2022/04/07 更新

写真a

フジイ タスク
藤井 祐
FUJII Tasuku
所属
医学部附属病院 麻酔科 病院講師
職名
病院講師
連絡先
メールアドレス

学位 1

  1. 博士(医学) ( 2020年3月   名古屋大学 ) 

研究キーワード 3

  1. 腸換気法

  2. 循環モニタリング

  3. 術中低血圧

研究分野 1

  1. ライフサイエンス / 麻酔科学

現在の研究課題とSDGs 4

  1. 安全な循環モニタリングの確立

  2. 腸換気法

  3. 術中低血圧

  4. 人工膵臓による周術期血糖管理

経歴 4

  1. 名古屋大学   医学部附属病院 麻酔科   病院講師

    2021年3月 - 現在

  2. 名古屋大学   医学部附属病院 麻酔科   病院助教

    2018年4月 - 2021年2月

  3. 国立循環器病研究センター   麻酔科

    2016年4月 - 2018年3月

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    国名:日本国

  4. 名古屋大学   医学部附属病院 麻酔科   病院助教

    2013年4月 - 2016年3月

学歴 3

  1. 名古屋大学   医学系研究科   総合医学専攻

    2017年4月 - 2020年3月

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    国名: 日本国

  2. 秋田大学   医学部   医学科

    2007年4月 - 2011年3月

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    国名: 日本国

  3. 広島大学   歯学部   歯学科

    1999年4月 - 2005年3月

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    国名: 日本国

所属学協会 5

  1. 日本麻酔科学会

  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

 

論文 21

  1. Ketamine reduces the dose of remifentanil required during prolonged head and neck surgery: a propensity-matched analysis

    Fujii Tasuku, Nishiwaki Kimitoshi

    NAGOYA JOURNAL OF MEDICAL SCIENCE   84 巻 ( 1 ) 頁: 1 - 6   2022年2月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Nagoya Journal of Medical Science  

    High-dose opioids induce hyperalgesia and tolerance, which negatively affects postoperative recovery.Prolonged surgery inevitably requires higher opioid doses. Ketamine reduces perioperative opioid consumptionand prevents opioid-induced tolerance. However, its effects in cases of prolonged surgery remainunknown. This study aimed to evaluate the dose of intraoperative remifentanil, an ultrashort-acting μ-opioidagonist, administered after an intravenous ketamine bolus during prolonged head and neck surgery. Thissingle-center, retrospective, observational study included 251 patients who underwent head and necksurgery (operation time ≥8 h) between January 2015 and December 2019. The participants were stratifiedinto two groups: those who received an intravenous bolus of ketamine and those who did not (ketaminegroup and non-ketamine group, respectively). Propensity score-matching was used to match patients in a1:1 ratio between the two groups, based on their covariates. The difference in intraoperative remifentanildose administered between the two groups was assessed. After 1:1 propensity score-matching, 89 matchedpatients were selected from each group. The mean ± standard deviation dose of remifentanil administeredwas significantly lower in the ketamine group than in the non-ketamine group before (0.15±0.05 vs0.17±0.05 μg/kg/min; P=0.01) and after matching (0.15±0.06 vs 0.17±0.05 μg/kg/min; P=0.03). In conclusion,intravenous ketamine administration may reduce the intraoperative dose of remifentanil requiredduring prolonged head and neck surgery. However, further studies are required to evaluate the effect ofthis finding on enhanced recovery after surgery

    DOI: 10.18999/nagjms.84.1.1

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  2. 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年9月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元: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

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  3. 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年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元: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

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  4. 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   30 巻 ( 12 ) 頁: 1396 - 1401   2020年12月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元: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

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  5. 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年10月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元: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

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  6. 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   18 巻 ( 3 ) 頁: 169 - 174   2020年9月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Journal of Echocardiography  

    Background: Previous studies showed that the mitral inter-commissural (IC) distance differed by a few millimeters between the systolic and diastolic cardiac cycles. However, sizing of the mitral annuloplasty ring with a ring sizer, which should be performed in the systole, is performed in diastole during hyperkalemic cardioplegic arrest. The aim of this study was to investigate whether three-dimensional transesophageal echocardiography (3D-TEE) measurements of the mitral valve in end-systole are effective to determine the size of the annuloplasty ring. Methods: This study retrospectively reviewed 92 patients who underwent mitral annuloplasty for degenerative. The IC distance and anterior leaflet height of the A2 segment of the mitral valve were measured by 3D-TEE at the end-systole. The annuloplasty ring size was measured by the surgeons using specific ring sizers. We compared the IC distance measured by 3D-TEE with the implanted annuloplasty size. We also investigated differences in IC distance, A2 height, and ratio of A2 height to IC distance in patients with and without recurrent mild to moderate MR for 36 months. Results: There was a significant correlation between the IC distance by 3D-TEE and the implanted ring size (R2 = 0.7023, p < 0.001). Eight cases had mild or greater recurrent MR. There was a significant difference in the ratio of A2 height to IC distance between patients with and without recurrent MR (p = 0.006). A2 height was greater in patients with recurrent MR, but this difference was not significant (p = 0.059). Conclusions: Our results demonstrated a larger ratio of A2 height to IC distance in patients with recurrent MR. 3D-TEE could be useful for the ring sizing.

    DOI: 10.1007/s12574-020-00465-x

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

    Fujii Tasuku, Shibata Yasuyuki, Shinya Sonoe, Nishiwaki Kimitoshi

    EUROPEAN JOURNAL OF ANAESTHESIOLOGY   37 巻 ( 9 ) 頁: 752 - 757   2020年9月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:European Journal of Anaesthesiology  

    BACKGROUND Several approaches have been proposed for ultrasound-guided thoracic paravertebral block, but the best approach remains unclear. OBJECTIVE We compared two ultrasound-guided in-plane approaches using a microconvex probe, transverse and parasagittal. We assessed whether either approach would facilitate successful catheter placement in the paravertebral space. DESIGN Randomised controlled trial. SETTING University hospital, July 2015 to March 2016. PATIENTS Sixty patients scheduled to undergo thoracotomy were randomly allocated into two groups. INTERVENTIONS A microconvex probe was placed transversely between adjacent ribs (transverse) or sagittally between adjacent transverse processes (parasagittal). When the Tuohy needle reached the paravertebral space, a catheter was inserted to a depth of 4 cm. Then, 0.5-ml radiocontrast was injected through the catheter under fluoroscopy. MAIN OUTCOME MEASURES The primary outcome was successful catheter placement in the paravertebral space; secondary outcomes were 0 to 100 mm visual analogue scale pain score and morphine consumption in the first 24 h. RESULTS All patients received the allocated paravertebral block. Correct catheter placement occurred in 23 (77%) and 24 patients (80%) using the transverse (n=30) and parasagittal approaches (n=30), respectively (P = 1.00). Five patients were excluded due to changes in surgical procedure. Postoperative pain, represented by median [IQR] visual analogue scale score, was 19.5 [12 to 25] at rest and 55 [44 to 77] on movement with the transverse approach (n=28) vs. 22 [12 to 33.5] at rest and 59 [41.5 to 75] on movement with the parasagittal approach (n=27) (P = 0.57 at rest, P = 0.76 on movement). Median morphine consumption was 11.5 [5 to 21] and 11 [5 to 18] mg in the transverse and parasagittal approaches, respectively (P = 0.99). CONCLUSION There were no clinically significant differences between approaches for continuous ultrasound-guided thoracic paravertebral block using a microconvex probe, and both approaches achieved a high rate of correct catheter placement.

    DOI: 10.1097/EJA.0000000000001223

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

    Fujii T., Nishiwaki K.

    ANAESTHESIA   75 巻 ( 3 ) 頁: 416 - 417   2020年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Anaesthesia  

    DOI: 10.1111/anae.14982

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

    Fujii T., Nishiwaki K.

    ANAESTHESIA   75 巻 ( 3 ) 頁: 408 - 409   2020年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Anaesthesia  

    DOI: 10.1111/anae.14960

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  10. 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   34 巻 ( 1 ) 頁: 72 - 78   2020年2月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Journal of Anesthesia  

    Purpose: Thoracic paravertebral block (TPVB) provides a unilateral nerve block at multiple intercostal levels allowing injection of a local anesthetic into paravertebral space (PVS) via a needle or catheter. However, the most effective injection method remains unclear. This study compared the real-time spread of ropivacaine between two paravertebral injection methods using thoracoscopy. Methods: Thirty-four patients scheduled for thoracoscopic surgery were randomly allocated into the Needle or Catheter groups, and performed transverse in-plane ultrasound-guided TPVB. The Needle group received 20 ml of 0.5% ropivacaine via a needle placed into the lateral edge of PVS; the Catheter group received the same dose of ropivacaine via a catheter inserted 5 cm into PVS. The primary outcome was the spreading pattern of ropivacaine in each group. The secondary outcome was intraoperative vasopressor requirement after paravertebral injection. Results: In the Needle group, all cases showed ropivacaine spread to multiple intercostal levels, mainly across the ribs. Contrastingly, the Catheter group showed variable spreading patterns; multiple intercostal levels (n = 10) [across the ribs (n = 4), anterolateral aspect of the vertebral bodies (n = 6)] or unobservable spreading (no change; n = 7) (P = 0.007). Vasopressors were required in two and ten cases in the Needle and Catheter groups, respectively (P = 0.010). Conclusion: Paravertebral injection via a needle typically resulted in spreading to multiple intercostal levels, especially across the ribs on the peripheral side of injection site, whereas injection via a catheter resulted in variable spreading patterns. Therefore, injections via needles are more stable.

    DOI: 10.1007/s00540-019-02713-6

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  11. 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   82 巻 ( 1 ) 頁: 93 - 99   2020年2月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Nagoya Journal of Medical Science  

    Thoracic wall nerve blocks reduce postoperative acute pain after breast cancer surgery (BCS); however, their short-term effects and the most effective technique remain unclear. To compare the effects of pectoral nerve block type-2 (Pecs II block) and serratus plane block for postoperative short-term analgesia, we retrospectively reviewed 43 BCS patients who underwent Pecs II block (n=22) or serratus plane block (n=21). The primary outcome was the proportion of patients with no complaints of pain 2 months post-BCS. The odds ratio (OR) was assessed, adjusting for axillary lymph node dissection. The secondary outcomes were pain severity 24 hours and 2 months post-operation using the numerical rating scale score, and morphine consumption within 24 hours. The proportion of patients without pain 2 months post-BCS was significantly less with Pecs II block than in patients with serratus plane block (55% vs. 19%, adjusted OR, 5.04; 95% confidence interval, 1.26-20.07; P=0.02); the median [interquartile range] score for pain 2 months post-operation was also significantly lower with Pecs II block (Pecs II block 0.5 [0-1] vs. serratus plane block 1 [1-2]); P=0.03). Regarding post-BCS acute analgesia, the median [interquartile range] postoperative 24-hour pain score was 2 [1-3] and 3 [1.5-3.5], and the median morphine consumption within 24 hours was 1.5 [0.75-5.5] and 3 [1.5-10] mg in Pecs II block and serratus plane block (P=0.47 and P=0.11), respectively. This study suggests that Pecs II block prevents short-term post-BCS pain better than serratus plane block. However, further studies are needed in order to support this finding.

    DOI: 10.18999/nagjms.82.1.93

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  12. 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 国際誌

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

    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA   34 巻 ( 1 ) 頁: 143 - 150   2020年1月

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    記述言語:日本語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Journal of Cardiothoracic and Vascular Anesthesia  

    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

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

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

    ANAESTHESIA   74 巻 ( 12 ) 頁: 1558 - 1562   2019年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Anaesthesia  

    DOI: 10.1111/anae.14856

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    その他リンク: https://onlinelibrary.wiley.com/doi/full-xml/10.1111/anae.14856

  14. Measurement of the Aortic Annulus Area and Diameter by Three-Dimensional Transesophageal Echocardiography in Transcatheter Aortic Valve Replacement. 国際誌

    Ebuchi K, Yoshitani K, Kanemaru E, Fujii T, Tsukinaga A, Shimahara Y, Ohnishi Y

    Journal of cardiothoracic and vascular anesthesia   33 巻 ( 9 ) 頁: 2387 - 2393   2019年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1053/j.jvca.2019.04.025

    PubMed

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

    Fujii T.

    Asian Journal of Anesthesiology   55 巻 ( 1 ) 頁: 24-25   2017年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.aja.2017.05.004

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

    Fujii Tasuku, Shibata Yasuyuki, Nishiwaki Kimitoshi

    JA CLINICAL REPORTS   3 巻 ( 1 ) 頁: 4   2017年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    DOI: 10.1186/s40981-016-0074-1

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  17. [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   66 巻 ( 1 ) 頁: 65-69   2017年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    PubMed

  18. 僧帽弁形成術後の僧帽弁前尖収縮期前方運動に対してシベンゾリン静脈内投与が有効であった一例

    藤井 祐, 青山 正, 石田 祐基, 新屋 苑恵, 貝沼 関志, 西脇 公俊

    Cardiovascular Anesthesia   21 巻 ( 1 ) 頁: 69-74   2017年

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    <p> 僧帽弁形成術(MVP)後の僧帽弁前尖収縮期前方運動(SAM)に対してシベンゾリン静脈内投与が有効であった症例を報告する。</p><p> SAMは狭い左室流出路(LVOT)を通過する加速血流のVenturi効果により増幅弁前尖がLVOTに引き込まれて生じる。周術期管理は前負荷・後負荷の維持,心収縮力の抑制,心拍数の調節が重要である。SAMの発生機序から閉塞性肥大型心筋症の治療(β遮断薬,Ca<sup>2+</sup>拮抗薬,Na<sup>+</sup>チャネル遮断薬)も有効となる。β遮断薬が一般的に使用されているが,MVP後のLVOT狭窄は頻脈より心収縮力増強が主因とされているため,陰性変時作用より陰性変力作用が優位なNa<sup>+</sup>チャネル遮断薬のシベンゾリンも有用となりえる。</p>

    DOI: 10.11478/jscva.2016-3-022

  19. Observation of ultrasound-guided thoracic paravertebral block using thoracoscopy. 査読有り

    Fujii T, Shibata Y, Nishiwaki K

    Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists   54 巻 ( 3 ) 頁: 101-102   2016年9月

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    掲載種別:研究論文(学術雑誌)  

    DOI: 10.1016/j.aat.2016.05.004

    PubMed

  20. Radicular cyst in a deciduous tooth: a case report and literature review. 査読有り

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

    Journal of dentistry for children (Chicago, Ill.)   75 巻 ( 1 ) 頁: 80-84   2008年1月

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    掲載種別:研究論文(学術雑誌)  

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  21. Synergistic interaction of 5-aminolevulinic acid-based photodynamic therapy with simultaneous hyperthermia in an osteosarcoma tumor model. 査読有り

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

    International journal of oncology   29 巻 ( 2 ) 頁: 365-373   2006年8月

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    掲載種別:研究論文(学術雑誌)  

    PubMed

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    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

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