitive dysfunction or decline can occur after surgery, especially in older patients. This significantly affects patient morbidity and surgical outcomes. Among various risk factors, recent studies have shown that preoperative frailty is associated with developing these conditions. Although the mechanisms underlying PoNCDs remain unclear, neuroinflammation appears to play an important role in their development. For the prevention and treatment of PoNCDs, medication modification, a balanced diet, and prehabilitation and rehabilitation programs have been suggested. The risk of developing PoNCDs is thought to be lower in ambulatory patients. However, owing to technological advancements, an increasing number of older and sicker patients are undergoing more complex surgeries and are often not closely monitored after discharge. Therefore, equal attention should be paid to all patient populations. This article presents an overview of PoNCDs and highlights issues of particular interest for ambulatory surgery.
    Language English
    Publishing date 2024-04-03
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-7563
    ISSN (online) 2005-7563
    ISSN 2005-7563
    DOI 10.4097/kja.23952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Rescue Pericapsular Nerve Group Block for Hip Arthroscopy: A Report of 3 Cases.

    Kinjo, Sakura / Zhang, Alan L

    A&A practice

    2022  Volume 16, Issue 1, Page(s) e01553

    Abstract: Hip arthroscopy is often associated with postoperative pain, requiring opioid analgesia. We describe our use of the pericapsular nerve group (PENG) block as a rescue analgesia for hip arthroscopy. This block was used for 3 patients at an ambulatory ... ...

    Abstract Hip arthroscopy is often associated with postoperative pain, requiring opioid analgesia. We describe our use of the pericapsular nerve group (PENG) block as a rescue analgesia for hip arthroscopy. This block was used for 3 patients at an ambulatory surgery center. All patients exhibited good pain control without clinically significant quadriceps weakness and were able to go home the same day. This case report illustrates the possibility of using the PENG block as an alternative to more conventional regional nerve blocks, such as a fascia iliaca block, femoral nerve block, or lumbar plexus block.
    MeSH term(s) Analgesia ; Arthroscopy ; Femoral Nerve ; Humans ; Nerve Block ; Pain, Postoperative/drug therapy
    Language English
    Publishing date 2022-01-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Assessment of Perioperative Sleep Characteristics Using Subjective and Objective Methods: A Secondary Analysis of Prospective Cohort Study.

    In, Junyong / Lim, Eunjung / Kinjo, Sakura

    Sleep disorders

    2023  Volume 2023, Page(s) 9633764

    Abstract: Perioperative sleep disturbances may impact healing and negatively affect the patient's perception of well-being. Therefore, accurately assessing postoperative sleep characteristics is necessary to treat sleep disturbances. This study is a secondary data ...

    Abstract Perioperative sleep disturbances may impact healing and negatively affect the patient's perception of well-being. Therefore, accurately assessing postoperative sleep characteristics is necessary to treat sleep disturbances. This study is a secondary data analysis of research investigating the association between sleep and cognition in a perioperative setting. This study compares sleep characteristics between the St. Mary's Hospital Sleep Questionnaire and WatchPAT, a portable sleep apnea testing device. The goal of this study is to compare an objective measurement of sleep quality (WatchPAT) with a traditional questionnaire. One hundred and one patients who underwent elective, noncardiac surgical procedures wore a WatchPAT and completed the St. Mary's Hospital Sleep Questionnaire for three nights: two preoperative and one postoperative night. In the preoperative period, a Bland-Altman analysis showed an agreement Watch PAT and the St Mary's hospital sleep questionnaire except for sleep fragmentation. A good to fair correlation during the preoperative period was observed with both sleep latency and total sleep time. In the postoperative period, no correlation was observed between the St. Mary's Hospital Sleep Questionnaire data and WatchPAT data. Our study indicates that some potential factors affecting sleep and cognition such as admission type, depression, anesthesia type, and sleep apnea may limit patients' ability to report their sleep characteristics after surgery. Therefore, relying solely on one sleep assessment method is not advisable.
    Language English
    Publishing date 2023-04-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2619778-9
    ISSN 2090-3553 ; 2090-3545
    ISSN (online) 2090-3553
    ISSN 2090-3545
    DOI 10.1155/2023/9633764
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hereditary Neuropathy with Liability to Pressure Palsy and Vocal Cord Paralysis After Pulmonary Lobectomy: A Case Report.

    Saito, Yukiko / Motoyasu, Akira / Tokumine, Joho / Kinjo, Sakura / Nakazawa, Harumasa / Moriyama, Kiyoshi / Yorozu, Tomoko

    A&A practice

    2024  Volume 18, Issue 3, Page(s) e01752

    Abstract: Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare peripheral neurological disorder that manifests with increased sensitivity to pressure. In people with this disorder, the peripheral nerves are unusually sensitive to pressure. Minor ...

    Abstract Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare peripheral neurological disorder that manifests with increased sensitivity to pressure. In people with this disorder, the peripheral nerves are unusually sensitive to pressure. Minor trauma or compression causing paralysis in the extremities is a hallmark of this disorder. Ensuring there is no pressure on the extremities is recommended as a preventive measure. We describe for the first time, postoperative vocal cord paralysis in a patient with HNPP due to left recurrent laryngeal nerve palsy. Anesthesiologists and surgeons should be aware of this possible complication in patients with HNPP.
    MeSH term(s) Humans ; Vocal Cord Paralysis/etiology ; Anesthesiologists ; Arthrogryposis ; Awareness ; Hereditary Sensory and Motor Neuropathy
    Language English
    Publishing date 2024-02-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001752
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The effects of microbiome-targeted therapy on cognitive impairment and postoperative cognitive dysfunction-A systematic review.

    Sugita, Saiko / Tahir, Peggy / Kinjo, Sakura

    PloS one

    2023  Volume 18, Issue 2, Page(s) e0281049

    Abstract: Background: The gut-brain axis involves bidirectional communication between the gut-microbiota and central nervous system. This study aimed to investigate whether probiotics and/or prebiotics, known as Microbiome-targeted Therapies (MTTs), improve ... ...

    Abstract Background: The gut-brain axis involves bidirectional communication between the gut-microbiota and central nervous system. This study aimed to investigate whether probiotics and/or prebiotics, known as Microbiome-targeted Therapies (MTTs), improve cognition and prevent postoperative cognitive dysfunction (POCD).
    Methods: Relevant animal and human studies were identified using a systematic database search (PubMed, EMBASE, Cochrane Library, and Web of Science), focusing on the effects of MTTs on inflammation, perioperative and non-perioperative cognitive impairment. Screening and data extraction were conducted by two independent reviewers. The Risk of bias was assessed using the SYRCLE's risk of bias tool for animal studies. The revised Cochrane risk of bias tool (RoB 2) was used for human studies.
    Results: A total of 24 articles were selected; 16 of these involved animal studies, and 8 described studies in humans. In these papers, the use of MTTs consistently resulted in decreased inflammation in perioperative and non-perioperative settings. Out of 16 animal studies, 5 studies (2 associated with delirium and 3 studies related to POCD) were conducted in a perioperative setting. MTTs improved perioperative cognitive behavior and reduced inflammation in all 5 animal studies. Eleven animal studies were conducted in a non-perioperative setting. In all of these studies, MTTs showed improvement in learning and memory function. MTTs showed a positive effect on levels of pro-inflammatory cytokines and biomarkers related to cognitive function. Among the 8 human studies, only one study examined the effects of perioperative MTTs on cognitive function. This study showed a reduced incidence of POCD along with improved cognitive function. Of the remaining 7 studies, 6 suggested that MTTs improved behavioral test results and cognition in non-perioperative environments. One study failed to show any significant differences in memory, biomarkers of inflammation, or oxidative factors.
    Conclusion: In the studies we examined, most showed that MTTs decrease inflammation by down-regulating inflammatory cytokines and oxidative stress in both perioperative and non-perioperative settings. In general, MTTs also seem to have a positive effect on cognition through neural, immune, endocrine, and metabolic pathways. However, these effects have not yet resulted in a consensus regarding preventative strategies or treatments. Based on these current research results, MTTs could be a potential new preventative strategy for cognitive impairment after surgery.
    MeSH term(s) Animals ; Humans ; Postoperative Cognitive Complications ; Postoperative Complications/etiology ; Cognitive Dysfunction/etiology ; Inflammation/metabolism ; Microbiota ; Cytokines ; Biomarkers
    Chemical Substances Cytokines ; Biomarkers
    Language English
    Publishing date 2023-02-07
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0281049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Advances in regional anesthesia for ambulatory surgery.

    Kinjo, Sakura / Chernin, Tyler / Siegmueller, Claas / Sharrow, Christopher M / Shilling, Ashley

    International anesthesiology clinics

    2023  Volume 62, Issue 1, Page(s) 54–61

    Language English
    Publishing date 2023-11-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 210757-0
    ISSN 1537-1913 ; 0020-5907
    ISSN (online) 1537-1913
    ISSN 0020-5907
    DOI 10.1097/AIA.0000000000000429
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The effects of microbiome-targeted therapy on cognitive impairment and postoperative cognitive dysfunction-A systematic review.

    Saiko Sugita / Peggy Tahir / Sakura Kinjo

    PLoS ONE, Vol 18, Iss 2, p e

    2023  Volume 0281049

    Abstract: Background The gut-brain axis involves bidirectional communication between the gut-microbiota and central nervous system. This study aimed to investigate whether probiotics and/or prebiotics, known as Microbiome-targeted Therapies (MTTs), improve ... ...

    Abstract Background The gut-brain axis involves bidirectional communication between the gut-microbiota and central nervous system. This study aimed to investigate whether probiotics and/or prebiotics, known as Microbiome-targeted Therapies (MTTs), improve cognition and prevent postoperative cognitive dysfunction (POCD). Methods Relevant animal and human studies were identified using a systematic database search (PubMed, EMBASE, Cochrane Library, and Web of Science), focusing on the effects of MTTs on inflammation, perioperative and non-perioperative cognitive impairment. Screening and data extraction were conducted by two independent reviewers. The Risk of bias was assessed using the SYRCLE's risk of bias tool for animal studies. The revised Cochrane risk of bias tool (RoB 2) was used for human studies. Results A total of 24 articles were selected; 16 of these involved animal studies, and 8 described studies in humans. In these papers, the use of MTTs consistently resulted in decreased inflammation in perioperative and non-perioperative settings. Out of 16 animal studies, 5 studies (2 associated with delirium and 3 studies related to POCD) were conducted in a perioperative setting. MTTs improved perioperative cognitive behavior and reduced inflammation in all 5 animal studies. Eleven animal studies were conducted in a non-perioperative setting. In all of these studies, MTTs showed improvement in learning and memory function. MTTs showed a positive effect on levels of pro-inflammatory cytokines and biomarkers related to cognitive function. Among the 8 human studies, only one study examined the effects of perioperative MTTs on cognitive function. This study showed a reduced incidence of POCD along with improved cognitive function. Of the remaining 7 studies, 6 suggested that MTTs improved behavioral test results and cognition in non-perioperative environments. One study failed to show any significant differences in memory, biomarkers of inflammation, or oxidative factors. Conclusion In the studies we examined, most showed ...
    Keywords Medicine ; R ; Science ; Q
    Subject code 150
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Virtual reality may reduce anxiety and enhance surgical experience during wide-awake local anaesthesia no tourniquet surgery: A report of two cases.

    Krish, Goutam / Immerman, Igor / Kinjo, Sakura

    Journal of perioperative practice

    2021  Volume 32, Issue 6, Page(s) 136–141

    Abstract: Virtual reality is an immersive experience that has been gaining acceptance in the field of medicine as a tool for reducing patient anxiety. We recently observed the effectiveness of this technology in wide-awake local anaesthesia no tourniquet (WALANT) ... ...

    Abstract Virtual reality is an immersive experience that has been gaining acceptance in the field of medicine as a tool for reducing patient anxiety. We recently observed the effectiveness of this technology in wide-awake local anaesthesia no tourniquet (WALANT) surgeries. Here we report two cases of patients who used a virtual reality device during hand surgery using the WALANT technique. Both patients reported that the use of VR technology reduced their anxiety and improved their overall experience during surgery. This case report highlights the novel use of virtual reality during hand surgeries where the patients were awake. Based on these two cases, virtual reality may have the potential to reduce anxiety during the perioperative period and enhance a patient's overall experience in WALANT surgeries.
    MeSH term(s) Anesthesia, Local/methods ; Anxiety/prevention & control ; Humans ; Tourniquets ; Virtual Reality ; Wakefulness
    Language English
    Publishing date 2021-06-30
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2226186-2
    ISSN 2515-7949 ; 1750-4589
    ISSN (online) 2515-7949
    ISSN 1750-4589
    DOI 10.1177/1750458920984048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Bloqueio contínuo do plano do eretor da espinha lombar para o controle da dor pós‐operatória em procedimento de revisão de cirurgia do quadril: relato de caso.

    Kinjo, Sakura / Schultz, Alison

    Brazilian journal of anesthesiology (Elsevier)

    2019  Volume 69, Issue 4, Page(s) 420–422

    Abstract: The number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal ... ...

    Title translation Continuous lumbar erector spinae plane block for postoperative pain management in revision hip surgery: a case report.
    Abstract The number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal medications and a continuous lumbar plexus block, we report two cases of patients who received continuous lumbar erector spinae plane blocks. Both patients exhibited excellent pain control postoperatively and were able to discharge home on postoperative day one. This case report illustrates the possible utility of continuous erector spinae plane blocks for postoperative analgesia in the more frequently occurring revision total hip arthroplasty surgeries.
    MeSH term(s) Adult ; Arthroplasty, Replacement, Hip/methods ; Female ; Humans ; Middle Aged ; Nerve Block/methods ; Pain, Postoperative/prevention & control ; Reoperation
    Language Portuguese
    Publishing date 2019-07-28
    Publishing country Brazil
    Document type Case Reports ; Journal Article
    ISSN 2352-2291
    ISSN (online) 2352-2291
    DOI 10.1016/j.bjan.2018.12.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Modified Wake Forest Type Protective Shield for an Asymptomatic, COVID-19 Nonconfirmed Patient for Intubation Undergoing Urgent Surgery.

    Kinjo, Sakura / Dudley, Matthew / Sakai, Norihiro

    Anesthesia and analgesia

    2020  Volume 131, Issue 2, Page(s) e127–e128

    MeSH term(s) Asymptomatic Diseases/therapy ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/surgery ; Coronavirus Infections/transmission ; Emergency Treatment/instrumentation ; Emergency Treatment/methods ; Humans ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Pandemics ; Personal Protective Equipment ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/surgery ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-07
    Publishing country United States
    Document type Letter
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000004964
    Database MEDical Literature Analysis and Retrieval System OnLINE

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