A5102771771- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Anesthesia and Sedative Agents
- Obstructive Sleep Apnea Research
- Migraine and Headache Studies
- Foreign Body Medical Cases
- Dysphagia Assessment and Management
- Respiratory Support and Mechanisms
- Dental Anxiety and Anesthesia Techniques
- Head and Neck Surgical Oncology
- Trigeminal Neuralgia and Treatments
- Intensive Care Unit Cognitive Disorders
- Simulation-Based Education in Healthcare
- Ultrasound in Clinical Applications
- Anesthesia and Neurotoxicity Research
- Infectious Encephalopathies and Encephalitis
- Voice and Speech Disorders
- Enhanced Recovery After Surgery
- Cardiac Arrest and Resuscitation
- Organ Transplantation Techniques and Outcomes
- Oral Health Pathology and Treatment
- Nosocomial Infections in ICU
- Salivary Gland Disorders and Functions
- Surgical Simulation and Training
- Nausea and vomiting management
Social Insurance Saitama Chuo Hospital
2024
White Clinic
2024
Saitama Medical University
2024
Kanagawa Dental University
2024
Tokyo Dental College
2024
Dokkyo Medical University
2024
Nagasaki University
2014-2020
Nagasaki University Hospital
2016-2020
Komatsu (Japan)
2020
Fisher & Paykel Healthcare (New Zealand)
2020
Background: Sevoflurane is generally the preferred anesthetic agent for general anesthesia in pediatric patients, due to its rapid induction and recovery characteristics. However, it has been recognized that a major complication emergence agitation when awakening from anesthesia. The aim of this study was evaluate occurrence rate operating room postoperative area following intraoperative administration midazolam patients under Patients methods: One hundred twenty undergoing dental treatment...
We tested our hypothesis that use of the Parker Flex-Tip tracheal tube could reduce incidence nasal mucosal trauma during nasotracheal intubation when compared with a conventional tip tube. One hundred and two patients, who were scheduled for elective oral surgery in which was indicated to optimise surgical approach, recruited into this study. Either or chosen randomly each intubation. The epistaxis using (6 (11.8%)) significantly lower than (18 (35.3%); p = 0.009). Nasal pain due...
We hypothesised that head and neck position could affect the effectiveness of ventilation with i-gel airway. To test this hypothesis, we investigated influence different positions on oropharyngeal sealing pressures scores during i-gel.A single, experienced supraglottic airway device user inserted in 20 paralysed, anaesthetised patients who were scheduled for oral surgery. Oropharyngeal leak measured neutral position, flexed, extended or rotated to right. Ventilation was scored from 0 3 based...
Background Ketamine is a potent sedative drug that helps to maintain upper-airway patency, due its higher dilator muscular activity and level of duty cycle, as seen in rats. However, no clinical trials have tested passive collapsibility changes the inspiratory cycle against partial obstruction humans. The present study evaluated both mechanical compensatory response acute using three different drugs crossover trial. Methods Eight male volunteers entered this nonblinded, randomized study....
Abstract Background: For relatively invasive upper gastrointestinal endoscopy procedures, such as an endoscopic retrograde cholangiopancreatography (ERCP), and also lower intravenous anesthesia is routinely used to reduce patient anxiety. However, with the use of anesthesia, even at mild moderate depth there always a risk airway obstruction due relaxation muscles. With advent nasal high flow (NHF) devices that allow humidified air through cavity, can be respiratory management method in...
Hypoventilation and carbon dioxide (CO2) retention are common during sedation. The current study investigated the ventilation responses to nasal high flow (NHF) sedation with propofol. NHF of 30 L/min 60 room air was applied wakefulness in 10 male volunteers. Ventilation monitored by respiratory inductance plethysmography, transcutaneous partial pressure CO2 (TcCO2), SpO2. During sedation, reduced TcCO2 2.9 ± 2.7 mmHg (p = 0.025) 3.6 3.4 0.024) without affecting SpO2 mean rate 3 breaths/min...
JDSMStudy Objectives: Patients with obstructive sleep apnea syndrome (OSAS) using continuous positive airway pressure (CPAP) often report pressure-related discomfort.Both lower and increased comfort may improve patients' compliance CPAPtherapy, thereby improving therapeutic effectiveness.Combining CPAP an oral appliance (hybrid therapy) could be adequate alternative therapy.Methods: Seven patients moderate to severe OSAS who tolerated their despite high pressures (≥ 10 cm H2O) were fitted...
Although it has been reported that general anesthesia affect the perioperative sleep cycle, no studies have yet evaluated how affects dentally disabled patients. In this study, we investigated alteration of cycles in patients receiving dental treatment under anesthesia.The study included 16 procedures anesthesia. Using a monitoring mat, patients' were measured at home from 5 days before scheduled surgery date until after discharge following The change all variables analyzed comparison to...
Purpose: The present study compared the conventional method (without any adjunct) and three different adjunct-aided methods (a metal stylet, a small tracheal tube, combined introducer) with regard to time required for insertion of flexible reinforced laryngeal mask airway (FLMA). We also surveyed participants’ views on ease FLMA each method. Methods: Thirty dental students inserted in manikin by times were measured. Subjects asked rate using 100-mm visual analogue scale (VAS; from 0 mm =...
Although hyperventilation syndrome generally carries a good prognosis, it is associated with the risk of developing severe symptoms, such as post-hyperventilation apnea hypoxemia and loss consciousness. We experienced patient who suffered from apnea. A 17-year-old female for several years developed after treatment using paper bag rebreathing method sedative administration during dental procedure. subsequently successfully provided her monitored anesthesia care propofol. Monitored propofol...
The reduction of endogenous nitric oxide (NO) production during hepatic ischemia-reperfusion injury, generally via a in endothelial NO synthase activity, leads to liver injury. We hypothesized that administration an exogenous donor into the portal vein may ameliorate blood flow after period ischemia.A total 90 min ischemia (portal and artery) was applied 15 anesthetized pigs, using Pringle method under sevoflurane anesthesia. All animals were administered either saline (control group, n = 8)...
Abstract Mask ventilation, along with tracheal intubation, is one of the most basic skills for managing an airway during anesthesia. Facial anomalies are a common cause difficult mask although numerous other factors have been reported. The long and narrow mandible commonly encountered mandibular anomaly. In patients mandible, gaps between corners mouth lower likely to prevent adequate seal gas leak may occur. When we administer general anesthesia these patients, sometimes try using several...
Swallowing reflex depression during dental treatment or oral surgery may cause water to enter the lower respiratory tract, leading coughing, thus hindering these procedures. Based on hypothesis that dexmedetomidine (DEX) sedation depress swallowing reflex, we aimed characterize its effects and elucidate affected functions. was induced in 9 young healthy male volunteers using a 5 mL-distilled bolus injection over 3 s through polyethylene catheter times, both under wakefulness DEX sedation....
Cyclic vomiting syndrome (CVS) is a chronic digestive disorder characterized by recurrent episodes of severe nausea and vomiting. The perioperative management patients with CVS undergoing general anesthesia challenging, especially when combined obesity. This case report describes the successful patient obesity who underwent dental surgery under anesthesia. A 21-year-old woman CVS, (body mass index, 35), intellectual disability was scheduled for tooth extraction composite resin restoration...
The Parker Flex-Tip tracheal tube (PFTT, Medical, Highlands Ranch, Colo) has a soft, flexible, curved tip with double Murphy eyes. Previous studies have shown that the PFTT reduces incidence of epistaxis during nasotracheal intubation and postintubation nasal pain, as compared to conventional tubes. Although thermosoftening is well-known effective technique for reducing tubes, we occasionally encounter difficulties advancing through passage when thermosoftened prior intubation. Consequently,...
Nasotracheal intubation (NTI) is necessary during surgeries requiring clear access to the surgical field and in patients with respiratory issues. This study investigates pre-NTI nasal disinfection efficacy of different cotton swab sizes, hypothesizing that smaller swabs could minimize bleeding while maintaining efficacy. Patients classified as American Society Anesthesiologists-physical status (ASA-PS) class 1 or 2 scheduled for general anesthesia NTI were randomly assigned either a large...
Abstract Background: For relatively invasive upper gastrointestinal endoscopy procedures, such as an endoscopic submucosal dissection (ESD), intravenous anesthesia is routinely used to reduce patient anxiety. However, with the use of sedation, even at mild moderate depth anesthesia, there always a risk airway obstruction due relaxation muscles. With advent Nasal High Flow (NHF) devices that allow humidified high flow air through nasal cavity, can be respiratory management method in context...