A5035490396- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Nausea and vomiting management
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Enhanced Recovery After Surgery
- Pregnancy and preeclampsia studies
- Cardiovascular Issues in Pregnancy
- Hemodynamic Monitoring and Therapy
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Trauma and Emergency Care Studies
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy-related medical research
- Maternal Mental Health During Pregnancy and Postpartum
- Pain Management and Opioid Use
- Contact Dermatitis and Allergies
- Kawasaki Disease and Coronary Complications
- Complementary and Alternative Medicine Studies
- Occupational exposure and asthma
- Abdominal Surgery and Complications
- Neuroendocrine regulation and behavior
- Cardiac Structural Anomalies and Repair
- Gastroesophageal reflux and treatments
- Renal function and acid-base balance
- Airway Management and Intubation Techniques
Saitama Medical University
2014-2024
Social Insurance Saitama Chuo Hospital
2014-2024
The Japanese Society of Gastroenterological Surgery
2024
Mount Sinai Hospital
2014-2021
University of Toronto
2018-2021
Sinai Health System
2020
Jikei University School of Medicine
2013
Abstract Purpose To elucidate the clinical impact of novel oxytocin protocol using a syringe pump with stratified dose compared conventional practice putting into bag. Methods This is retrospective cohort study. We collected data patients who underwent elective cesarean delivery under neuraxial anesthesia between June 2019 and May 2020. The were allocated to two groups according administration methods; control group (the attending anesthesiologist put 5–10 units in infusion bag adjusted...
Background Regional anesthesia techniques offer many benefits for total joint arthroplasty (TJA) patients. However, they require personnel and equipment resources, as well valuable operating room (OR) time. A block offers a dedicated environment to perform regional procedures while potentially offsetting costs. Methods The goal of this prospective quality improvement study was develop business case implementation demonstrate the cost-effectiveness program in decreasing OR time TJA. All...
Inpatient postpartum recovery trajectories following cesarean delivery and spontaneous vaginal are underexplored. This study primarily aimed to compare in the first week, secondarily evaluate psychometrically Japanese version of Obstetric Quality Recovery-10 scoring tool. Following institutional review board approval, EQ-5D-3L (EuroQoL 5-Dimension 3-Level) questionnaire a measure were used inpatient uncomplicated nulliparous parturients delivering via scheduled or delivery. A total 48 50...
Abstract Aim This single‐center observational study aimed to investigate the association between labor neuraxial analgesia (LNA) and neonatal outcomes. Methods We conducted a retrospective cohort at tertiary perinatal center included all vaginal deliveries performed November 2015 December 2021. Obstetric outcomes were compared with LNA (LNA group) without (control group). Propensity score (PS) matching was used for statistical analysis. Results 2343 singleton in 1367 nulliparous 976...
Abstract Aims This study aims to investigate the clinical practice of physicians working in obstetric setting toward postoperative nausea and vomiting (PONV) parturients undergoing cesarean delivery (CD) with neuraxial anesthesia. Methods We conducted this online survey all active members Japan Society Obstetric Anesthesiology Perinatology (JSOAP), where leads academic society anesthesia Japan. The questionnaire was developed using Delphi method. included questions about routine practices...
ABSTRACTAfter surgery, over 80% of people experience moderate-to-severe acute pain. Poorly controlled postoperative pain limits recovery and is associated with detrimental short- long-term morbidity. While surgeons have traditionally been responsible for management, all clinicians providing care surgical patients a basic understanding common pharmacologic interventional management strategies. In this review, we discuss the consequences pain, approaches to assessment, an overview commonly...
The current status of general anesthesia practice for cesarean delivery in Japan remains unknown. Therefore, using a nationwide claims database, we aimed to investigate use over period 15 years, and analyze the Japan. Patients who claimed Japanese claim code (L008) between 1 January 2005, 31 March 2020, were analyzed. Primary endpoint was prevalence use. We used two definitions anesthesia: L008 only (insurance definition) combination with muscle relaxant (clinical definition). cohort...
Abstract The increasing rate of cesarean deliveries warrants obstetric anesthesiologists to deliver high-quality post-cesarean delivery analgesia. aim this study was evaluate the temporal trends in use neuraxial morphine for and describe current postoperative analgesia practices. A retrospective cohort using nationwide health insurance claims databases conducted from 2005 2020 Japan. Pregnant women who had undergone were included. annual extracted analyzed. Additionally, we explored patient-...
The purpose of this study was to investigate the effects labor epidural analgesia (LEA) on maternal and neonatal outcomes among parturients aged 40 years or older.We retrospectively reviewed medical records all laboring, singleton cephalic deliveries at ≥36 weeks' gestation Saitama Medical Center from April 2003 September 2012. Women ≥40 who received LEA (≥40 with group) were compared women delivered without <40 (<40 group). Extracted included mode delivery, oxytocin augmentation, duration...
Approximately half of Kawasaki disease patients are expected to have transitioned adulthood, and an increasing number with cardiovascular sequelae gotten pregnant. Management women who residual coronary artery is poorly established. Thus, we conducted detailed analysis these cases.We reviewed 19 pregnancies in 13 such two tertiary perinatal facilities, Saitama Medical Center National Cardiovascular Center. The medical records were all lesion between 1998 2015, regard age diagnosis, types...
Anaphylactic cardiovascular collapse is complicated by aortocaval compression during pregnancy, exacerbated neuraxial anesthesia. Despite recommendations to administer perioperative antibiotics before anesthesia, common practice in Japan involves administering them after anesthesia induction. We report a case of possible antibiotics-induced anaphylaxis just for cesarean delivery.
<h3>Background</h3> The introduction of bundled funding for total knee arthroplasty (TKA) has motivated hospitals to improve the quality care while minimizing costs. We identified LOS and percentage patients discharged inpatient rehabilitation primary TKA as potential targets reducing costs, improving patient care, ultimately our performance within payment model. <h3>Objectives</h3> aim improvement project was reduce acute hospitalization length stay (LOS) less than two days decrease using...