Annual Report 2023
Department of Anesthesiology and Intensive Care Medicine
Tetsufumi Sato, Junya Matsumi, Rie Suzuki, Akiko Ohgaku, Yousuke Kawaguchi, Yuri Ohishi, Yukiko Hikasa, Misako Shigematsu, Naohiro Shioji, Yutaro Asagoe, Yuki Enomoto, Sana Kita, Hiroaki Takahashi, Yumi Saito, Yo Higuchi, Yuko Sakurai, Erina Hara, Ryousuke Morikawa, Akito Kawabe, Keitaro Yoshioka
Introduction
The Department of Anesthesiology and Intensive Care Medicine provides anesthesia and intensive care. Over 5,000 cases of anesthetic services are provided annually at 15 main operation rooms, 1 MRI operation room, and 1 radioisotope operation room. Over 1,000 cases of intensive care are provided annually at 8 beds. Our Intensivists are also responsible for advising on the management of critically ill patients at wards and on resuscitation.
The Team and What We Do
We provide perioperative care to all patients who require general anesthesia and spinal analgesia. Our operating section performs approximately 5,000 anesthetics annually, including general anesthesia with or without epidural anesthesia, spinal anesthesia, and monitored anesthetic care (Table 1). In addition, scheduled surgery patients receive care by the perioperative management center, including the Anesthesia Consult Clinic.
Furthermore, our intensive care unit is certificated by the Japanese Society of Intensive Care Medicine and operates as a closed system, overseen by some of our staff, including 6 certificated intensivists. Around 1,100 cases of intensive care are provided annually at 8 beds. Most of the patients treated in the intensive care units have post-surgical indications, although some are treated for medical emergencies.
Table 1. Number of anesthesia cases, classified by anesthetic methods
Table 2: Number of patients managed at intensive care unit, classified by clinical department
Some members of our department are actively involved in clinical research and supervise postdoctoral, doctoral, postgraduate and undergraduate students.
Research Activities
To understand the risk factors and effects on prognosis of severe adverse events in post-operative patients and critically ill cancer patients, we conducted epidemiological analyses. We are actively conducting studies aimed at enhancing the current care provided to perioperative and critically ill cancer patients.
Education
For clinical training of non-certified anesthesiologists, their anesthetic management is supervised by certified anesthesiologists. For clinical training of non-certified intensivists, their critical care is supervised by certified intensivists. We also offer guidance for academic conference presentations and the preparation of scientific papers. These trainings are not only for gaining clinical experiences, but also for qualifying as certificated specialists.
Future Prospects
We will continue our effort to achieve more effective perioperative care, including anesthesia and critical care for cancer patients. We will also improve perioperative management through initiatives like cross-departmental collaboration and multi-disciplinary teams, aimed at ensuring the safety of the patients.
List of papers published in 2023
Journal
1. Shioji N, Sumie M, Englesakis M, Gilfoyle E, Maynes JT, Aoyama K. Multisystem inflammatory syndrome in children: an Umbrella review. Journal of anesthesia, 38:309-320, 2024
2. Shimizu T, Kanazawa T, Sakura T, Shioji N, Shimizu K, Fukuhara R, Shinya T, Iwasaki T, Morimatsu H. Efficacy of prophylactic high-flow nasal cannula therapy for postoperative pulmonary complications after pediatric cardiac surgery: a prospective single-arm study. Journal of anesthesia, 37:433-441, 2023
3. Matsumi J, Sato T. Protective effect of propofol compared with sevoflurane on liver function after hepatectomy with Pringle maneuver: A randomized clinical trial. PloS one, 18:e0290327, 2023