A5078368048- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Respiratory Support and Mechanisms
- Electrolyte and hormonal disorders
- Diabetes Management and Research
- Renal function and acid-base balance
- Anesthesia and Pain Management
- Anesthesia and Sedative Agents
- Nosocomial Infections in ICU
- Diabetes Treatment and Management
- Potassium and Related Disorders
- Occupational exposure and asthma
- Anesthesia and Neurotoxicity Research
- Spinal Hematomas and Complications
- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Mechanical Circulatory Support Devices
- Pneumothorax, Barotrauma, Emphysema
- Family and Patient Care in Intensive Care Units
- Pain Management and Treatment
- Contact Dermatitis and Allergies
- Nerve Injury and Rehabilitation
- Food Allergy and Anaphylaxis Research
Kobe University Hospital
2017-2025
Himeji Medical Center
2023
Kobe Children's Hospital
2023
Kobe Medical Center
2013
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 Background Postoperative patients constitute majority of critically ill patients, although factors predicting extubation failure in this group remain unidentified. Aiming to propose clinical predictors reintubation postoperative we conducted a post-hoc analysis multicenter prospective observational study. Methods This study included who underwent mechanical ventilation for > 24 h and were extubated after successful 30-min spontaneous breathing trial. The primary outcome was...
Liberation from mechanical ventilation is of great importance owing to related complications extended time. In this prospective multicenter study, we aimed construct a versatile model for predicting extubation outcomes in critical care settings using obtainable physiological predictors. The study included patients who had been extubated after successful 30 min spontaneous breathing trial (SBT). A multivariable logistic regression was constructed predict (successful without reintubation and...
人工呼吸管理中のCOVID-19患者では，人工呼吸器との同調や呼吸仕事量の低減を目的として，比較的大量の静脈麻酔薬が必要となり，鎮静管理に難渋することがある。海外において，重症COVID-19患者に対する揮発性吸入麻酔薬の使用報告が散見されているが，本邦では未だ使用報告は少ない。今回，我々はCOVID-19患者に対してセボフルランを用いて鎮静を行った症例を4例経験したので報告する。本報告では，いずれの患者も静脈麻酔薬のみでの鎮静管理が困難となり，セボフルランの使用が開始された。セボフルラン投与開始後24時間の時点でプロポフォールやミダゾラムなどの静脈麻酔薬の使用量は減少しており，セボフルラン使用前後で患者の鎮静度に大きな変化は見られなかった。今回の観察期間でセボフルラン使用に伴う明らかな有害事象は見られなかった。以上から，人工呼吸器管理中のCOVID-19患者においてセボフルランは，鎮静度を保ちながら静脈麻酔薬の減量を行うための選択肢となる可能性がある。
Progressive supranuclear palsy (PSP) is one of the rare diseases. PSP characterized by oculomotor dysfunction, postural instability, akinesia, dysarthria, and dysphagia. The major cause death in patients with aspiration pneumonia. Considering these complications, spinal anesthesia useful PSP. However, potential harmful effects including neurotoxicity local anesthetics neurologic complications for are unclear, because there has been no report. Here, we present a patient An 80-year-old man...