A5018277998- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Cardiac Arrhythmias and Treatments
- Thermal Regulation in Medicine
- Cardiac electrophysiology and arrhythmias
- Cardiac tumors and thrombi
- Infection Control and Ventilation
- Muscle and Compartmental Disorders
- Pericarditis and Cardiac Tamponade
- Cardiac pacing and defibrillation studies
- Pneumocystis jirovecii pneumonia detection and treatment
- COVID-19 Clinical Research Studies
- Inhalation and Respiratory Drug Delivery
- Infective Endocarditis Diagnosis and Management
- Sepsis Diagnosis and Treatment
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Mycobacterium research and diagnosis
- Cardiac Structural Anomalies and Repair
- Restraint-Related Deaths
- Long-Term Effects of COVID-19
- Adenosine and Purinergic Signaling
- Poisoning and overdose treatments
Sapporo Medical University
2018-2024
Obihiro Kosei General Hospital
2024
Tokyo Metropolitan Tama Medical Center
2021
Sapporo Medical University Hospital
2017-2019
Sapporo Science Center
2019
Gasping during cardiac arrest is associated with favourable neurological outcomes for out-of-hospital arrest. Moreover, while extracorporeal cardiopulmonary resuscitation (ECPR) performed refractory can improve outcomes, factors remain unknown. This study aimed to examine whether gasping transport by emergency medical services (EMS) was independently a outcome patients who underwent ECPR. retrospective based on records of all adult ECPR due The primary endpoint neurologically intact survival...
Agonal respiration following out-of-hospital cardiac arrest is associated with favorable neurological outcomes. Resuscitation using extracorporeal membrane oxygenation could contribute to achieving outcomes in patients refractory arrest.We report two cases of non-shockable rhythms and agonal respiration; both were successfully resuscitated through cardiopulmonary resuscitation (ECPR). Both breathing spontaneously upon arrival. One patient was asystolic the other experienced pulseless...
Since the response to lung recruitment varies greatly among patients receiving mechanical ventilation, recruitability should be assessed before maneuvers. The pressure-volume curve (PV curve) and recruitment-to-inflation ratio (R/I ratio) can used bedside for evaluating individualing positive end-expiratory pressure (PEEP). Lung tissue on computed tomography has been correlated with normalized maximal distance (NMD) of quasi-static PV curve. NMD is between inspiratory expiratory limb volume....
In cases of severe accidental hypothermia, it was recommended that resuscitation should be continued until the patient has rewarmed, as hypothermia itself can preserve cerebral function, and hypothermic cardiac arrest is reversible. During cardiopulmonary for normothermic patients, muscle rigidity suggests initiation postmortem changes such rigor mortis lead to termination resuscitation. Currently, prognosis due accompanied by unknown. A 29-year-old woman found unresponsive near a snowy...
Indications for using veno-arterial extracorporeal membrane oxygenation (V-A ECMO) in sepsis cases remain unclear.A 66-year-old man with pre-existing chronic heart failure developed severe pneumonia resulting refractory septic shock. He was diagnosed cardiomyopathy based on depressed left ventricular ejection fraction and a dilated ventricle transthoracic echocardiogram. We initiated V-A ECMO day 3 because the shock did not respond to conventional therapy. The patient's hemodynamics...
The effect of venoarterial extracorporeal membranous oxygenation (V-A ECMO), plasma exchange (PE), and direct hemoperfusion (DHP) for fatal cibenzoline succinate poisoning is unclear. We report a rare case severe along with cardiac arrest, wherein the patient was managed V-A ECMO, PE, DHP. also measured blood levels frequently.A 51-year-old woman had refractory arrest after ingestion. initiated Plasma did not improve clinical manifestations. Her condition improved during DHP, but there no...
The efficacy and safety of the combined use veno-venous extracorporeal membrane oxygenation (ECMO) prone ventilation are currently not known for coronavirus disease 2019 (COVID-19).We report two cases in which combination ECMO severe acute respiratory syndrome 2 (SARS-CoV-2) pneumonia were successfully carried out. Both patients had developed failure due to SARS-CoV-2 pneumonia, thus requiring ECMO. Prone was also administered safely.Oxygenation lung compliance gradually improved during...
Hypothermic cardiac arrest (HCA) with concomitant trauma presents a significant clinical management challenge. In these case reports, computed tomography (CT) imaging was performed before extracorporeal cardiopulmonary resuscitation (ECPR) in patients arrest, accidental hypothermia, and trauma. The first involved 74-year-old male who collapsed outside his home under freezing conditions. Upon arrival at the emergency department (ED), he core body temperature of 25.0°C suspected head CT...
Copyright © 2017 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Bunya, Naofumi; Katayama, Yoichi; Kakizaki, Ryuichiro; Wada, Kenshiro; Uemura, Shuji; Narimatsu, Eichi Author Information
Bunya, Naofumi1; Wada, Kenshiro2; Kakizaki, Ryuichiro3; Okamoto, Noriyuki3; Odagiri, Arisa1; Sato, Hiroki4; Uemura, Syuji3; Narimatsu, Eichi3 Author Information
Wada, Kenshiro1; Bunya, Naofumi2; Kakizaki, Ryuichiro3; Uemura, Shuji2; Harada, Keisuke4; Narimatsu, Eichi3; Katayama, Yoichi5; Kamada, Chinami6; Okamoto, Noriyuki3 Author Information
Kamada, Chinami; Bunya, Naofumi; Kakizaki, Ryuichiro; Okamoto, Noriyuki; Wada, Kenshiro; Odagiri, Arisa; Sato, Hiroki; Katayama, Yoichi; Uemura, Syuji; Narimatsu, Eichi Author Information
Okamoto, Noriyuki1; Bunya, Naofumi1; Kamada, Chinami2; Odagiri, Arisa3; Wada, Kenshiro4; Kakizaki, Ryuichiro1; Cammack, Ivor5 Author Information
症例は58歳，男性。新型コロナウイルス感染症とARDSに対して人工呼吸，veno venous extracorporeal membrane oxygenation（VV-ECMO）管理となった。酸素化の改善が得られたものの，低コンプライアンスが改善せず，カテーテル関連血流感染の治療に難渋したため，来院第98病日に通常のVV-ECMOから透析用カテーテルと遠心ポンプを用いたextracorporeal CO2 removal（ECCO2R）に移行した。分時換気量の低下，食道内圧の変動の低下から，ECCO2Rによる二酸化炭素除去は呼吸努力を軽減し，肺保護換気戦略を可能にしたと考えられた。ECCO2Rは二酸化炭素の除去のみを目的とした体外循環であるが，本邦には専用のデバイスが存在しない。本症例では透析用カテーテルと遠心ポンプを併用した方法で安全に施行できた。また，ECCO2Rの適応は定まっていないが，長期ECMO後の離脱困難症例に対して有効な可能性がある。