A5033912039- Cardiac Valve Diseases and Treatments
- Intensive Care Unit Cognitive Disorders
- Blood transfusion and management
- Cardiac Structural Anomalies and Repair
- Cardiac, Anesthesia and Surgical Outcomes
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Tryptophan and brain disorders
- Anesthesia and Sedative Agents
- Congenital Heart Disease Studies
- Anesthesia and Pain Management
- Autoimmune Neurological Disorders and Treatments
- Anesthesia and Neurotoxicity Research
- Cardiovascular Function and Risk Factors
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Infectious Aortic and Vascular Conditions
- Pericarditis and Cardiac Tamponade
- Chronic Myeloid Leukemia Treatments
- Cerebral Palsy and Movement Disorders
- Myasthenia Gravis and Thymoma
- Gastric Cancer Management and Outcomes
- Cancer Diagnosis and Treatment
Berurando General Hospital
2024-2025
Hirosaki University
2017-2024
Hirosaki University Hospital
2024
University of Fukui Hospital
2020
Sumitomo Hospital
2018
Osaka City University
1999-2015
We investigated the associations between postoperative delirium (POD) and both relative ratio of alpha (α)-power electroencephalography (EEG) inflammatory markers in a prospective, single-center observational study.We enrolled 84 patients who underwent radical cancer surgeries with reconstruction for esophageal cancer, oral floor or pharyngeal under total intravenous anesthesia. collected perioperative EEG data markers, including neutrophil gelatinase-associated lipocalin, presepsin,...
症例:85歳男性.脱力を主訴に救急搬送され,脱水と胸部CTで右肺下葉に肺炎像を認め補液と抗菌薬による加療を開始した.第11病日に右胸水と右肺下葉に空洞影が出現し,胸水検査でグラム陽性桿菌の増殖を認め,第18病日にBacillus Cereusが検出された.胸腔ドレナージを行うも症状が改善せず,第20病日に開胸下右膿胸腔掻爬術および右下葉切除術を施行した.術中所見で右肺下葉は広範に壊死しておりB. Cereusによる肺化膿症に伴った急性膿胸と診断した.
Pulmonary vein stenosis (PVS) is known as one of the chronic complications after catheter ablation for atrial fibrillation (AF). The endovascular approach a less invasive treatment option PVS, while pulmonary lobectomy also chosen, especially patients with occlusion. Here, we present case occlusion accompanied by necrosis that was successfully treated lobectomy. A 65-year-old man underwent AF along administration anticoagulants at his previous hospital. After 6 months, hemoptysis appeared,...
Postoperative delirium (POD) is a well-recognized postoperative complication and associated with increased morbidity mortality. We investigated whether the preoperative neutrophil-lymphocyte ratio (NLR) could be an effective predictor of POD after head neck free-flap reconstruction. This was single-center, retrospective, observational study. analyzed perioperative data patients who had undergone elective reconstruction surgery. assessed Intensive Care Delirium Screening Checklist (ICDSC)...
Clazosentan, a potent selective endothelin receptor subtype A antagonist, has been demonstrated to be effective in preventing cerebral vasospasms after subarachnoid hemorrhage. We report the successful management of respiratory failure due pulmonary edema associated with clazosentan, hemodynamic monitoring system. 49-year-old Japanese man underwent emergency clipping for right internal carotid-posterior communicating artery aneurysm. The surgery and general anesthesia rupture proceeded no...
The aim of this study was to clarify the role bone marrow-derived stromal cells (BM-SCs) expressing CD271 in development gastric cancer.The effect human BM-SCs on proliferation and motility six cancer cell lines, OCUM-2M, OCUM-2MD3, OCUM-12, KATO-III, NUGC-3, MKN-74, examined. expression levels were analysed by flow cytometry. We also generated a tumour model orthotopic inoculation OCUM-2MLN mice that had received transplantation marrow from CAG-EGFP mice. correlation between...
Relationships between the neutrophil-lymphocyte ratio (NLR) and/or platelet-lymphocyte (PLR) and neuroinflammatory diseases have been reported. Depression is also associated with neuroinflammation. Here, we determined association NLR, PLR, depressive symptoms. This cross-sectional study a secondary analysis of data Iwaki Health Promotion Project 2017. We analyzed characteristics laboratory 1,015 Japanese subjects (597 females, 408 males) including their NLR PLR values. assigned Center for...
Abstract Background Hypermagnesemia is a rare complication, leading to fatal cardiovascular and respiratory conditions. We present severe hypermagnesemia developed in patient with rectal stenosis after pretreatment oral magnesium citrate for rectosigmoid surgery. Case presentation A 78-year-old woman demonstrated consciousness disturbance, muscle weakness, depression requiring tracheal intubation preparation Endoscopic examination showed obstruction due fecal impaction. General condition...
Stiff-person syndrome (SPS) is a rare autoimmune disease characterized by fluctuating rigidity and stiffness of the axial muscles. There are no reports on use remimazolam in patient with SPS. A 16-year-old Japanese woman SPS was scheduled to undergo intrathecal baclofen pump exchange. General anesthesia induced maintained using remimazolam, remifentanil, intermittent rocuronium bromide. No intraoperative mobility or significant autonomic symptoms were observed. Additionally,...
Abstract Background Patients with sepsis often exhibit abnormal patterns of electroencephalogram (EEG). We report an EEG pattern in a later-stage elderly patient septic shock and analysis results. Case presentation An 88-year-old woman bowel perforation underwent emergency Hartmann surgery. On admission to the operating room, she exhibited shock. Her bispectral index value was 30 before anesthesia induction, displayed slow waves without burst suppression throughout The relative slow-wave...
Abstract Purpose Post-induction hypotension (PIH) is an independent risk factor for prolonged postoperative stay and hospital death. Patients undergoing transcatheter aortic valve implantation (TAVI) are prone to develop PIH. This study aimed a predictive model PIH in patients TAVI. Methods single-center retrospective observational included 163 who underwent was defined as at least one measurement of systolic arterial pressure <90 mmHg or incident norepinephrine infusion rate >6 µg/min...
Abstract A 41-year-old man developed phrenic nerve palsy after the resection of anterior mediastinal tumor, who underwent diaphragmatic with an endostapler. After surgery, surgical stump ruptured, resulting in a large defect liver prolapsing into thoracic cavity. Then, was closed polytetrafluoroethylene (PTFE) patch. The diaphragm reconstructed using second PTFE patch overlaying that had been by first patch, because solely patching risk recurrence elevation due to remaining original and...
Abstract An 81-year-old woman was referred to our hospital because of right lung cancer. She underwent upper lobectomy. Pathological examination revealed stage 1A adenocarcinoma. Four months postoperatively, chest computed tomography showed a small nodule with diameter 6 mm at the anterior mediastinum. After 2 years, had increased 13 mm. To confirm diagnosis and treat mediastinal tumor, we resected tumor surrounding thymic tissue by left robotic thoracic approach, considering adhesion in...
Abstract Background Combined resection of lung cancer and the thoracic aortic wall with endografting has been reported. However, whether should be performed simultaneously or in two steps remains controversial. Case presentation A 68-year-old man was referred to our hospital because left chest pain. Chest contrast-enhanced computed tomography revealed a huge tumor lower lobe, invasion suspected. Bronchoscopic examination performed, revealing squamous cell carcinoma programmed death ligand 1...