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Shiogai T.,Kyoto Takeda Hospital | Koyama M.,Kyoto Takeda Hospital | Yamamoto M.,Kyoto Takeda Hospital | Yoshikawa K.,Hoshigaoka Kouseinenkin Hospital | And 2 more authors.
Perspectives in Medicine | Year: 2012

We have introduced and improved a transducer holder, named the Sonopod, for transcranial color duplex sonography (TCDS) monitoring via both temporal/foraminal windows (TW/FW). The objective is to clarify clinical usefulness and identify problems in TCDS-Sonopod monitoring during the evaluation of brain tissue perfusion. © 2012 Elsevier GmbH. All rights reserved. Source

Nakase T.,Hoshigaoka Kouseinenkin Hospital
European Musculoskeletal Review | Year: 2011

Treatment of complex fractures of long bones is a challenging matter, often involving a large osseous defect difficult to reconstruct. The limitations of traditional bone grafts or bone graft substitutes have prompted the development and use of some new synthetic biomaterials; however, little information is available in terms of the use of synthetic bone graft substitute in difficult trauma cases. We have recently developed a fully interconnected porous hydroxyapatite (HA) ceramic (IP-CHA, NEO BON ®). In this context, various modalities of application of IP-CHA into the osseous defect in complex fracture cases have been summarised. Successful outcomes with IP-CHA promise the elimination of the need for autogenous bone grafting and support fracture union even in challenging trauma cases. © Touch Briefings 2011. Source

Nakanishi M.,Hoshigaoka Kouseinenkin Hospital
Japanese Journal of Anesthesiology | Year: 2013

Background: The Japanese government promotes palliative care and our hospital has the palliative care team including an anesthesiologist for better end of lives of cancer patients. Methods: From the new point of an anesthesiologist, the outcome and characteristics of patients receiving palliative care in our hospital were examined. Results: From August 2010 to March 2012, 93 patients were treated by the team. They were terminal patients whose remaining days were expected to be several months. The most common problem among them was severe pain amenable to opioid administration. Conclusions: Anesthesiologists familiar with pain, sedation and nausea control are important specialists in the palliative care team. Source

Hayashi Y.,Kansai Medical University | Asako M.,Kansai Medical University | Oooka H.,Kansai Medical University | Baba K.,Kansai Medical University | And 4 more authors.
Oto-Rhino-Laryngology Tokyo | Year: 2012

A microdebrider system is used also as bur of ESS in many cases. Septoplasty bur for the nasal plastic surgeries was used for the advanced deviation of nasal septum cases. There is also no involvement of nasal-septum membrane in the case of a crista, a spina, and vomer excision, it was a good feeling of use, and bony deletion could be easy and was able to cut efficiently rather than having used a chisel depending on a case. Septoplasty bur can be comparatively introduced on a low budget. Source

Nakanishi M.,Hoshigaoka Kouseinenkin Hospital | Okura N.,Hoshigaoka Kouseinenkin Hospital | Kashii T.,Hoshigaoka Kouseinenkin Hospital | Matsushita M.,Hoshigaoka Kouseinenkin Hospital | And 3 more authors.
Japanese Journal of Anesthesiology | Year: 2014

We experienced a case of scheduled cesarean section under spinal anesthesia in a patient with LAM which had been missed in spite of preoperative medical examination and consultation with specialists but discovered because of perioperative hypoxia A 35-year-old woman, Gravida 1 Para 0, with breech presentation was scheduled to undergo cesarean section under spinal anesthesia at 38 weeks of gestation. She had no history of asthma or abnormal findings at annual medical examination. She had suffered from dry cough and nocturnal dyspnea for 7 weeks and an inhaled bronchodilator was administered with diagnosis of inflammatory airway disease by her respiratory physicians. Spinal anesthesia was performed with bupivacaine 12.5 mg. At the beginning of anesthesia SpO2 was 97% in supine position, but it rapidly decreased to less than 90% and 3 l·min-1 oxygen was supplied with a facial mask. The anesthetic level was thoracal 4 bilaterally and her breathing was stable. The circulatory state, Apgar score and other vital signs were within normal ranges. Postoperative chest X-ray showed bilateral numerous grained spots and computed tomography scans showed multiple thin-walled cysts. The characteristic history and the fluoroscopic data gave her clinical diagnosis of LAM. Source

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