A5025296998- Sepsis Diagnosis and Treatment
- Liver Disease and Transplantation
- Traumatic Brain Injury and Neurovascular Disturbances
- Intensive Care Unit Cognitive Disorders
- Acute Kidney Injury Research
- Organ Transplantation Techniques and Outcomes
- Central Venous Catheters and Hemodialysis
- Cardiac Arrest and Resuscitation
- Nosocomial Infections in ICU
- Mechanical Circulatory Support Devices
- S100 Proteins and Annexins
- Complementary and Alternative Medicine Studies
- Neonatal Health and Biochemistry
- Bacterial Identification and Susceptibility Testing
- Trauma and Emergency Care Studies
- Dialysis and Renal Disease Management
- Hemodynamic Monitoring and Therapy
- Neurological and metabolic disorders
- Airway Management and Intubation Techniques
- Congenital Diaphragmatic Hernia Studies
- Neonatal Respiratory Health Research
- Infectious Encephalopathies and Encephalitis
- Emergency and Acute Care Studies
- Cardiac Arrhythmias and Treatments
- Traumatic Brain Injury Research
National Center For Child Health and Development
2016-2025
Hiroshima University
2025
Chiba University
2024
Yokohama City University
2022-2023
Keio University
2022
Tachikawa Hospital
2022
Ministry of Public Health
2019
Chonburi Cancer Hospital
2019
Tokyo Health Care University
2018
Hospital for Sick Children
2014-2016
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016), a Japanese-specific set clinical practice guidelines sepsis septic shock created jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in February 2017 published Journal JSICM, [2017; Volume 24 (supplement 2)] https://doi.org/10.3918/jsicm.24S0001 28, 1)] http://onlinelibrary.wiley.com/doi/10.1002/jja2.2017.28.issue-S1/issuetoc . This abridged...
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...
Background and Purpose The Japanese Clinical Practice Guidelines for Management of Sepsis Septic Shock 2016 (J‐ SSCG 2016), a Japanese‐specific set clinical practice guidelines sepsis septic shock created jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in February 2017 Japanese. An English‐language version these based on contents original Japanese‐language version. Methods Members were selected organized into 19 committee members 52 working group...
Liver abscesses typically respond well to a combination of antibiotics and drainage. However, some cases can be resistant treatment pose clinical challenge. Infections caused by mucoid-type Klebsiella pneumoniae are rare, but highly invasive, lead conditions such as liver hematogenous dissemination, resulting in systemic complications. Herein, we present the case an 80-year-old woman with recurrent multilocular abscess K. who was successfully treated hepatic artery antibiotic infusion...
<title>Abstract</title> Background Hypernatremia is associated with increased mortality risk in pediatric patients. However, its impact on outcomes remains unclear. This study aimed to clarify the clinical backgrounds of contemporary children hypernatremia and identify prognostic factors, including organ dysfunction mortality. Methods We conducted a retrospective observational under 18 years age (serum sodium ≥150 mmol/L) at tertiary hospital Japan between December 2021 May 2023. Patient...
The Pediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rules are used to assist computed tomography (CT) decision-making for children with minor trauma. Although the PECARN have been validated in North America and Europe, they not yet Asia. In Japan, there no clinical decision rate of CT Japan is high since widely accessible across country. objective this study was evaluate diagnostic accuracy identifying clinically important traumatic brain injuries (ciTBI)...
Information on the implementation of continuous renal replacement therapy (CRRT) in pediatric intensive care units (PICUs) is limited. We investigated real-world practice this Japan.We conducted a cross-sectional survey 26 hospitals with PICUs Japan. One physician per hospital responded to questionnaire.Fewer than half followed CRRT guidelines; treatment options were often selected at physician's discretion. varied widely settings, circuit priming methods, frequency exchange, and policies...
To determine if slight descent of the cerebellar tonsils (< 5 mm below foramen magnum; tonsillar ectopia) may cause surgically treatable symptomatology.A consecutive series nine symptomatic patients with ectopia seen between December 1990 and March 1993 are reported on. The same number age sex matched controls were selected at random from outpatients. Twelve asymptomatic subjects found among 5000 people January 1991 1996. Diagnosis was based on midsagittal MRI.Patients presented mainly...
Cuffed endotracheal tubes are being used increasingly for pediatric patients on mechanical ventilation. Appropriate placement of the tube tip Microcuff (Kimberley-Clark, Roswell, GA) is guided by intubation depth mark device. However, inappropriately deep position sometimes observed during PICU stay. The purpose this study was to assess occurrence and risk factors stay.A retrospective cohort study.The at National Center Child Health Development, one largest tertiary hospitals in Japan.All...
Abstract We aimed to identify attributing factors the interindividual variabilities of infusion rates in unfractionated heparin therapy. included patients who required therapy achieve target APTT after cardiac surgery between May 2014 and February 2018. Fifty-nine were included, whom 8 underwent Blalock-Taussig shunt; 27, Glenn procedure; 19, Fontan 3, mechanical valve replacement; 2, Rastelli procedure. Previously reported variables that influenced response treatment initially compared,...
Abstract Refractory septic shock after LT is a life‐threatening complication. VA ECMO used to treat refractory cardiorespiratory failure. We present herein the case of 5‐year‐old girl with post‐Kasai biliary atresia, who underwent living donor and suffered shock. was indicated due progressive cardiac deterioration. After full recovery her EF, she has been steadily improving shown good liver function no neurological sequelae. This first report successful in post‐ patient
In this quasi-experimental study that included 3489 blood culture bottles, interventions the distribution of simple weight-stratified guidelines for recommended volume and monthly feedback to physicians were effective in optimizing a pediatric intensive care unit.
Although antipsychotics are commonly used for delirium, their adverse effects a serious concern in light of extrapyramidal symptoms and cardiovascular disturbances. In clinical practice, sedative antidepressants frequently as an alternative treatment delirium; however, there is scarce evidence. Thus, we conducted retrospective chart review to examine the use effectiveness trazodone mianserin delirium.Patients who were admitted university hospital during 4 years received either or on regular...
Abstract Background Well-being (WB) is important because it extends beyond physical health, as defined by the World Health Organization (WHO). From a temporal perspective, WB encompasses two aspects: long-term (LWB), such overall life satisfaction, and momentary (MWB), immediate mood. While research has demonstrated positive association between built environments urban land, grassland areas, LWB, there limited exploring characteristics of MWB. Methods We applied Experience Sampling Method...