Faculty Profiles - MIYAWAKI Takuya

MISC - MIYAWAKI Takuya

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歯科用局所麻酔薬の基礎的性質と新しい局所麻酔薬への期待 Invited

宮脇卓也

歯科医療 36 ( 3 ) 4 - 10 2022.7

2021年6月から医師主導の治験(第III相試験)が始まる新しい歯科用局所麻酔剤"アルチカイン製剤"

宮脇卓也, 樋口仁

日本歯科評論 81 ( 8 ) 16 - 17 2021.8

Sedation in Dentistry and Guidelines

MIYAWAKI Takuya

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 39 ( 2 ) 169 - 177 2019

Language：Japanese Publisher：THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

Intravenous sedation, monitored anesthesia care（MAC）, is often applied to dental patients with dental fear and/or anxiety about dental treatment. Dental treatment is characterized by the following features：the treatment field and airway are secured at the same site, water is used in the oral cavity, most subjects are outpatients, and patients repeatedly receive a series of dental treatments in a short period. Therefore, special care is necessary when conducting sedation in dentistry to ensure safety. For these reasons, the Japanese Dental Society of Anesthesiology recently published Practice Guidelines for Intravenous Conscious Sedation in Dentistry（Second Edition, 2017）. These guidelines were edited in accordance with the procedural manual for evidence-based medical care of the Working Group of the Society, consisting of board-certified dental anesthesiology specialists. The purpose of these guidelines is to help patients who cannot receive standard dental treatments receive appropriate dental treatments by undergoing safe and effective intravenous conscious sedation. In the present article, I provide a brief outline of the guidelines and discuss essential concepts of sedation, the various purposes of sedation, and the method and level of sedation depending on individual purposes.

DOI： 10.2199/jjsca.39.169

CiNii Article

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Emergency medical treatment to adverse events during dental treatment

71 ( 2 ) 119 - 126 2018.5

歯科治療時 : 知的障害者の場合 : 気道と術野が重なることと繰り返しの治療が必要なことが特徴 (症例検討鎮静)

若杉優花, 宮脇卓也

LiSA : Life support and anesthesia 24 ( 8 ) 802 - 807 2017.8

歯科診療における緊急時の対応

宮脇卓也

東京都歯科医師会雑誌 65 ( 7 ) 335 - 339 2017.7

General management of patients undergoing oral maxillofacial surgery − viewpoints of dental anesthesiologists −

MIYAWAKI Takuya

Japanese Journal of Oral and Maxillofacial Surgery 63 ( 1 ) 2 - 8 2017

Language：Japanese Publisher：Japanese Society of Oral and Maxillofacial Surgeons

Dental anesthesiologists have the following roles in oral and maxillofacial surgery: providing patients with high-quality anesthesia during operations, providing the best conditions for surgeons in an operating room, having to ensure patients have no complications, and relieving pain and anxiety of patients after operations. To achieve these, close cooperation with oral and maxillofacial surgeons is essential, and the general preoperative management of patients, especially preoperative evaluation, is very important. So, in the present review I focused on the following topics that should be considered on preoperative evaluation:1） Preoperative image inspection of oral and maxillofacial regions, including Cephalo X-ray, C-T, and MR imaging of the head and neck region, is clinically useful to predict the airway condition of patients during and after operations under general anesthesia.2） Preoperative respiratory conditions and lung diseases of patients undergoing operations under general anesthesia should be carefully evaluated because general anesthesia generally inhibits the respiratory function. So, the operation should be delayed until the respiratory condition improves if possible.3） Preoperative cardiovascular conditions of patients undergoing operations should be evaluated according to evidence-based guidelines incorporating stepwise assessments, such as "Active Cardiac Condition" or not, physical ability, and other complications. In the case of patients with poor conditions, consultation with specialists of cardiovascular diseases is necessary. The goal is to minimize the incidence of cardiovascular complications in patients during and after operations.4）The blood pressure and pulse rate (ECG if necessary) should be monitored in patients with cardiovascular disease such as hypertension during operations, even during tooth extraction under local anesthesia.

DOI： 10.5794/jjoms.63.2

CiNii Article

CiNii Books

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平成27年度にODAPUSプログラムで岡山大学に留学をした5か国6校の学生の意識調査

藤田麻里子, 柳文修, 久富美紀, 此内浩信, 村上純, 前田あずさ, 窪木拓男, 宮脇卓也, 仲野道代, 皆木省吾, 浅海淳一

日本歯科医学教育学会総会・学術大会プログラム・抄録集 35回 97 - 97 2016.7

知的障害者に対する全身麻酔下での智歯抜歯における注射用鎮痛剤およびステロイドの使用実態について

前田茂, 大西梨恵子, 西岡由紀子, 三宅沙紀, 兒玉茉莉, 谷村博史, 高谷久美子, 森恵, 本田優花, 川瀬明子, 樋口仁, 宮脇卓也

障害者歯科 37 ( 3 ) 2016

岡山大学病院における難治性慢性痛に対する薬剤師の介入意義について

神崎浩孝, 北村佳久, 千堂年昭, 鉄永倫子, 鉄永智紀, 尾崎敏文, 西江宏行, 太田晴之, 井上真一郎, 小田幸治, 流王雄太, 宮脇卓也, 西田圭一郎

日本運動器疼痛学会誌 7 ( 3 ) S71 - S71 2015.11

世界的な超高齢社会へ向けての歯科医療の在り方高齢者・要介護高齢者・在宅等の歯科医療にあたってのリスク管理(その1)

宮脇卓也

日本歯科医師会雑誌 67 ( 4 ) 324 - 325 2014.7

【65歳以上の患者へのインプラント治療・管理ガイド要介護になっても対応できるために】(第3章)高齢者にインプラント治療を行った後で疾病が発症したら? インプラント治療後に大きな病気に罹患したら? インプラント治療後に服用を開始したら注意すべき薬

友安弓子, 宮脇卓也

日本歯科評論 ( 別冊2014 ) 117 - 123 2014.6

頭頸部がん患者に対する歯科衛生士の取り組みと今後の展望

佐々木禎子, 志茂加代子, 田中千加, 三浦留美, 山中玲子, 丸山貴之, 横井彩, 水川展吉, 森田学, 宮脇卓也

岡山歯学会雑誌 32 ( 2 ) 81 - 81 2013.12

在宅歯科臨床実習のための在宅診療教育用シミュレータの開発

宮脇卓也, 窪木拓男

日本歯科医学教育学会総会・学術大会プログラム・抄録集 32nd 2013

【歯科治療時の全身的偶発症と全身管理法】全身的偶発症の予防対策

友安弓子, 宮脇卓也

歯科医療 25 ( 1 ) 63 - 70 2011.1

The inhibitory action of tricyclic and tetracyclic antidepressants on GABA transporter subtypes

Ge Rile, Chiharu Sogawa, Kazumi Ohyama, Ayako Jinzenji, Takuya Miyawaki, Takashi Masuko, Tadashi Kusama, Katsuya Morita, Norio Sogawa, Shigeo Kitayama

JOURNAL OF PHARMACOLOGICAL SCIENCES 115 132P - 132P 2011

Age-dependent changes in the facilitatory effect of GABA transporter 1 inhibitors on thiopental anesthesia in mice

Chiharu Sogawa, Norio Sogawa, Ge Rile, Ayako Jinzenji, Takuya Miyawaki, Kazumi Ohyama, Shigeo Kitayama

JOURNAL OF PHARMACOLOGICAL SCIENCES 115 239P - 239P 2011

先天性心疾患を合併した口唇口蓋裂患者に対するチームアプローチ周術期管理を中心に

山田朋弘, 三島克章, 松村達志, 森谷徳文, 佐野俊二, 笠原真悟, 大島祐, 大月審一, 岡本吉生, 岩崎達雄, 宮脇卓也

岡山歯学会雑誌 28 ( 1 ) 90 - 90 2009.6

【Multiple problemsの治療戦略】内科診療におけるmultiple problems【薬物投与のジレンマ】抗凝固薬,抗血小板薬投与中の患者が抜歯を必要とする場合

宮脇卓也, 窪木拓男

Medicina 45 ( 9 ) 1618 - 1621 2008.9

Language：Japanese Publisher：(株)医学書院

＜ポイント＞●PT-INR値が2.5〜3.0までであれば,ワルファリン継続下で抜歯可能である.●抗血小板薬は継続下で抜歯可能である.●患歯の状態,併用薬との相互作用に注意する.●状況によっては,入院下での抜歯やヘパリンによる抗凝固療法も考慮する.(著者抄録)

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The effect of chloride cotransporter inhibitors on the neurotransmitter transporter activities

Chiharu Sogawa, Kazumi Ohyama, Norio Sogawa, Yukiko Hayashi, Takuya Miyawaki, Masahiko Shimada, Kenji Onodera, Shigeo Kitayama

JOURNAL OF PHARMACOLOGICAL SCIENCES 103 174P - 174P 2007

岡山大学歯学部1年次生におけるテュートリアル教育の問題点と今後の課題．

完山学, 久保田聡, 市川博之, 十川紀夫, 平田あずみ, 美藤純弘, 岡本信, 福永智広, 香川智正, 中山周子, 坂本友紀, 吉田登志子, 宮脇卓也, 西村英紀, 松村誠士, 窪木拓男

岡山歯学会雑誌 25 ( 1 ) 8 - 8 2005

ミダゾラムミダゾラムによる鎮静

宮脇卓也

LiSA 7 ( 2 ) 130 - 137 2000.2

The dose-dependent effects of midazolam on interleukin-6 messenger RNA expression in human peripheral blood mononuclear cells in vitro

T Miyawaki, S Maeda, A Kohjitani, M Shimada

ANESTHESIOLOGY 91 ( 3A ) U247 - U247 1999.9

歯科医療従事者とエイズ対策感染予防対策のモデルケース都立駒込病院歯科を訪ねて

宮脇卓也, 森田巨樹

歯界展望 81 ( 3 ) 561 - 565 1993.3

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