Updated on 2024/04/05

写真a

 
TANAKA Katsuaki
 
Organization
Graduate School of Medicine Department of Clinical Medical Science Lecturer
School of Medicine Department of Medical Science
Title
Lecturer
Affiliation
Institute of Medicine
Homepage
http://ocu-anesth.jp/resident/staff/
Affiliation campus
Abeno Campus

Position

  • Graduate School of Medicine Department of Clinical Medical Science 

    Lecturer  2022.04 - Now

  • School of Medicine Department of Medical Science 

    Lecturer  2022.04 - Now

Degree

  • Doctor (Medicine) （ Osaka City University ）

Research Areas

  • Life Science / Anesthesiology  / Anesthesiology

Research Interests

  • Anesthesiology

Research Career

  • Analysis of electroencephalogram during general anesthesia and pharmacokinetics of inhalation anesthetics

    electroencephalogram, inhalation anesthetic  Individual

    1900.04 

Professional Memberships

  • Japanese Society of Anesthesiologists

      Domestic

  • 日本区域麻酔学会

      Domestic

  • The Japan Society for Clinical Anesthesia

      Domestic

Awards

  • 白羽賞

    2005  

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    Country：Japan

Job Career (off-campus)

  • Hoshigaoka Koseinenkin Hospital

    2005 - 2006

  • Osaka Koseinenkin Hospital

    2001

  • Yodogawa Christian Hospital

    2000

Education

  • Osaka City University   Doctor's Course   Graduated/Completed

    - 2005

  • Osaka City University     Graduated/Completed

    - 1999

Papers

  • Deep breathing alleviates propofol-induced pain: a prospective, randomized, single-blind study.

    Tanaka K, Yoshizumi Y, Hamada T, Nishikawa K, Mori T

    Journal of anesthesia   37 ( 1 )   97 - 103   2023.02（ ISSN:0913-8668 ）

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  • 公益社団法人日本麻酔科学会第69回学術集会講演特集号 学術委員会:学会賞記念講演 Recruitment maneuverによる血行動態変化率は分離肺換気下における輸液反応性の指標として有効である

    木村 文, 末廣 浩一, 重里 尚, 藤本 陽平, 吉田 寿子, 田中 克明, 森 隆, 西川 精宣

    麻酔   71 ( 13 )   S171 - S178   2022.11（ ISSN:00214892 ）

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  • Recruitment maneuverによる血行動態変化率は分離肺換気下における輸液反応性の指標として有効である

    木村 文, 末廣 浩一, 重里 尚, 藤本 陽平, 吉田 寿子, 田中 克明, 森 隆, 西川 精宣

    麻酔   71 ( 増刊 )   S171 - S178   2022.11（ ISSN:0021-4892 ）

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    Recruitment maneuver(RM)による1回心拍出量(SV)変化量および平均動脈圧(MAP)変化量が一側肺換気(OLV)中における輸液反応性の指標として有用であるかどうか検討した。ビデオ支援胸腔鏡手術による食道切除術または肺切除術のためにOLVを行う症例30例を対象とした。ΔSV RMはSV-responderの方がSV-non-responderより有意に大きく、ΔMAP RMはBP-non-responderに比べてBP-responderで有意に高値であった。SV-responderを判別するΔSV RMのAUCは0.84であり、1回拍出量変動(SVV)と脈圧変動(PPV)はともに輸液反応性を有効に予測できなかった。SV-responderのカットオフ値は-23.7%、感度は76.5%、特異度は84.6%であった。BP-responderについては、ΔMAP RMのAUCは0.80であり、SVVとPPVはともに輸液反応性を予測できなかった。ΔMAP RMのカットオフ値は-17.3%、感度は75.0%、特異度は77.8%であった。RMによるSVとBPの変化率は輸液負荷後のSVの増加を予測することができた。従来から輸液反応性の予測に用いられてきたSVVとPPVの予測能力は低いことが示された。

  • Changes in corrected carotid flow time induced by recruitment maneuver predict fluid responsiveness in patients undergoing general anesthesia.

    Kimura A, Suehiro K, Juri T, Tanaka K, Mori T

    Journal of clinical monitoring and computing   36 ( 4 )   1069 - 1077   2022.08（ ISSN:1387-1307 ）

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  • Validation of Continuous Noninvasive Blood Pressure Monitoring Using Error Grid Analysis.

    Juri T, Suehiro K, Kanematsu R, Takahashi K, Fujimoto Y, Tanaka K, Mori T

    Anesthesia and analgesia   134 ( 4 )   773 - 780   2022.04（ ISSN:0003-2999 ）

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  • Radical-7 Invited

    42 ( 1 )   36 - 43   2022.01（ ISSN:0285-4945 ）

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    Authorship：Lead author,　Corresponding author   Publishing type：Research paper (conference, symposium, etc.)  

    DOI： 10.2199/jjsca.42.36

    Repository URL： http://hdl.handle.net/10466/0002000170

  • Changes in stroke volume induced by lung recruitment maneuver can predict fluid responsiveness during intraoperative lung-protective ventilation in prone position Reviewed

    Watanabe R,Suehiro K,Mukai A,Tanaka K,Yamada T,Mori T,Nishikawa K

    BMC anesthesiology   21 ( 1 )   303   2021.12（ ISSN:1471-2253 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.1186/s12871-021-01527-y

    Repository URL： http://hdl.handle.net/10466/0002000173

  • Changes in stroke volume induced by lung recruitment maneuver can predict fluid responsiveness during intraoperative lung-protective ventilation in prone position Reviewed

    Watanabe R, Suehiro K, Mukai A, Tanaka K, Yamada T, Mori T, Nishikawa K

    BMC anesthesiology   21 ( 1 )   303   2021.12（ ISSN:1471-2253 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.1186/s12871-021-01527-y

    PubMed

  • Hemodynamic Changes via the Lung Recruitment Maneuver Can Predict Fluid Responsiveness in Stroke Volume and Arterial Pressure During One-Lung Ventilation. Reviewed

    Kimura A, Suehiro K, Juri T, Fujimoto Y, Yoshida H, Tanaka K, Mori T, Nishikawa K

    Anesthesia and analgesia   133 ( 1 )   44 - 52   2021.07（ ISSN:0003-2999 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    BACKGROUND: We aimed to evaluate the ability of lung recruitment maneuver-induced hemodynamic changes to predict fluid responsiveness in patients undergoing lung-protective ventilation during one-lung ventilation (OLV). METHODS: Thirty patients undergoing thoracic surgery with OLV (tidal volume: 6 mL/kg of ideal body weight and positive end-expiratory pressure: 5 cm H2O) were enrolled. The study protocol began 30 minutes after starting OLV. Simultaneous recordings were performed for hemodynamic variables of heart rate, mean arterial pressure (MAP), stroke volume (SV), pulse pressure variation (PPV), and stroke volume variation (SVV) were recorded at 4 time points: before recruitment maneuver (continuous airway pressure: 30 cm H2O for 30 seconds), at the end of recruitment maneuver, and before and after volume loading (250 mL over 10 minutes). Patients were recognized as fluid responders if the increase in SV or MAP was >10%. Receiver operating characteristic curves for percent decrease in SV and MAP by recruitment maneuver (ΔSVRM and ΔMAPRM, respectively) were generated to evaluate the ability to discriminate fluid responders from nonresponders. The gray-zone approach was applied for ΔSVRM and ΔMAPRM. RESULTS: Of 30 patients, there were 17 SV-responders (57%) and 12 blood pressure (BP)-responders (40%). Area under the curve (AUC) for ΔSVRM to discriminate SV-responders from nonresponders was 0.84 (95% confidence interval [CI], 0.67-0.95; P < .001). The best threshold for ΔSVRM to discriminate the SV-responders was -23.7% (95% CI, -41.2 to -17.8; sensitivity, 76.5% [95% CI, 50.1-93.2]; specificity, 84.6% [95% CI, 54.6-98.1]). For BP-responders, AUC for ΔMAPRM was 0.80 (95% CI, 0.61-0.92, P < .001). The best threshold for ΔMAPRM was -17.3% (95% CI, -23.9 to -5.1; sensitivity, 75.0% [95% CI, 42.8-94.5]; specificity, 77.8% [95% CI, 52.4-93.6]). With the gray-zone approach, the inconclusive range of ΔSVRM for SV-responders was -40.1% to -13.8% including 13 (43%) patients, and that of ΔMAPRM was -23.9% to -5.1%, which included 16 (53%) patients. CONCLUSIONS: ΔSVRM and ΔMAPRM could predict hemodynamic responses after volume expansion during OLV.

    DOI： 10.1213/ANE.0000000000005375

    PubMed

  • Effect of Systemic Vascular Resistance on the Reliability of Noninvasive Hemodynamic Monitoring in Cardiac Surgery. Reviewed

    Mukai A, Suehiro K, Kimura A, Tanaka K, Yamada T, Mori T, Nishikawa K

    Journal of cardiothoracic and vascular anesthesia   35 ( 6 )   1782 - 1791   2021.06（ ISSN:1053-0770 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    OBJECTIVE: To assess the effect of systemic vascular resistance (SVR) on the reliability of the ClearSight system (Edwards Lifesciences, Irvine, CA) for measuring blood pressure (BP) and cardiac output (CO). DESIGN: Observational study. SETTING: University hospital. PARTICIPANTS: Twenty-five patients undergoing cardiac surgery. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: BP, measured using ClearSight and an arterial line, and CO, measured using ClearSight and a pulmonary artery catheter, were recorded before (T1) and two minutes after phenylephrine or ephedrine administration. Bland-Altman analysis was used to compare BP and CO measurements at T1. A polar plot was used to assess trending abilities. Patients were divided into the following three groups according to the SVR index (SVRI) at T1: low (<1,200 dyne s/cm5/m2), normal (1,200-25,00 dyne s/cm5/m2), and high (>2,500 dyne s/cm5/m2). The bias in BP and CO was -4.8 ± 8.9 mmHg and 0.10 ± 0.81 L/min, respectively, which was correlated significantly with SVRI (p < 0.05). The percentage error in CO was 40.6%, which was lower in the normal SVRI group (33.3%) than the low and high groups (46.3% and 47.7%, respectively). The angular concordance rate was 96.3% and 95.4% for BP and 87.0% and 92.5% for CO after phenylephrine and ephedrine administration, respectively. There was a low tracking ability for CO changes after phenylephrine administration in the low-SVRI group (angular concordance rate 33.3%). CONCLUSION: The ClearSight system showed an acceptable accuracy in measuring BP and tracking BP changes in various SVR states; however, the accuracy of CO measurement and its trending ability in various SVR states was poor.

    DOI： 10.1053/j.jvca.2020.11.011

    PubMed

  • Hemodynamic Changes via the Lung Recruitment Maneuver Can Predict Fluid Responsiveness in Stroke Volume and Arterial Pressure During One-Lung Ventilation. Reviewed

    Kimura A, Suehiro K, Juri T, Fujimoto Y, Yoshida H, Tanaka K, Mori T, Nishikawa K

    Anesthesia and analgesia   2021.01（ ISSN:0003-2999 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.1213/ANE.0000000000005375

    PubMed

  • Percutaneous Endovascular Retrieval of Large Cement Leakage into the Right Atrium Following Cement-Augmented Pedicle Screw Instrumentation Reviewed

    Takahashi Shinji, Tamai Koji, Nakamura Hiroaki, Sohgawa Etsuji, Suzuki Akinobu, Yamamoto Akira, Sasaki Ryo, Tanaka Katsuaki, Terai Hidetomi, Hoshino Masatoshi, Toyoda Hiromitsu

    一般社団法人 日本脊椎脊髄病学会　Spine Surgery and Related Research   2021

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.22603/ssrr.2021-0011

    CiNii Article

  • Impact of intraoperative goal-directed fluid therapy on major morbidity and mortality after transthoracic oesophagectomy: a multicentre, randomised controlled trial. Reviewed

    Mukai A, Suehiro K, Watanabe R, Juri T, Hayashi Y, Tanaka K, Fujii T, Ohira N, Oda Y, Okutani R, Nishikawa K

    British journal of anaesthesia   125 ( 6 )   953 - 961   2020.12（ ISSN:0007-0912 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1016/j.bja.2020.08.060

    PubMed

  • Impact of intraoperative goal-directed fluid therapy on major morbidity and mortality after transthoracic oesophagectomy: a multicentre, randomised controlled trial. Reviewed

    Mukai A, Suehiro K, Watanabe R, Juri T, Hayashi Y, Tanaka K, Fujii T, Ohira N, Oda Y, Okutani R, Nishikawa K

    British journal of anaesthesia   125 ( 6 )   953 - 961   2020.12（ ISSN:0007-0912 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    BACKGROUND: Transthoracic oesophagectomy is associated with major morbidity and mortality, which may be reduced by goal-directed therapy (GDT). The aim of this multicentre, RCT was to evaluate the impact of intraoperative GDT on major morbidity and mortality in patients undergoing transthoracic oesophagectomy. METHODS: Adult patients undergoing transthoracic oesophagectomy were randomised to receive either minimally invasive intraoperative GDT (stroke volume variation <8%, plus systolic BP maintained >90 mm Hg by pressors as necessary) or haemodynamic management left to the discretion of attending senior anaesthetists (control group; systolic BP >90 mm Hg alone). The primary outcome was the incidence of death or major complications (reoperation for bleeding, anastomotic leakage, pneumonia, reintubation, >48 h ventilation). A Cox proportional hazard model was used to examine whether the effects of GDT on morbidity and mortality were independent of other potential confounders. RESULTS: A total of 232 patients (80.6% male; age range: 36-83 yr) were randomised to either GDT (n=115) or to the control group (n=117). After surgery, major morbidity and mortality were less frequent in 22/115 (19.1%) subjects randomised to GDT, compared with 41/117 (35.0%) subjects assigned to the control group {absolute risk reduction: 15.9% (95% confidence interval [CI]: 4.7-27.2%); P=0.006}. GDT was also associated with fewer episodes of atrial fibrillation (odds ratio [OR]: 0.18 [95% CI: 0.05-0.65]), respiratory failure (OR: 0.27 [95% CI: 0.09-0.83]), use of mini-tracheotomy (OR: 0.29 [95% CI: 0.10-0.81]), and readmission to ICU (OR: 0.09 [95% CI: 0.01-0.67]). GDT was independently associated with morbidity and mortality (hazard ratio: 0.51 [95% CI: 0.30-0.87]; P=0.013). CONCLUSIONS: Intraoperative GDT may reduce major morbidity and mortality, and shorten hospital stay, after transthoracic oesophagectomy. CLINICAL TRIAL REGISTRATION: UMIN000018705.

    DOI： 10.1016/j.bja.2020.08.060

    PubMed

  • Effect of Systemic Vascular Resistance on the Reliability of Noninvasive Hemodynamic Monitoring in Cardiac Surgery. Reviewed

    Mukai A, Suehiro K, Kimura A, Tanaka K, Yamada T, Mori T, Nishikawa K

    Journal of cardiothoracic and vascular anesthesia   2020.11（ ISSN:1053-0770 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1053/j.jvca.2020.11.011

    PubMed

  • Impact of deep breathing on predictability of stroke volume variation in spontaneous breathing patients Reviewed

    Mukai Akira, Suehiro Koichi, Kimura Aya, Kodama Sae, Tanaka Katsuaki, Mori Takashi, Nishikawa Kiyonobu

    ACTA ANAESTHESIOLOGICA SCANDINAVICA   64 ( 5 )   648 - 655   2020.05（ ISSN:0001-5172 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1111/aas.13541

    PubMed

  • Comparison of the venous-arterial CO2 to arterial-venous O-2 content difference ratio with the venous-arterial CO2 gradient for the predictability of adverse outcomes after cardiac surgery Reviewed

    Mukai Akira, Suehiro Koichi, Kimura Aya, Funai Yusuke, Matsuura Tadashi, Tanaka Katsuaki, Yamada Tokuhiro, Mori Takashi, Nishikawa Kiyonobu

    JOURNAL OF CLINICAL MONITORING AND COMPUTING   34 ( 1 )   41 - 53   2020.02（ ISSN:1387-1307 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s10877-019-00286-z

  • Comparison of the venous-arterial CO2 to arterial-venous O-2 content difference ratio with the venous-arterial CO2 gradient for the predictability of adverse outcomes after cardiac surgery Reviewed

    Mukai Akira, Suehiro Koichi, Kimura Aya, Funai Yusuke, Matsuura Tadashi, Tanaka Katsuaki, Yamada Tokuhiro, Mori Takashi, Nishikawa Kiyonobu

    JOURNAL OF CLINICAL MONITORING AND COMPUTING   34 ( 1 )   41 - 53   2020.02（ ISSN:1387-1307 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s10877-019-00286-z

    PubMed

  • Impact of deep breathing on predictability of stroke volume variation in spontaneous breathing patients Reviewed

    Mukai Akira, Suehiro Koichi, Kimura Aya, Kodama Sae, Tanaka Katsuaki, Mori Takashi, Nishikawa Kiyonobu

    ACTA ANAESTHESIOLOGICA SCANDINAVICA   2020.01（ ISSN:0001-5172 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1111/aas.13541

    PubMed

  • General Anesthesia Management for Adult Mucopolysaccharidosis Patients Undergoing Major Spine Surgery. Reviewed

    Tsuchiya M, Terai H, Mizutani K, Funai Y, Tanaka K, Yamada T, Mori T, Nishikawa K

    Medical principles and practice : international journal of the Kuwait University, Health Science Centre   2019.09（ ISSN:1011-7571 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1159/000503051

    PubMed

  • A case of esophageal perforation after intraoperative transesophageal echocardiography in a patient with a giant left atrium: unexpectedly large distortion of the esophagus revealed on retrospectively constructed three-dimensional imaging Reviewed

    Kimura Aya, Mori Takashi, Kihara Yuki, Watanabe Chie, Tanaka Katsuaki, Yamada Tokuhiro, Yoshida Atushi, Kawabe Joji, Sakon Yoshito, Sibata Toshihiko, Nishikawa Kiyonobu

    JA CLINICAL REPORTS   5   2019.03（ ISSN:2363-9024 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1186/s40981-019-0243-0

  • Impact of non-invasive continuous blood pressure monitoring on maternal hypotension during cesarean delivery: a randomized-controlled study. Reviewed

    Juri T, Suehiro K, Kimura A, Mukai A, Tanaka K, Yamada T, Mori T, Nishikawa K

    Journal of anesthesia   2018.09（ ISSN:0913-8668 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s00540-018-2560-2

    PubMed

  • The Sum of Early Diastolic Annulus Velocities in the Mitral and Tricuspid Valve Can Predict Adverse Events After Cardiac Surgery. Reviewed

    Mukai A, Suehiro K, Fujimoto Y, Matsuura T, Tanaka K, Funao T, Yamada T, Mori T, Nishikawa K

    Journal of cardiothoracic and vascular anesthesia   2018.05（ ISSN:1053-0770 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1053/j.jvca.2018.05.043

    PubMed

  • Impact of continuous non-invasive blood pressure monitoring on hemodynamic fluctuation during general anesthesia: a randomized controlled study. Reviewed International coauthorship

    Juri T, Suehiro K, Kimura A, Mukai A, Tanaka K, Yamada T, Mori T, Nishikawa K

    Journal of clinical monitoring and computing   2018.03（ ISSN:1387-1307 ）

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

    DOI： 10.1007/s10877-018-0125-4

    PubMed

  • Pleth variability index can predict spinal anaesthesia-induced hypotension in patients undergoing caesarean delivery Reviewed

    Kuwata S., Suehiro K., Juri T., Tsujimoto S., Mukai A., Tanaka K., Yamada T., Mori T., Nishikawa K.

    ACTA ANAESTHESIOLOGICA SCANDINAVICA   62 ( 1 )   75 - 84   2018.01（ ISSN:0001-5172 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1111/aas.13012

  • Maintenance of Oxygen Delivery Reviewed

    TANAKA Katsuaki

    THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA, THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA   38 ( 7 )   836 - 842   2018（ ISSN:0285-4945 ）

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    Publishing type：Research paper (scientific journal)   Kind of work：Single Work  

    <p>It is important to maintain oxygen content（CaO<sub>2</sub>）when we manage maternal hemorrhage. CaO<sub>2</sub> is a function of cardiac output, oxygen saturation, hemoglobin concentration, and arterial oxygen partial pressure. However, these parameters cannot be monitored continuously with precision. In"Guidelines for Management of Critical Bleeding in Obstetrics,"the Shock Index（heart rate/systolic blood pressure）is recommended for evaluating maternal hemodynamics. Specifically, both"SI ≧ 1.0"and"SI ≧ 1.5"are decision points for starting transfusion in the guidelines. Normally, cardiac and respiratory functions are not severely impaired in pregnant women, so it is crucial to maintain the hemoglobin level. It is therefore necessary to develop a rapid blood delivery system and provide blood products safely and reliably.</p>

    DOI： 10.2199/jjsca.38.836

    CiNii Article

  • Hydroxyethyl starch 130/0.4 versus crystalloid co-loading during general anesthesia induction: a randomized controlled trial Reviewed

    Juri Takashi, Suehiro Koichi, Kuwata Shigemune, Tsujimoto Sayaka, Mukai Akira, Tanaka Katsuaki, Yamada Tokuhiro, Mori Takashi, Nishikawa Kiyonobu

    JOURNAL OF ANESTHESIA   31 ( 6 )   878 - 884   2017.12（ ISSN:0913-8668 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s00540-017-2416-1

    PubMed

  • Pre-anesthetic stroke volume variation can predict cardiac output decrease and hypotension during induction of general anesthesia. Reviewed

    Juri T, Suehiro K, Tsujimoto S, Kuwata S, Mukai A, Tanaka K, Yamada T, Mori T, Nishikawa K

    Journal of clinical monitoring and computing   2017.06（ ISSN:1387-1307 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s10877-017-0038-7

    PubMed

  • The Efficacy of Fentanyl for Procedural Analgesia during Epidural Catheter Placement: Differences in Anesthesiologists' Experience(和訳中) Reviewed

    Shimizu Motoko, Funao Tomoharu, Miyata Taeko, Tanaka Katsuaki, Yamada Tokuhiro, Nishikawa Kiyonobu

    大阪市医学会　Osaka City Medical Journal   63 ( 1 )   9 - 16   2017.06（ ISSN:0030-6096 ）

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    Publishing type：Research paper (scientific journal)  

  • Current Practice in Goal-Directed Therapy Protocol among Japanese Anesthesiologists：A Survey about Hemodynamic Monitoring and Management in High-risk Surgery Invited

    SUEHIRO Koichi, TANAKA Katsuaki, NISHIKAWA Kiyonobu

    THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA, JJSCA   37 ( 2 )   211 - 218   2017（ ISSN:0285-4945 ）

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

    <p>Postoperative complications are the main cause of perioperative mortality and morbidity. In addition, high-risk surgical patients account for only 12.5％ of all surgical procedures but more than 80％ of postoperative mortality. Perioperative goal-directed therapy（GDT）is one approach for improving postoperative outcomes in high-risk surgical patients. In a recent meta-analysis, it was shown that perioperative hemodynamic optimization is associated with fewer postoperative complications. Thus, GDT has come to be considered to be the standard of perioperative care because it has demonstrated strong clinical evidence to decrease the complication rate. Despite these evidence based recommendations, the implementation of GDT is still poorly achieved in daily clinical practice. Significant variability in routine GDT application could be related to different approaches and standards of specific hemodynamic monitoring. Recently, surveys on hemodynamic monitoring and management in high-risk surgery have been performed among Japanese, North American, European, Korean and Chinese anesthesiologists, which showed a considerable gap in clinical practice for hemodynamic monitoring and management among different populations. In this section, we will discuss the current application and problems of GDT protocol in Japan using data from these surveys.</p>

    DOI： 10.2199/jjsca.37.211

    CiNii Article

  • Hemodynamic monitoring and management in high-risk surgery: a survey among Japanese anesthesiologists Reviewed

    Suehiro Koichi, Tanaka Katsuaki, Mukai Akira, Joosten Alexandre, Desebbe Olivier, Alexander Brenton, Cannesson Maxime, Nishikawa Kiyonobu

    JOURNAL OF ANESTHESIA   30 ( 3 )   526 - 529   2016.06（ ISSN:0913-8668 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s00540-016-2155-8

    PubMed

  • Improved Performance of the Fourth-Generation FloTrac/Vigileo System for Tracking Cardiac Output Changes Reviewed

    Suehiro Koichi, Tanaka Katsuaki, Mikawa Mika, Uchihara Yuriko, Matsuyama Taiki, Matsuura Tadashi, Funao Tomoharu, Yamada Tokuhiro, Mori Takashi, Nishikawa Kiyonobu

    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA   29 ( 3 )   656 - 662   2015.06（ ISSN:1053-0770 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1053/j.jvca.2014.07.022

    PubMed

  • The ability of the Vigileo-FloTrac system to measure cardiac output and track cardiac output changes during one-lung ventilation Reviewed

    Suehiro Koichi, Tanaka Katsuaki, Yamada Tokuhiro, Matsuura Tadashi, Mori Takashi, Funao Tomoharu, Nishikawa Kiyonobu

    JOURNAL OF CLINICAL MONITORING AND COMPUTING   29 ( 3 )   333 - 339   2015.06（ ISSN:1387-1307 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s10877-014-9609-z

    PubMed

  • Profound hypotension during kidney transplantation for a patient with a depressive disorder Reviewed International coauthorship

    Maki Nabatame, Katsuaki Tanaka, Yuichi Nishi, Kazutake Ikenaga, Tadashi Matsuura, Takashi Mori, Kiyonobu Nishikawa

    Journal of Anesthesia and Clinical Research   6 ( 3 )   518   2015.04

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • Only Th12 anesthesia level was achieved despite 2ml hyperbaric intrathecal bupivacaine before cesarean section Invited

    Katsuaki Tanaka

    LiSA   22 ( 4 )   380 - 381   2015.04

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    Authorship：Lead author   Publishing type：Research paper (scientific journal)   Kind of work：Single Work   International / domestic magazine：Domestic journal  

  • The utility of intra-operative three-dimensional transoesophageal echocardiography for dynamic measurement of stroke volume

    Koichi Suehiro, Tokuhiro Yamada, Tadashi Matsuura , Tomoharu Funao, Takashi Mori, Kiyonobu Nishikawa

    Anaesthesia   70 ( 2 )   150 - 159   2015.02

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    Publishing type：Research paper (scientific journal)  

  • The Vigileo-FloTrac (TM) System: Arterial Waveform Analysis for Measuring Cardiac Output and Predicting Fluid Responsiveness: A Clinical Review Reviewed

    Suehiro Koichi, Tanaka Katsuaki, Matsuura Tadashi, Funao Tomoharu, Yamada Tokuhiro, Mori Takashi, Nishikawa Kiyonobu

    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA   28 ( 5 )   1361 - 1374   2014.10（ ISSN:1053-0770 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1053/j.jvca.2014.02.020

    PubMed

  • The impact of intraoperative hypothermia on early postoperative adverse events after radical esophagectomy for cancer: a retrospective cohort study

    Journal of Cardiothoracic and Vascular Anesthesia   28 ( 4 )   955 - 959   2014.08

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    Publishing type：Research paper (scientific journal)  

  • Preoperative hydroperoxide concentrations are associated with an increased risk of postoperative complications after cardiac surgery Reviewed

    Suehiro K., Tanaka K., Matsuura T., Funao T., Yamada T., Mori T., Tsuchiya M., Nishikawa K.

    ANAESTHESIA AND INTENSIVE CARE   42 ( 4 )   487 - 494   2014.07（ ISSN:0310-057X ）

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    Publishing type：Research paper (scientific journal)  

  • Discrepancy Between Superior Vena Cava Oxygen Saturation and Mixed Venous Oxygen Saturation Can Predict Postoperative Complications in Cardiac Surgery Patients

    Journal of Cardiothoracic and Vascular Anesthesia   28 ( 3 )   528 - 533   2014.06

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    Publishing type：Research paper (scientific journal)  

  • Detection of Left Ventricular Dysfunction Using Early Diastolic Mitral Annular Velocity in Patients Undergoing Mitral Valve Repair for Mitral Regurgitation.

    Journal of Cardiothoracic and Vascular Anesthesia   28 ( 1 )   25 - 30   2014.02

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    Publishing type：Research paper (scientific journal)  

  • A delayed case of tension pneumopericardium after total gastrectomy

    Journal of Clinical Anesthesia   26 ( 1 )   58 - 61   2014.01

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    Publishing type：Research paper (scientific journal)  

  • Anesthesia for Emergency Cesarean Section in a Parturient with Noonan Syndrome

    Journal of Anesthesia & Clinical Research   4 ( 11 )   368   2013.11

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    Publishing type：Research paper (scientific journal)  

  • Congestive Heart Failure after Cesarean Section in a Patient with Congenital Myopathy Reviewed

    Kazutake IKENAGA, Katsuaki Tanaka, Aki KAWASAKI, Hiroyuki YAMASAKI, Kiyonobu NISHIKAWA

    麻酔と蘇生   49 ( 1 )   37 - 39   2013

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes Reviewed International coauthorship

    Koichi Suehiro, Katsuaki Tanaka, Tomoharu Funao, Tadashi Matsuura, Takashi Mori, Kiyonobu Nishikawa

    British Journal of Anaesthesia   2013

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • 胸部大動脈血管内修復術後の遅発性対麻痺患者の治療成功(Successful Treatment of a Patient with Delayed onset Paraplegia after Thoracic Endovascular Aortic Repair) Reviewed

    Nakamura Taketo, Yamada Tokuhiro, Matsuura Tadashi, Tanaka Katsuaki, Funao Tomoharu, Nishikawa Kiyonobu

    日本循環制御医学会　循環制御   33 ( 2 )   112 - 114   2012.08（ ISSN:0389-1844 ）

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    Publishing type：Research paper (scientific journal)  

    症例は60歳男性で、45歳時に下行大動脈のグラフト置換術を施行されていた。グラフト近傍の嚢状動脈瘤が2年間で徐々に拡大したため、左鎖骨動脈下の遠位大動脈弓動脈瘤に対し全身麻酔下で血管内修復術を行った。手術は5時間46分で終了し、神経学的欠損の兆候は全くみられなかった。しかし、集中治療室入室後3時間目に突然麻痺がみられ、筋力が著明に低下し、右はL1以下、左はL2以下の感覚が低下した。平均動脈圧は術中80mmHg以上、術後90mmHg以上に維持していたが、ドーパミンにより120mmHg以上にしても麻痺は改善しなかった。腰部脳脊髄液ドレナージを速やかに行ったところ、筋力が改善し、触感が正常になったが、右L2以下の温度感覚は消失していた。術後7日目の血管造影では、左鎖骨下動脈と大前根髄質動脈のステントによる閉塞は認められなかった。

  • Perioperative Stroke after Non Cardiac Surgery Invited

    Taku Hamada, Tokuhiro Yamada, Jun Yamashita, Tomoharu Funao, Katsuaki Tanaka, et al.

    Rinsho Masui   36 ( 9 )   1357 - 1361   2012

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Successful Treatment of a Patient with Delayed-Onset Paraplegia after Thoracic Endovascular Aortic Repair Reviewed

    Nakamura Taketo, Yamada Tokuhiro, Matsuura Tadashi, Tanaka Katsuaki, Funao Tomoharu, Nishikawa Kiyonobu

    Japan Society of Circulation Control in Medicine　循環制御   33 ( 2 )   112 - 114   2012（ ISSN:0389-1844 ）

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    Publishing type：Research paper (scientific journal)  

    A 60-year old man developed paraplegia three hours after thoracic endovascular aortic repair under general anesthesia for distal aortic arch aneurysm. This delayed-onset paraplegia was suspected to be due to a steal effect on the spinal small end arteries. The symptom was successfully alleviated by rapid lumbar cerebrospinal fluid drainage.

    DOI： 10.11312/ccm.33.112

    CiNii Article

  • A case of anaphylactic shock induced by latex during cesarean section Reviewed

    Nahomi Ikeda, Yutaka Oda, Katsuaki Tanaka, Taketo Nakamura, Akira Asada

    Masui   59 ( 10 )   1294 - 1297   2011

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Perfusion Index and Pleth Variability Index Invited Reviewed

    Katsuaki Tanaka

    The Journal of Japan Society for Clinical Anesthesia   31 ( 2 )   347 - 352   2011

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    Authorship：Lead author   Publishing type：Research paper (scientific journal)   Kind of work：Single Work   International / domestic magazine：Domestic journal  

  • Introduction of hospital information system and anesthesia information management system into the perianesthetic practice at Osaka City University Hospital Reviewed

    Motoko Shimizu, Katsuaki Tanaka, Chie Hagiwara, Kazutake Ikenaga, Miwako Yoshioka, Akira Asada

    Masui   60 ( 6 )   743 - 752   2011

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Effect of remifentanil on cardiovascular and bispectral index responses following the induction of anesthesia with midazolam and subsequent tracheal intubation. Reviewed

    Miyake W, Oda Y, Ikeda Y, Tanaka K, Hagihira S, Iwaki H, Asada A

    2, Journal of anesthesia   24 ( 2 )   161 - 167   2010.04（ ISSN:0913-8668 ）

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    Publishing type：Research paper (scientific journal)  

    DOI： 10.1007/s00540-010-0895-4

    PubMed

    CiNii Article

    J-GLOBAL

  • A Case of Chronic Trifascicular Block Resulting in Cardiac Arrest during Operation Reviewed

    Kotaro Hori, Tomoharu Funao, Katsuaki Tanaka, Tokuhiro Yamada, Takashi Mori, Akira Asada

    Masui   59 ( 2 )   206 - 209   2010

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Effect of remifentanil on cardiovascular and bispectral index responses after induction of anesthesia with midazolam and subsequent tracheal intubation. Reviewed International coauthorship

    Wakako Miyake, Yutaka Oda, Yuko Ikeda, Katsuaki Tanaka, Satoshi Hagihira, Hiroyoshi Iwaki, Akira Asa

    Journal of Anesthesia   24 ( 2 )   161 - 167   2010

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • Sucessful Application of a Laryngeal Mask Airway in an Adult Patient with Larsen Syndrome for Transurethral Bladder Lithotripsy Reviewed

    Kazutake Ikenaga, Katsuaki Tanaka, Chie Hagiwara, Miwako Yoshioka, et al.

    Rinsho Masui   33   41 - 44   2009

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • 脊髄くも膜下麻酔による帝王切開・分娩後にアナフィラキシーショックを生じた1症例 Reviewed

    池田 奈保美, 田中 克明, 小田 裕, 浅田 章

    The Japanese Society of Reanimatology　蘇生   28 ( 3 )   199a - 199a   2009（ ISSN:0288-4348 ）

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    Publishing type：Research paper (scientific journal)  

    PDFファイルをご覧下さい。

    DOI： 10.11414/jjreanimatology.28.199a

    CiNii Article

  • Advance of age decreases the minimum alveolar concentrations of isoflurane and sevoflurane for maintaining bispectral index below 50 Reviewed International coauthorship

    Tadashi Matsuura, Yutaka Oda, Katsuaki Tanaka, Takashi Mori, et al.

    British Journal of Anaesthesia   102 ( 3 )   331 - 335   2009

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • A Patient with Undiagnosed Retroperitoneal Paraganglioma Developing Hypertension during the Tumor Removal Reviewed

    Daisuke Arashi, Katsuaki Tanaka, Nobutaka Kariya, Tomoharu Funao, et al.

    Rinsho Masui   32 ( 10 )   1640 - 1642   2008

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Propranolol increases the threshold for lidocaine-induced convulsions in awake rats: a direct effect on the brain Reviewed International coauthorship

    Taketo Nakamura, Yutaka Oda, Ryota Takahashi, Katsuaki Tanaka, Ichiro Hase, et al.

    Anesthesia and Analgesia   106 ( 5 )   1450 - 1455   2008

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • A Case of Anaphylactic Cardiac Arrest Resuscitated with Vasopresin Reviewed

    Yuriko Kodani, Katsuaki Tanaka, Megumi Hasaka, Kazutoshi Ikeshita, Akira Asada

    Rinsho Masui   32 ( 8 )   1417 - 1418   2008

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Anesthetic Management of a Patient with Diabetes Insipidus Undergoing Trans-thoracic Esophagectomy Reviewed

    Motoko Shimizu, Tomoharu Funao, Katsuaki Tanaka, Nobutaka Kariya, Kiyonobu Nishikawa, et al.

    Rinsho Masui   32 ( 5 )   929 - 993   2008

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Anesthetic Management of Cesarean Section in a patient with Charcot-Marie-Tooth disease Reviewed

    Miwako Yoshioka, Katsuaki Tanaka, Maki Nabatame, Mitsuji Matsushita, Shigehisa Tsujimura

    Rinsho Masui   31 ( 10 )   1589 - 1591   2007

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    Authorship：Corresponding author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • The effect of dexmedetomidine on electrocorticography in patients with temporal lobe epilepsy under sevoflurane anesthesia Reviewed International coauthorship

    Yutaka Oda, Sumiko Toriyama, Katsuaki Tanaka, Tadashi Matsuura, Naoya Hamaoka, Michiharu Morino, Akira Asada

    Anesthesia and Analgesia   105 ( 5 )   1272 - 1277   2007

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • Nitrous oxide induces paradoxical electroencephalographic changes after tracheal intubation during isoflurane and sevoflurane anesthesia Reviewed International coauthorship

    Oda Y, Tanaka K, Matsuura T, Hase I, Nishikawa K, Asada A

    ANESTHESIA AND ANALGESIA   102 ( 4 )   1094 - 1102   2006.04（ ISSN:0003-2999 ）

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

    DOI： 10.1213/01.ane.0000198509.55543.d6

    PubMed

    J-GLOBAL

  • The Use of Questionnaires for Rotating Residents in Evaluating Training in Anesthesiology Reviewed

    Nobutaka Kariya, Shinichi Nishi, Taeko Miyata, Kayoko Jomura, Katsuaki Tanaka, et al.

    Masui   55 ( 6 )   759 - 771   2006

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：Domestic journal  

  • Epinephrine increases the extracellular lidocaine concentration in the brain: a possible mechanism for increased central nervous system toxicity Reviewed International coauthorship

    Ryota Takahashi, Yutaka Oda, Katsuaki Tanaka, Hisayo O. Morishima, Koki Inoue, et al

    Anesthesiology   105 ( 5 )   984 - 989   2006

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • Dexmedetomidine decreases the convulsive potency of bupivacaine and levobupivacaine in rats: involvement of alpha2-adrenoceptor for controlling convulsions. Reviewed International coauthorship

    Tanaka K, Oda Y, Funao T, Takahashi R, Hamaoka N, Asada A

    100 ( 3 )   687 - 696   2005.03（ ISSN:0003-2999 ）

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    Authorship：Lead author   Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

    DOI： 10.1213/01.ANE.0000144420.87770.FE

    PubMed

    J-GLOBAL

  • Vasodilation increases the threshold for bupivacaine - induced convulsions in rats Reviewed International coauthorship

    Yutaka Oda, Tomoharu Funao, Katsuaki Tanaka, Akira Asada

    Anesthesia and Analgesia   98   677 - 682   2005

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

  • The P-glycoprotein inhibitor quinidine decreases the threshold for bupivacaine - induced , but not lidocaine - induced, convulsions in rats Reviewed International coauthorship

    Tomoharu Funao, Yutaka Oda, Katsuaki Tanaka, Akira Asada

    Canadian Journal of Anaesthesia   50 ( 9 )   805 - 811   2003

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    Publishing type：Research paper (scientific journal)   Kind of work：Joint Work   International / domestic magazine：International journal  

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Books and Other Publications

  • 麻酔・疼痛管理・集中治療領域におけるα2受容体作動薬

    西川俊昭

    克誠堂出版  2012 

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    Book type：Scholarly book

  • 局所麻酔薬中毒・アレルギー

    西川精宣, 浅田章

    克誠堂出版  2008 

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    Book type：Scholarly book

  • Why intraoperative hypothermia should be avoided? : Twenty two mysteries of perioperative management

    Yamasaki Hiroyuki（ Role： Joint author）

    2015.06 

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    Book type：Scholarly book

MISC

  • 高カリウム血症が術後心停止の原因ではなかったか？

    松山大樹, 仲村光世, 萩原千恵, 濱田拓, 西川精宣

    麻酔   62 ( 3 )   365   2013

  • Goal-Directed Therapy(目標指向型輸液療法)の実践　国内外の実例を交えて 本邦におけるGDTの実施状況等について Reviewed

    末廣 浩一, 田中 克明, 西川 精宣

    日本臨床麻酔学会　日本臨床麻酔学会誌   37 ( 2 )   211 - 218   2017.03（ ISSN:0285-4945 ）

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    Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

    ハイリスク手術症例は手術数全体の12.5%程度しか占めていないにもかかわらず,術後死亡数の80%以上を占めるとされる.Goal-directed therapy(GDT)はハイリスク症例において予後を改善する可能性が示唆されているが,GDTの適用に関して特に基準はなく,また施設によって使用するモニターやプロトコールなどもさまざまである.2014年にわれわれは日本麻酔科学会認定施設を対象として,ハイリスク症例における血行動態モニタリングに関する調査を行った.本稿ではわれわれの調査結果を踏まえて,本邦におけるGDTの施行状況やGDTを行っていく上での問題点を考察したい.(著者抄録)

  • 【よくあるトラブルを乗り越えよう3】 帝王切開の脊髄くも膜下麻酔で高比重ブピバカインを2mL投与したが,T12までしか麻酔高が上がらない Reviewed

    田中 克明

    (株)メディカル・サイエンス・インターナショナル　LiSA   22 ( 4 )   380 - 381   2015.04（ ISSN:1340-8836 ）

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    Publishing type：Article, review, commentary, editorial, etc. (scientific journal)   Kind of work：Single Work  

  • The Vigileo-FloTrac TM System: Arterial Waveform Analysis for Measuring Cardiac Output and Predicting Fluid Responsiveness: A Clinical Review

    Journal of Cardiothoracic and Vascular Anesthesia   28 ( 5 )   1361 - 1374   2014.10

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    Publishing type：Article, review, commentary, editorial, etc. (scientific journal)  

  • 手術室における抜管後喉頭浮腫

    -

    Anet   18 ( 2 )   7 - 11   2014.05

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Presentations

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Grant-in-Aid for Scientific Research

  • 局所麻酔薬の中枢神経作用の検討-脳波への影響および併用薬物による変化について

    Grant-in-Aid for Young Scientists(B)  2009.04

Other subsidies, etc.

  • 中枢神経モニタリングに基く新たな麻酔方法の開発－より高い安全性と 経済効率を目指して

    未設定  2008.04

Outline of education staff

  • Anesthesiology

Charge of on-campus class subject

  • Anesthesiology

    2023   Weekly class   Undergraduate

  • Anesthesiology

    2022   Practical Training   Undergraduate

  • 研究指導 統計学的分析

    2022   Practical Training   Graduate school

  • 研究指導 基礎研究におけるデータ解析と結果解釈

    2022   Practical Training   Graduate school

  • 発表表現演習 学会発表に向けた抄録の作成

    2022   Practical Training   Graduate school

  • 周術期管理総論 術中呼吸管理

    2022   Intensive lecture   Graduate school

  • 麻酔科学総論 麻酔薬の臨床薬物動態

    2022   Intensive lecture   Graduate school

  • Anesthesiology

    2021   Practical Training   Undergraduate

  • Anesthesiology

    2020   Practical Training   Undergraduate

  • Anesthesiology

    2019     Undergraduate

  • Medical Engineering

    2019     Undergraduate

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Other

  • Job Career

    2008

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    Osaka City University

  • Job Career

    2006

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    Osaka City University

  • Job Career

    2006

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    Osaka City University, Graduate School of Medicine

  • Job Career

    1999 - 2000

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    Osaka City University Hospital