Updated on 2021/11/03

写真a

 
FUJII Tasuku
 
Organization
Nagoya University Hospital Anesthesiology Lecturer of hospital
Title
Lecturer of hospital
Contact information
メールアドレス

Degree 1

  1. 博士(医学) ( 2020.3   名古屋大学 ) 

Research Areas 1

  1. Life Science / Anesthesiology

Current Research Project and SDGs 3

  1. Intraoperative hypotension

  2. Perioperative glycemic control using artificial pancreas

  3. Safe hemodynamic monitoring

Research History 4

  1. Nagoya University   Nagoya University Hospital Anesthesiology   Lecturer of hospital

    2021.3

  2. Nagoya University   Department of Anesthesiology, Nagoya University Hospital   Assistant professor of hospital

    2018.4 - 2021.2

  3. 国立循環器病研究センター   麻酔科

    2016.4 - 2018.3

      More details

    Country:Japan

  4. Nagoya University   Department of Anesthesiology, Nagoya University Hospital   Assistant professor of hospital

    2013.4 - 2016.3

Education 3

  1. Nagoya University   Graduate School, Division of Medical Sciences

    2017.4 - 2020.3

      More details

    Country: Japan

  2. Akita University   Faculty of Medicine

    2007.4 - 2011.3

      More details

    Country: Japan

  3. Hiroshima University   Faculty of Dentistry

    1999.4 - 2005.3

      More details

    Country: Japan

Professional Memberships 5

  1. Japanese Society of Anesthesiologists

  2. 日本心臓血管麻酔学会

  3. 日本集中治療医学会

  4. 日本区域麻酔学会

  5. 日本小児麻酔学会

 

Papers 20

  1. Interference of a ventricular assist device with magnetic navigation during insertion of Sherlock 3CG (TM), a bedside peripherally inserted central catheter

    Takakura Masashi, Fujii Tasuku, Suzuki Shogo, Nishiwaki Kimitoshi

    JOURNAL OF ARTIFICIAL ORGANS     2021.9

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:Journal of Artificial Organs  

    Recently, the Sherlock 3CG™ Tip Confirmation System, including a magnetic tracking system and an intracavitary electrocardiography guidance system, has been introduced for bedside peripherally inserted central catheter (PICC) insertion. Magnetic field sources interfere with the magnetic tracking system. Electromagnetic interference of the ventricular assist device (VAD) has already been reported with various devices but not on Sherlock 3CG™. We assessed the availability of the magnetic tracking system in patients with and without a VAD during Sherlock 3CG™ insertion and evaluated the rate of optimal PICC tip position. We retrospectively reviewed 99 patients who had undergone PICC insertion using Sherlock 3CG™ on the bedside at our institutional intensive care unit from February 2018 to December 2020. Patients were divided into groups with and without a VAD. The availability of magnetic navigation and the success rate of optimal catheter tip position in each group were assessed. Among 87 cases analyzed, there were 12 and 75 cases with a VAD and without a VAD, respectively. The availability of magnetic navigation during Sherlock 3CG™ insertion was significantly lower in the group with a VAD [4/12 (33%) with VAD vs. 72/75 (96%) without VAD, P < 0.001]. In addition, the rate of optimal PICC tip position was also significantly lower in the group with a VAD [6/12 (50%) vs. 63/75 (84%), P = 0.015] The VAD significantly led to magnetic tracking system failure due to its electromagnetic interference during Sherlock 3CG™ insertion and significantly reduced the success rate of PICC insertions in the optimal position.

    DOI: 10.1007/s10047-021-01293-1

    Web of Science

    Scopus

    PubMed

  2. Surgical Site Infections and Inflammatory Reaction After Cardiac Surgery; Bedside Artificial Pancreas Versus Conventional Insulin Therapy: A Propensity Score-Matched Analysis.

    Fujii T, Hirai T, Suzuki S, Nishiwaki K

    Journal of cardiothoracic and vascular anesthesia     2021.5

     More details

    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Journal of Cardiothoracic and Vascular Anesthesia  

    Objectives: Perioperative hyperglycemia is associated with poor postoperative recovery, including compromised immune function and increased risk of infection. A closed-loop glycemic control system (artificial pancreas) has demonstrated strict safe perioperative glycemic control without hypoglycemia risk. The authors hypothesized that the artificial pancreas would reduce surgical site infections (SSIs) and postoperative inflammatory reactions. This study aimed to assess the effect of the artificial pancreas on SSIs and C-reactive protein (CRP) levels after cardiac surgery. Design: A single-center retrospective, propensity score–matched analysis. Setting: A university hospital. Participants: In total, 295 patients who underwent cardiovascular surgery with cardiopulmonary bypass were included. Interventions: Patients were divided into two groups: artificial pancreas (target blood glucose: 120-150 mg/dL) and intravenous insulin infusion (conventional insulin therapy, target blood glucose: <200 mg/dL). Measurements and Main Results: The differences in the incidence of SSIs and CRP levels between the two groups were assessed. After 1:1 propensity score matching based on their covariates, 101 matched patients were selected from each group. The incidence of SSIs was reduced by 3%, 5% (conventional insulin therapy), and 2% (artificial pancreas), but the reduction was not statistically significant (p = 0.45). The postoperative maximum CRP level was significantly lower in the artificial pancreas group than in the conventional insulin therapy group, mean (standard deviation)14.53 (5.64) mg/dL v 16.57 (5.58) mg/dL; p = 0.01. Conclusions: The artificial pancreas did not demonstrate a significant reduction in the incidence of SSIs. However, the artificial pancreas was safe and suppressed postoperative inflammation compared with conventional insulin therapy.

    DOI: 10.1053/j.jvca.2021.04.047

    Scopus

    PubMed

  3. Comparing oscillometric noninvasive and invasive intra-arterial blood pressure monitoring in term neonates under general anesthesia: A retrospective study

    Fujii Tasuku, Nishiwaki Kimitoshi

    PEDIATRIC ANESTHESIA   Vol. 30 ( 12 ) page: 1396 - 1401   2020.12

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:Paediatric Anaesthesia  

    Background: Oscillometric noninvasive blood pressure and/or invasive intra-arterial blood pressure are commonly used to measure the systolic, diastolic, and mean components of blood pressure. Agreement between the two methods has been reported in adults, children, and infants, but rarely in neonates, especially under general anesthesia. Aims: This retrospective study compared the agreement of each measured blood pressure value (oscillometric noninvasive or invasive intra-arterial blood pressure monitoring) in term neonates under general anesthesia. Methods: Data were collected from neonates born at ≥36 weeks of gestation whose body weight was ≥2500 g and who underwent abdominal or noncardiac thoracic surgery with both oscillometric noninvasive and invasive intra-arterial blood pressure measurements from January 2015 to March 2020. The primary outcome was the agreement of systolic, diastolic, and mean blood pressure values between the two methods using Bland-Altman analysis. Results: Paired blood pressure measurements (n = 1193) from 67 cases were compared. In Bland-Altman analysis, bias (standard deviation), 95% limits of agreement, and percentage error were −9.3 (8.4), −26.1-7.6, and 26.9% for systolic; 1.6 (6.5), −11.3-14.6, and 38.7% for diastolic; and −1.3 (5.8), −13.0-10.3, and 26.9% for mean blood pressure, respectively. During low blood pressure (intra-arterial mean blood pressure ≤30 mm Hg), the biases (standard deviation) of systolic, diastolic, and mean blood pressure were −11.4 (5.7), −0.7 (3.7), and −5.1 (4.2), whereas during high blood pressure (intra-arterial mean blood pressure ≥60 mm Hg), the values were 0.1 (9.7), 5.6 (9.4), and 6.4 (7.4), respectively. Conclusions: Based on the bias and percentage error, the mean blood pressure exhibited the most acceptable agreement between oscillometric noninvasive and invasive intra-arterial blood pressure monitoring in term neonates under general anesthesia. However, during hypertension or hypotension, there was a large discrepancy between the two methods.

    DOI: 10.1111/pan.14020

    Web of Science

    Scopus

    PubMed

  4. Non-linear regression analysis for estimating the intraoperative motor evoked potential recovery time after bolus neuromuscular blockade

    Tatsuoka Tetsuro, Fujii Tasuku, Furuhashi Takeshi, Nishiwaki Kimitoshi

    JOURNAL OF CLINICAL MONITORING AND COMPUTING     2020.10

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:Journal of Clinical Monitoring and Computing  

    The recovery time of the motor evoked potential (MEP) amplitude following a neuromuscular blockade (NMB) during surgery is useful for interpreting low-amplitude waveforms or selecting the baseline waveform. In this study, the MEP data of 195 orthopedic cases who received a bolus dose of rocuronium at the beginning of surgery, between June 2009 and January 2016 were used. A non-linear regression analysis was applied to MEP amplitude data of multiple patients. The time taken for 90% of the maximum-amplitude recovery was estimated from the identified time series model. The 90% amplitude recovery time was 88.6 min in the pharmacological model and 89.4 min in the logistic model. These results were included in the 95% confidence interval of the previous studies. Although MEP amplitude is relatively unstable because of anesthesia, the averaged time series model of MEP amplitude can be estimated by using a large number of data.

    DOI: 10.1007/s10877-020-00600-0

    Web of Science

    Scopus

    PubMed

  5. Sizing of mitral annuloplasty rings using real-time three-dimensional transesophageal echocardiography and the difference between patients with and without recurrent mitral regurgitation: retrospective cohort study

    Fujii Tasuku, Yoshitani Kenji, Kanemaru Eiki, Nakai Michikazu, Nishimura Kunihiro, Ohnishi Yoshihiko, Nishiwaki Kimitoshi

    JOURNAL OF ECHOCARDIOGRAPHY   Vol. 18 ( 3 ) page: 169 - 174   2020.9

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1007/s12574-020-00465-x

    Web of Science

    Scopus

    PubMed

  6. Transverse vs. parasagittal in-plane approaches in ultrasound-guided paravertebral block using a microconvex probe: A randomised controlled trial.

    Fujii T, Shibata Y, Shinya S, Nishiwaki K

    European journal of anaesthesiology   Vol. 37 ( 9 ) page: 752 - 757   2020.9

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1097/EJA.0000000000001223

    Web of Science

    Scopus

    PubMed

  7. Chronic pain after breast surgery - still many unanswered questions: a reply

    Fujii T, Nishiwaki K

    ANAESTHESIA   Vol. 75 ( 3 ) page: 416 - 417   2020.3

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1111/anae.14982

    Web of Science

    Scopus

  8. Clarification on chronic pain - a painfully persistent problem? A reply

    Fujii T, Nishiwaki K

    ANAESTHESIA   Vol. 75 ( 3 ) page: 408 - 409   2020.3

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1111/anae.14960

    Web of Science

    Scopus

  9. A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial

    Fujii Tasuku, Shibata Yasuyuki, Ban Yasutaka, Shitaokoshi Akira, Takahashi Kunihiko, Matsui Shigeyuki, Nishiwaki Kimitoshi

    JOURNAL OF ANESTHESIA   Vol. 34 ( 1 ) page: 72 - 78   2020.2

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1007/s00540-019-02713-6

    Web of Science

    Scopus

    PubMed

  10. Efficacy of pectoral nerve block type-2 (Pecs II block) versus serratus plane block for postoperative analgesia in breast cancer surgery: a retrospective study

    Kubodera Kazumi, Fujii Tasuku, Akane Akiko, Aoki Wakana, Sekiguchi Akiko, Iwata Keiko, Ban Makiko, Ando Reiko, Nakamura Nozomi, Shibata Yasuyuki, Nishiwaki Kimitoshi

    NAGOYA JOURNAL OF MEDICAL SCIENCE   Vol. 82 ( 1 ) page: 93 - 99   2020.2

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.18999/nagjms.82.1.93

    Web of Science

    Scopus

    PubMed

  11. Comparison of Right Ventricular Function Between Patients With and Without Pulmonary Hypertension Owing to Left-Sided Heart Disease: Assessment Based on Right Ventricular Pressure-Volume Curves. International journal

    Eiki Kanemaru, Kenji Yoshitani, Shinya Kato, Tasuku Fujii, Akito Tsukinaga, Yoshihiko Ohnishi

    Journal of cardiothoracic and vascular anesthesia   Vol. 34 ( 1 ) page: 143 - 150   2020.1

     More details

    Language:Japanese   Publishing type:Research paper (scientific journal)  

    OBJECTIVES: Right ventricular (RV) failure with pulmonary hypertension (PH) is frequently encountered in patients with advanced left-sided heart disease (LHD). However, RV energetics in patients with postcapillary PH because of LHD has not been well studied. The authors investigated intraoperative RV energetics in patients with PH due to LHD based on pressure-volume curves with three-dimensional transesophageal echocardiography and pulmonary artery catheterization. DESIGN: Exploratory study. SETTING: National center. PARTICIPANTS: Thirty-three patients who underwent cardiac surgery for LHD were enrolled. Ten patients had PH (mean pulmonary artery pressure ≥ 25 mmHg). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: RV stroke work index (RVSWI) was calculated by integrating the area bounded by the pressure-volume curve. RV minute work index (RVMWI) was calculated as RVSWI × heart rate. Right ventriculo-arterial coupling was estimated as stroke volume divided by end-systolic volume (SV/ESV). The authors compared RV energetics between patients with and without PH because of LHD. RVSWI and RVMWI were significantly higher in patients with PH (690.7 mmHg·mL/m2 [601.6-737.1] v 440.9 mmHg·mL/m2 [330.8-585.3], p = 0.015, and 60,068 mmHg·mL/m2/min [35,547-68,741] v 26,351 mmHg·mL/m2/min [17,316-32,517], p = 0.011, respectively), although cardiac index was nearly identical. SV/ESV was significantly lower in patients with PH (0.520 [0.305-0.810] v 0.820 (0.650-1.090), p = 0.007). CONCLUSIONS: Although cardiac index was similar, RVSWI and RVMWI were significantly higher and SV/ESV was significantly lower in patients with PH because of LHD, suggesting that patients with postcapillary PH have inefficient RV performance.

    DOI: 10.1053/j.jvca.2019.05.025

    Web of Science

    Scopus

    PubMed

  12. A randomised controlled trial of pectoral nerve‐2 ( PECS 2) block vs. serratus plane block for chronic pain after mastectomy

    T. Fujii, Y. Shibata, A. Akane, W. Aoki, A. Sekiguchi, K. Takahashi, S. Matsui, K. Nishiwaki

    Anaesthesia   Vol. 74 ( 12 ) page: 1558 - 1562   2019.12

     More details

    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Wiley  

    DOI: 10.1111/anae.14856

    Web of Science

    Scopus

    Other Link: https://onlinelibrary.wiley.com/doi/full-xml/10.1111/anae.14856

  13. Measurement of the Aortic Annulus Area and Diameter by Three-Dimensional Transesophageal Echocardiography in Transcatheter Aortic Valve Replacement. International journal

    Keigo Ebuchi, Kenji Yoshitani, Eiki Kanemaru, Tasuku Fujii, Akito Tsukinaga, Yusuke Shimahara, Yoshiniko Ohnishi

    Journal of cardiothoracic and vascular anesthesia   Vol. 33 ( 9 ) page: 2387 - 2393   2019.9

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    OBJECTIVES: Sizing of the aortic valve is crucial for transcatheter aortic valve replacement (TAVR). Multidetector computed tomography (MDCT) is used for sizing. Recently, three-dimensional transesophageal echocardiography (3DTEE) has enabled accurate measurement of the aortic annulus area and diameter in cases that are difficult to measure. The authors compared measurements of aortic annulus areas and diameters acquired by MDCT and 3DTEE. DESIGN: Retrospective observational study. SETTING: Single national center. PARTICIPANTS: Sixty-eight patients who underwent TAVR replacement between September 2015 and March 2017. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The authors extracted and compared preoperative measurements of the aortic annulus area, as well as the long- and short-axis diameter, measured by MDCT and 3DTEE. There was no significant difference in the aortic annulus area (409 ± 74 v 414 ± 70 mm2, p = 0.15) or short-axis diameter (20.4 ± 2.0 v 20.6 ± 1.9 mm, p = 0.103) between 3DTEE and MDCT, but the long-axis diameter differed significantly (25.0 ± 2.4 v 25.8 ± 2.0 mm, p < 0.001), respectively. Prosthesis sizes based on 3DTEE and MDCT were the same, except in 3 patients who could not stay still during MDCT measurement; in those cases, prosthesis sizes based on 3DTEE were adopted. CONCLUSIONS: Measurements of the aortic annulus area and diameter in TAVR were similar between 3DTEE and MDCT. Patients who have difficulty remaining still during MDCT measurement because of dementia should have their prostheses sized based on 3DTEE measurements.

    DOI: 10.1053/j.jvca.2019.04.025

    PubMed

  14. Catheterization in an ultrasound-guided thoracic paravertebral block using thoracoscopy

    Fujii T.

    Asian Journal of Anesthesiology   Vol. 55 ( 1 ) page: 24-25   2017.3

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1016/j.aja.2017.05.004

    Scopus

  15. Breakage and retention of thoracic paravertebral catheter: a case report

    Fujii Tasuku, Shibata Yasuyuki, Nishiwaki Kimitoshi

    JA CLINICAL REPORTS   Vol. 3 ( 1 ) page: 4   2017.1

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1186/s40981-016-0074-1

    Web of Science

    PubMed

  16. [Acute Subdural Hematoma due to the Breakage of an Epidural Catheter Left for a Long Time].

    Fujii T, Suzuki K, Shibata Y, Nishiwaki K

    Masui. The Japanese journal of anesthesiology   Vol. 66 ( 1 ) page: 65-69   2017.1

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    PubMed

  17. Intravenous cibenzoline improved the systolic anterior motion of the mitral valve after mitral valvuloplasty : a case report

    Fujii Tasuku, Aoyama Tadashi, Ishida Yuki, Shinya Sonoe, Kainuma Motoshi, Nishiwaki Kimitoshi

    Cardiovascular Anesthesia   Vol. 21 ( 1 ) page: 69-74   2017

     More details

    Language:English   Publishing type:Research paper (scientific journal)  

    <p> In this case, hemodynamic collapse occurred due to the systolic anterior motion (SAM) of the mitral valve after a mitral valvuloplasty (MVP). Intravenous administration of cibenzoline, a sodium (Na<sup>+</sup>)-channel blocker, reduced left ventricular outflow tract (LVOT) obstruction and the mitral regurgitation (MR) resulting from the SAM, and the hemodynamic condition was improved.</p><p> SAM is a well-known complication after MVP. The Venturi effect created by increasing the blood flow velocity at the narrowed LVOT causes the anterior leaflet of the mitral valve to be drawn into the LVOT. Effective perioperative management suppresses the left ventricular contraction, and increases the pre-load and after-load. This requires discontinuation of inotropic drugs, administration of vasoconstrictors, and expansion of intravascular volume. Considering the pathogenesis of SAM, therapies for hypertrophic obstructive cardiomyopathy, such as a beta (β)-blocker, a calcium antagonist, or a Na<sup>+</sup>-channel blocker, can be effective for treatment of SAM after MVP. A short-acting β-blocker is convenient, and commonly used for the perioperative management of SAM. The essential cause of SAM after MVP is myocardial hypercontraction rather than tachycardia. A Na<sup>+</sup>-channel blocker is effective for attenuation of the left ventricular pressure gradient (LVPG) because it has more of a negative inotropic effect than a negative chronotropic effect. Therefore, we suggest that if a β-blocker is unavailable, or is insufficient for decreasing the LVPG, cibenzoline is effective for SAM after MVP.</p>

    DOI: 10.11478/jscva.2016-3-022

    CiNii Article

  18. Observation of ultrasound-guided thoracic paravertebral block using thoracoscopy. Reviewed

    Fujii T, Shibata Y, Nishiwaki K

    Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists   Vol. 54 ( 3 ) page: 101-102   2016.9

     More details

    Publishing type:Research paper (scientific journal)  

    DOI: 10.1016/j.aat.2016.05.004

    PubMed

  19. Radicular cyst in a deciduous tooth: a case report and literature review. Reviewed

    Nagata T, Nomura J, Matsumura Y, Yanase S, Fujii T, Oka T, Uno S, Tagawa T

    Journal of dentistry for children (Chicago, Ill.)   Vol. 75 ( 1 ) page: 80-84   2008.1

     More details

    Publishing type:Research paper (scientific journal)  

    PubMed

  20. Synergistic interaction of 5-aminolevulinic acid-based photodynamic therapy with simultaneous hyperthermia in an osteosarcoma tumor model. Reviewed

    Yanase S, Nomura J, Matsumura Y, Nagata T, Fujii T, Tagawa T

    International journal of oncology   Vol. 29 ( 2 ) page: 365-373   2006.8

     More details

    Publishing type:Research paper (scientific journal)  

    PubMed

▼display all

Research Project for Joint Research, Competitive Funding, etc. 1

  1. 腸換気法を用いたCOVID-19関連重症呼吸器合併症に対する治療薬開発

    2021.7 - 2022.3

    新興・再興感染症に対する革新的医薬品等開発推進研究事業

      More details

    Authorship:Coinvestigator(s)