Faculty Profiles - Tatsuhiko Shimizu

MISC - Tatsuhiko Shimizu

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Acute kidney injury due to inferior vena cava occlusion after pancreaticoduodenectomy with segmental inferior vena cava resection: a case report

Hamada Naho, Hamada Akira, Maesako Daiki, Goda Keisuke, Shimizu Tatsuhiko, Ogawa Tatsuhiko, Kitou Eisuke, Namba Taketoshi

Journal of the Japanese Society of Intensive Care Medicine 26 ( 3 ) 181 - 185 2019.5

Language：Japanese Publisher：The Japanese Society of Intensive Care Medicine

There are few reports concerning acute kidney injury after segmental inferior vena cava (IVC) resection. Therefore, we would like to report a case of acute kidney injury due to outflow interruption in the renal vein after segmental IVC resection. Pancreaticoduodenectomy was performed in a 70-year-old woman. Since a tumor had infiltrated the anterior surface of the IVC at the junction of the renal vein, segmental IVC resection was also performed. After the operation, she had decreased urine output despite fluid therapy as well as increased Cr level. Contrast-enhanced CT revealed occlusion of the IVC involving the renal confluence and congestion of the right kidney, which we diagnosed as acute kidney injury due to outflow interruption in the renal vein. We began volume loading and administration of noradrenaline and vasopressin to increase renal perfusion pressure and glomerular filtration rate. Increases in mean blood pressure of 120% and beyond resulted in an increase in urine volume and decrease in Cr level. Subsequent contrast-enhanced CT showed development of collateral circulation and reduction in swelling of the right kidney. Her clinical course afterwards was uneventful. If a decrease in urine volume does not respond to fluid therapy after pancreaticoduodenectomy with segmental IVC resection, the possibility of outflow interruption in the renal vein should be considered.

DOI： 10.3918/jsicm.26_181

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Other Link： https://search.jamas.or.jp/link/ui/2019275502

卵巣腫瘍切除と免疫療法により早期に回復した抗NMDA受容体脳炎の1症例

濱田暁, 濱田奈保, 前迫大樹, 合田慶介, 清水達彦, 小川達彦, 鬼頭英介, 難波健利

日本集中治療医学会雑誌 26 ( Suppl. ) [P2 - 2] 2019.2

人工心肺離脱時に、一過性の左室壁運動異常による僧帽弁逆流を認めた、僧帽弁形成術の一例

濱田暁, 濱田奈保, 清水達彦, 入江直, 鬼頭英介

Cardiovascular Anesthesia 22 ( Suppl. ) 162 - 162 2018.9

Life-saving transcatheter aortic valve replacement for a case of severe aortic stenosis after resuscitation in a patient with cardiac arrest

Goda Keisuke, Hamada Akira, Maesako Daiki, Shimizu Tatsuhiko, Hamada Naho, Ogawa Tatsuhiko, Irie Sunao, Kitou Eisuke, Nanba Taketoshi

Cardiovascular Anesthesia 22 ( 1 ) 157 - 160 2018.8

Language：Japanese Publisher：Japanese Society of Cardiovascular Anesthesiologists

We report successful transcatheter aortic valve replacement (TAVR) that saved the life of a patient with severe aortic stenosis after resuscitation for cardiac arrest. Percutaneous cardiopulmonary support was used during resuscitation and it was also used during TAVR, enabling maintenance of stable circulation. For patients with a high risk of sudden changes, preoperative examinations and TAVR should be performed as early as possible.

DOI： 10.11478/jscva.2018-3-005

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Other Link： https://search.jamas.or.jp/link/ui/2019006608

食道癌手術において周術期早期からのデクスメデトミジン投与は術後縫合不全の発生率を低下させうる

清水達彦, 濱田奈保, 前迫大樹, 合田慶介, 武市桃子, 小川達彦, 濱田暁, 鬼頭英介, 難波健利

日本集中治療医学会雑誌 25 ( Suppl. ) [O87 - 5] 2018.2

当院のハートチーム、TAVRにおける麻酔科医の役割麻酔科医がTEEを診る理由

濱田暁, 濱田奈保, 清水達彦, 鬼頭英介, 大澤さやか

Cardiovascular Anesthesia 21 ( Suppl. ) 291 - 291 2017.9

心停止蘇生後の重症大動脈弁狭窄症(AS)に対し、緊急TAVRを施行し救命し得た一例

合田慶介, 濱田暁, 清水達彦, 濱田奈保, 難波健利

Cardiovascular Anesthesia 21 ( Suppl. ) 317 - 317 2017.9

Usefulness of Airway Scope in Inserting a Transesophageal Echocardiography Probe

HAMADA Naho, HAMADA Akira, SHIMIZU Tatsuhiko, KITOU Eisuke, NAMBA Taketoshi

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 37 ( 4 ) 446 - 450 2017.7

Language：Japanese Publisher：THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

We investigated the usefulness and safety of Airway Scope（hereafter AWS；MIC Medical Co., Tokyo）for insertion of a TEE probe.

Methods：

The subjects were 38 adult patients who underwent cardiovascular surgery in our hospital from August 2012 to August 2013. We used AWS for insertion of the TEE probe in those patients. AWS is one type of video laryngoscope used in tracheal intubation. Images of the hypopharynx can be obtained by inserting the Intlock into the oral cavity. We measured success rate, procedure time, and the incidence of complications including sore throat, dental injury, and upper gastrointestinal hemorrhage.

Results：

The success rate of TEE probe insertion using AWS was 97.4％（37/38 cases）. The mean （median） period needed for insertion with AWS was 16.3 seconds（13.5 seconds）. There were no complications except one sore throat.

Conclusions：

The use of AWS enabled smooth placement of the TEE probe without severe complications. The results also suggest that AWS might be useful when blind TEE probe insertion is difficult.

DOI： 10.2199/jjsca.37.446

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Other Link： https://search.jamas.or.jp/link/ui/2017336562

治療抵抗性のTTPに対してリツキシマブが有効であった2症例

濱田奈保, 濱田暁, 清水達彦, 鬼頭英介, 難波健利

日本集中治療医学会雑誌 24 ( Suppl. ) DP112 - 3 2017.2