A5057213924- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Sepsis Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Respiratory Support and Mechanisms
- Anesthesia and Pain Management
- Nausea and vomiting management
- Blood Pressure and Hypertension Studies
- Nosocomial Infections in ICU
- Hip and Femur Fractures
- Central Venous Catheters and Hemodialysis
- Abdominal Surgery and Complications
- Cardiac Arrest and Resuscitation
- Healthcare cost, quality, practices
- Vascular Procedures and Complications
- Esophageal Cancer Research and Treatment
- Mechanical Circulatory Support Devices
- Ultrasound in Clinical Applications
- Anesthesia and Neurotoxicity Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Enhanced Recovery After Surgery
- Hospital Admissions and Outcomes
- Climate Change and Health Impacts
- Clinical Nutrition and Gastroenterology
Kyoto University Hospital
2018-2025
Kobe City College of Nursing
2024
Ministry of Health Labour and Welfare
2024
Kyoto University
2017-2023
Japan Society for the Promotion of Science
2018
Kobe City Medical Center General Hospital
2016
Tenri Hospital
2011
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set clinical practice guidelines sepsis septic shock created as revised from J-SSCG 2016 jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in September published February 2021. An English-language version these based on contents original Japanese-language version. purpose this guideline is to assist medical staff making...
Abstract The 2024 revised edition of the Japanese Clinical Practice Guidelines for Management Sepsis and Septic Shock (J‐SSCG 2024) is published by Society Intensive Care Medicine Association Acute Medicine. This fourth revision since first was in 2012. purpose guidelines to assist healthcare providers making appropriate decisions treatment sepsis septic shock, leading improved patient outcomes. We aimed create that are easy understand use physicians who recognize provide initial management,...
Septic shock is a common and life-threatening condition that requires intensive care. Intensive care units (ICUs) in Japan are classified into ICUs high-dependency (HDUs), depending on presence of full-time certified intensivists the number assigned nurses. Compared with other developed countries, there fewer beds Japan; therefore, non-intensivists often treat patients septic HDUs. It unknown where we should because no studies have compared clinical outcomes between ICU HDU treatment. This...
The effect of preoperative transthoracic echocardiography on the clinical outcomes patients with hip fractures undergoing surgical treatment remains controversial. We hypothesized that is associated reduced postoperative morbidity and improved patient survival after repair fractures.Drawing from a nationwide administrative database, fracture surgeries between April 1, 2008 December 31, 2016 were included. examined association incidence in-hospital mortality using propensity score matching....
Routine preoperative testing is discouraged before low-risk surgery because does not provide any beneficial effect in terms of patient outcome. However, few studies have assessed the utilization hospital health care resources tests a real-world setting. Here, we aimed to assess prevalence and factors associated with blood Japan.In this retrospective observational study, used nationwide insurance claims data Japan. Patients who underwent surgeries between April 1, 2012 March 31, 2016, were...
Worldwide, pediatric sedation for magnetic resonance imaging is a standard practice; however, there are few studies on its trends and patterns.This study aimed to investigate the patterns of in Japan determine incidence risk factors adverse events/interventions.This longitudinal descriptive assessed children (age < 15 years) who underwent between April 2012 December 2019 using nationwide claims database. We patients' demographic characteristics, time sedatives, sedative by age,...
Introduction Fan therapy has gained attention as a non-pharmacological treatment for alleviating dyspnea in patients receiving palliative care and those with chronic progressive diseases. However, the effectiveness of fan critically ill intensive units (ICUs) remains unclear. This study aimed to investigate efficacy safety lung transplant ICU. Methods was performed on recipients (age >18 years) who experienced during their ICU stay. A tabletop portable used blow air patient's face five...
The effectiveness and safety of edoxaban for venous thromboembolism (VTE) in unselected real-world patients have not been fully evaluated.
In liver transplantation for end-stage failure, monitoring of continuous cardiac output (CCO) is used circulatory management due to hemodynamic instability. CCO often measured using the minimally invasive FloTrac/Vigileo system (FVS-CCO), instead a highly pulmonary artery catheter (PAC-CCO). The FVS has improved accuracy an updated algorithm, but effect this change on FVS-CCO in unclear. study, we assessed agreement between fourth-generation and PAC-CCO 20 patients aged ≥ years who underwent...
There is a need for clinically relevant and feasible outcome measure to facilitate clinical studies in perioperative care medicine. This large-scale retrospective cohort study proposed novel composite comprising invasive respiratory or vasopressor support (IRVS) death. We described the prevalence of IRVS patients undergoing major abdominal surgery assessed validity combining death form measure.
Objectives To describe the prevalence and factors associated with preoperative haemostasis ABO blood typing tests for children because these might represent low-value care. Design A retrospective observational study. Setting Nationwide insurance claims database in Japan. Participants Patients aged 1–17 years who underwent common non-cardiac surgeries between April 2012 March 2018 were included. high-risk comorbidities bleeding (n=175) those multiple eligible excluded (n=2121). Main outcome...
Objectives The purpose of this study was to evaluate the incidence, clinical characteristics and prognosis postoperative symptomatic venous thromboembolism (VTE) in Japan. Design Retrospective observational study. Two data sets, Contemporary ManageMent AND outcomes patients with Venous ThromboEmbolism (COMMAND VTE) Registry Japanese Society Anesthesiologists (JSA) annual report, were used for current analyses. Setting Eighteen 29 centres participated COMMAND VTE Registry. Participants Acute...
Abstract Gynecologic laparoscopic surgery has a high incidence of postoperative nausea and vomiting (PONV). Studies suggest that low intraoperative end-tidal carbon dioxide (EtCO 2 ) is associated with an increased PONV, but the results have not been consistent among studies. This study investigated association between EtCO PONV in patients undergoing gynecologic surgeries under general anesthesia. retrospective cohort involved who underwent anesthesia at Kyoto University Hospital. We...
Apart from saving the lives of coronavirus disease (COVID-19) patients on mechanical ventilation (MV), recovery sequelae prolonged MV (PMV) is an emerging issue.c METHODS: We conducted a retrospective study among consecutive adult COVID-19 admitted to intensive care unit (ICU) in Kobe, Japan, between March 3, 2020, and January 31, 2021, received invasive MV. Clinical outcomes included in-hospital mortality survivors regarding organ dysfunction, respiratory symptoms, functional status at...
Data on the effects of intraoperative end-tidal carbon dioxide (EtCO2) levels postoperative organ dysfunction are limited. Thus, this study was designed to investigate relationship between EtCO2 level and in patients who underwent major abdominal surgery under general anesthesia.We conducted a cohort involving anesthesia at Kyoto University Hospital. We classified those with mean less than 35 mmHg as low EtCO2. The time effect determined minutes when value below mmHg, whereas cumulative...