A5003870062- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Sepsis Diagnosis and Treatment
- Long-Term Effects of COVID-19
- Disaster Response and Management
- Heart Rate Variability and Autonomic Control
- Thermal Regulation in Medicine
- Radioactive contamination and transfer
- Healthcare Technology and Patient Monitoring
- Airway Management and Intubation Techniques
- Cardiac electrophysiology and arrhythmias
- Blood Coagulation and Thrombosis Mechanisms
- Advanced MRI Techniques and Applications
- Venous Thromboembolism Diagnosis and Management
- Pneumothorax, Barotrauma, Emphysema
- Epilepsy research and treatment
- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- Cardiac Structural Anomalies and Repair
- Non-Invasive Vital Sign Monitoring
- Risk Perception and Management
- Pleural and Pulmonary Diseases
- Intensive Care Unit Cognitive Disorders
Tokyo Medical and Dental University Hospital
2017-2023
Tokyo Women's Medical University
2023
Tokyo Women's Medical University Yachiyo Medical Center
2023
Tokyo Medical and Dental University
2017-2021
Tokyo Medical University Hospital
2014
Japanese Red Cross Medical Center
2011
Appropriate critical care delivery for Coronavirus disease 2019 (COVID-19) is a cornerstone in saving lives. Earlier publications worldwide demonstrate higher mortality among patients receiving mechanical ventilation intensive units during "surges" the number of cases. In contrast, lower outcomes are evident Japan using CRISIS [CRoss Icu Searchable Information System] data by national registry, ECMOnet COVID-19. This highlights need scientific analysis medical factors contributing to high...
Veno-venous extracorporeal membrane oxygenation (VV ECMO) is an effective and proven adjunct support for various severe respiratory failures requiring invasive mechanical ventilation cardiovascular support. In response to the rapidly increasing number of COVID-19 patients in Japan, we launched ECMO team comprised multidisciplinary experts including physicians, nurses, perfusionists, bioethicists preparation threat a pandemic. From April 2 July 15, 2020, Tokyo Medical Dental University...
Disseminated intravascular coagulation (DIC) is a catastrophic systemic disorder of coagulation, resulting in uncontrollable bleeding, multiple organ failure, and death. Sepsis one the common causes DIC. Despite many attempts to correct these pathologies, no adjunctive treatments have been shown improve mortality DIC associated with sepsis. Although some clinical studies showed recently developed human recombinant thrombomodulin, ART-123, might be effective treatment DIC, few randomized,...
Pneumothorax is a rare but life-threatening complication associated with pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Informed consent was obtained from the patient himself.A 50-year-old man presented 9-day history of fever, cough, and dyspnoea. He diagnosed disease 2019 (COVID-19) admitted to Medical Hospital, Tokyo Dental University. Chest CT showed diffuse patchy ground-glass opacities (GGOs). His state oxygenation deteriorated, mechanical ventilation...
Little is known about whether pre-hospital advanced airway management (AAM) under the presence of a physician could improve outcome patients with cardiac arrest, compared AAM absence physician. This retrospective multicentre-cohort study enrolled consecutive who were transported to participating hospitals after out-of-hospital arrest in Japan between 1 June 2014 and 31 December 2019. We included underwent resuscitation arrival at hospital, ≥18 years age, medical aetiologies. The primary was...
automated external defibrillator（AED）の普及に伴い，医療機関内で医師がAEDを操作する機会も増加している。我々は医師がショック適応と認識した心電図波形に対してAEDがショック不要と判断した2症例につき事後にデータを検証した。事例1：78歳，男性。前立腺腫瘍精査目的に入院し，病棟で心肺停止となりAEDを用いた心肺蘇生（cardiopulmonary resuscitation; CPR）が実施された。AEDモニター画面で医師が心室性頻拍（ventricular tachycardia; VT）と認識した心電図波形に対し，AEDはショック不要と判断した。事後検証にてこのVTは心拍数が少ないためショック適応外と判断されたことが判明した。事例2：56歳，女性。骨髄腫の化学療法入院中に心肺停止となりAEDを用いたCPRが実施された。AEDモニター上で医師はVTを認識したが，AEDはショック不要と判断した。事後検証にてこのVTはAEDの心電図解析中または充電中に振幅が減衰したためショック適応外と判断されたことが判明した。AEDは AHA（American...
Background Previous research revealed a lack of comfort and knowledge regarding nuclear radiological events among medical staff. We investigated the awareness Japanese staff by comparing differences occupation (doctors, nurses, other specialists). Methods conducted cross-sectional questionnaire survey trainees undergoing disaster training courses between July 2014 February 2016. The were evaluated for all questions on concerning disasters or demographics. Results Among occupations, there...
Targeted temperature management (TTM) is a recommended therapy for postcardiac arrest patients. Hyperthermia worsened the patient outcome, and overcooling increased incidence of complications; therefore, high-quality TTM required. The target tended to be modified worldwide after trial in 2013. Our institute 35°C 2017. This study aimed compare conventional protocols, assess relationship between deviation outcomes, identify factors influencing deviation.
Background: Little is known about whether pre-hospital administered adrenaline with a physician present could improve the outcome of patients cardiac arrest. Hypothesis and Aim: We aimed to test hypothesis that provided in presence neurological survival specific type first-confirmed rhythm following arrest compared absence physician. Methods: This prospective multi-center cohort study enrolled consecutive who were transported 95 participating hospitals Japan after out-of-hospital later...
Purpose: Using the out-of-hospital cardiac arrest (OHCA) registry in Japan, we evaluated effectiveness of pre-hospital advanced airway management under physicians’ presence after adjusting in-hospital treatments. Methods: This was a multicenter cohort study. We registered all consecutive OHCA patients Japan who, from 1 June 2014 through 31 December 2017, were transported to institutions participating Japanese Association for Acute Medicine Registry. included performed management, who ≥18...