Faculty Profiles - MORIMATSU Hiroshi

Papers - MORIMATSU Hiroshi

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小児心臓手術後出血量と術中Thromboelastgram(ROTEM)との関連

森英明, 戸田雄一郎, 岩崎達雄, 清水一好, 金澤伴幸, 杉本健太郎, 川出健嗣, 名原功, 石井南穂子, 森松博史

日本集中治療医学会雑誌 21 ( Suppl. ) [DP - 2] 2014.1

新生児先天性心疾患患者における術前ICU入室の意義

川出健嗣, 戸田雄一郎, 名原功, 川瀬宏和, 石井典子, 杉本健太郎, 金澤伴幸, 清水一好, 岩崎達雄, 森松博史

日本集中治療医学会雑誌 21 ( Suppl. ) [DP - 1] 2014.1

Histidine-rich glycoprotein prevents septic lethality through neutrophil regulation Reviewed

Nishibori M, Wake H, Mori S, Liu K, Morioka Y, Teshigawara K, Sakaguchi M, Kuroda K, Takahashi H, Ohtsuka A, Yoshino T, Morimatsu H

Critical Care 1 - 53 2014

Acoustic respiratory rate monitoring in a patient with a tracheostomy: A case report Reviewed

Yuichiro Toda, Hiroshi Morimatsu, Masao Hayashi, Kazuyoshi Shimizu, Kiyoshi Morita

Japanese Journal of Anesthesiology 63 ( 2 ) 161 - 163 2014

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

Acoustic respiratory rate (RRa) monitoring has been validated for patients after general anesthesia and has been shown to be a useful technique. However, its feasibility in patients with a tracheostomy has not been assessed yet. Successful monitoring of RRa in a patient with a tracheostomy is described in this case report. A 56-year-old male patient was scheduled for cranioplasty after severe subarachnoidal hemorrhage under general anesthesia. A tracheostomy tube had been placed in the patient because of airway obstruction and altered spontaneous breathing. The acoustic sensor was placed at the usual position and RRa was successfully monitored by Rad 87® (Masimo Corp., Irvine). Statistical analysis was made for comparison of respiratory rate determined by RRa monitoring with respiratory rate visually counted by intensive care nurses. There was no statistically significant difference between the two respiratory rates (P=0.82). RRa monitoring is useful even in patients with a tracheostomy.

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Association between renal replacement therapy in critically ill patients with severe acute kidney injury and mortality

Sean M. Bagshaw, Shigehiko Uchino, John A. Kellum, Hiroshi Morimatsu, Stanislao Morgera, Miet Schetz, Ian Tan, Catherine Bouman, Etienne Macedo, Noel Gibney, Ashita Tolwani, Heleen M. Oudemans-van Straaten, Claudio Ronco, Rinaldo Bellomo

Journal of Critical Care 28 ( 6 ) 1011 - 1018 2013.12

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

Purpose: To evaluate the characteristics and outcomes of critically ill patients with severe acute kidney injury (AKI) treated and not treated with renal replacement therapy (RRT). Methods: Secondary analysis of a multi-centre cohort study. Primary exposure was RRT. Primary outcome was propensity and multi-variable adjusted-hospital mortality. Results: We studied 1250 patients (71.3%) who received and 502 (28.7%) who did not receive RRT. Reasons for not starting RRT (not mutually exclusive) were limitations of support (33.6%, n = 169), adequate urine output (46.2%
n = 232), plan to observe (56.4%
n = 283), and advanced age (12.6%
n = 63). Mortality was higher in those not receiving RRT due to limitations and advanced age but lower for adequate urine output and plan to observe. Propensity and multi-variable adjusted analysis showed no statistical difference in hospital mortality (adj-OR 1.47
95% CI, 0.93-2.24) in patients receiving RRT. Results were similar in a sensitivity analysis restricted to patients fulfilling risk, injury, failure, loss, end-stage kidney disease-FAILURE criteria (37.0%
n = 446) (adj-OR 1.36
95% CI, 0.70-2.66). Conclusion: In this cohort, reasons for not starting RRT included limitations of support and perception of impending renal recovery. Despite similar risk of mortality after adjusting for selection bias and confounders, RRT-treated patients were fundamentally different from non-treated patients across a spectrum of variables that precludes valid comparison in observational data. © 2013 Elsevier Inc.

DOI： 10.1016/j.jcrc.2013.08.002

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ラットくも膜下出血急性期におけるspreading depressionの新しい観察方法

清水智久, 菱川朋人, 高杉祐二, 春間純, 平松匡文, 徳永浩司, 杉生憲志, 武田吉正, 森松博史, 伊達勲

脳循環代謝 25 ( 1 ) 184 - 184 2013.11