- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Neonatal Respiratory Health Research
- Airway Management and Intubation Techniques
- Mechanical Circulatory Support Devices
- Nosocomial Infections in ICU
- Neuroscience of respiration and sleep
- Anesthesia and Sedative Agents
- Pleural and Pulmonary Diseases
- Anesthesia and Neurotoxicity Research
- COVID-19 Clinical Research Studies
- Emergency and Acute Care Studies
- Heart Failure Treatment and Management
- Infection Control and Ventilation
- Simulation-Based Education in Healthcare
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Trauma and Emergency Care Studies
- Tracheal and airway disorders
- Pediatric Pain Management Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Congenital Heart Disease Studies
- Thermal Regulation in Medicine
- Sepsis Diagnosis and Treatment
- Treatment of Major Depression
National Cerebral and Cardiovascular Center
2024
Hiroshima University
2016-2023
Higashihiroshima Medical Center
2017-2021
Children's Hospital of Los Angeles
2020-2021
Hiroshima University Hospital
2015-2020
Hyogo Prefectural Amagasaki General Medical Center
2020
Aso Iizuka Hospital
2014
Patients with obesity are at increased risk for developing acute respiratory distress syndrome (ARDS). Some centers consider a relative contraindication to receiving extracorporeal membrane oxygenation (ECMO) support, despite growing implementation of ECMO ARDS in the general population.
Inspiratory holds with measures of airway pressure to estimate driving (elastic work) are often limited patients without respiratory effort. We sought evaluate if during inspiratory could be used for spontaneous effort mechanical ventilation the degree and elastic work.We compared direction change in versus esophageal through secondary analysis physiologic data.ICUs at Children's Hospital Los Angeles.Children pediatric acute distress syndrome evidence respiration while on control or support...
Ventilator-induced diaphragmatic dysfunction is a serious complication associated with higher ICU mortality, prolonged mechanical ventilation, and unsuccessful withdrawal from ventilation. Although neurally adjusted ventilatory assist (NAVA) could be lower patient-ventilator asynchrony compared conventional its effects on have not yet been well elucidated.Twenty Japanese white rabbits were randomly divided into four groups, (1) no (2) controlled ventilation (CMV) continuous neuromuscular...
Chest computed tomography findings are helpful for understanding the pathophysiology of severe acute respiratory distress syndrome (ARDS). However, there is no large, multicenter, chest registry patients requiring veno-venous extracorporeal membrane oxygenation (V-V ECMO). The aim this study was to describe at V-V ECMO initiation and evaluate association between outcomes in ARDS. This retrospective cohort enrolled with ARDS on ECMO, who were admitted intensive care units 24 hospitals Japan...
Rationale: Reverse triggering (RT) occurs when respiratory effort begins after a mandatory breath is initiated by the ventilator. RT may exacerbate ventilator-induced lung injury and lead to stacking.Objectives: We sought describe frequency risk factors for among patients with acute distress syndrome (ARDS) identify stacking.Methods: performed secondary analysis of physiologic data from children on synchronized intermittent pressure-controlled ventilation enrolled in single-center randomized...
Venoarterial-venous extracorporeal membrane oxygenation (VAV ECMO) configuration is a combined procedure of (ECMO). The proportion cardiac and respiratory support can be controlled by adjusting arterial venous return. Therefore, VAV ECMO applicable as bridging therapy in the transition from venoarterial (VA) to venovenous (VV) ECMO. We present an 11-year-old girl with chemotherapy-induced myocarditis requiring cardiorespiratory support. She showed progressive hypotension, tachycardia,...
A 61-year-old woman was diagnosed with deep cervical abscess and enlarged mediastinal abscess. These required a protracted period of mechanical ventilation neck thoracic drainage surgery daily wound lavage, necessitating the administration large amounts fentanyl dexmedetomidine. After extubation, discontinued but dexmedetomidine continued, she developed hypertension, tachycardia, tachypnea, hyperthermia within several hours; therefore, opioid withdrawal syndrome. Her symptoms failed to...
1. Background Patients-ventilator asynchrony (PVA) is defined as a mismatch between the patient breathing efforts with ventilator’s breath delivery. (1) PVA common problem in mechanically ventilated patients, (2, 3) which could potentially induce exhaustion of diaphragm and respiratory muscles deliver high tidal volume to lung leading ventilator-induced injury (VILI). (4, 5) The impact on clinical outcomes varied depending timing evaluating PVA. (6, 7) Utility closed-loop-ventilation such...
Kusunoki, Shinji; Sadamori, Takuma; Shimatani, Tatsutoshi; Giga, Hiroshi; Itai, Junji; Otani, Tadatsugu; Yamanoue, Takao; Tanigawa, Koichi
Abstract [BACKGROUND] Reverse triggering (RT) occurs when respiratory effort begins after a mandatory breath is initiated by the ventilator. RT may exacerbate ventilator-induced lung injury and lead to stacking. We sought describe frequency risk factors for amongst ARDS patients identify breath-stacking. [METHODS] Secondary analysis of physiologic data from children on Synchronized Intermittent Mandatory pressure control ventilation enrolled in single center RCT ARDS. When had spontaneous...
Ito, Y.; Inata, Shimatani, T.; Kyogoku, M.; Isaka, K.; Kawamura, A.; Takeuchi, M. Author Information
1.Background Patients-ventilator asynchrony (PVA) is defined as a mismatch between the patient breathing efforts with ventilator’s breath delivery. (1) PVA common problem in mechanically ventilated patients, (2, 3) which could potentially induce exhaustion of diaphragm and respiratory muscles deliver high tidal volume to lung leading ventilator-induced injury (VILI). (4, 5) The impact including an acute phase mechanical ventilation on clinical outcomes was not similar across studies. Thille...