Our department cooperates with clinical departments, Nursing Department, and co-medical staff to provide safe perioperative care centered on surgical anesthesia and intensive care.

Kobe City Medical Center General Hospital
Anesthesiology Director
Hiroyuki Mima

The mission of Anesthesiology is to protect the lives and safety of patients during the perioperative period, especially during surgery. During surgery under general anesthesia, of course, the patient is put to sleep so that they do not feel pain, but in addition, we help them overcome the stress that the surgery and anesthesia put on their bodies, so that the surgery can be completed safely. That is the goal of the Anesthesiology. For this reason, an Anesthesiology creates an optimal anesthesia plan according to the general condition before surgery and the type of surgery, and recovers from the effects of anesthesia after surgery with the help of various devices and drugs during surgery. Appropriate management until In particular, our hospital has many major surgeries and surgeries for patients with high severity, and we also have an emergency lifesaving center, so we have an extremely large number of emergency surgeries. In the Anesthesiology of our hospital, all the Anesthesiology staff who are proficient in management of serious injuries and emergency systemic management handle more than 6,000 cases of surgical anesthesia annually.

The Anesthesiology also plays a central role in the general intensive care unit (GICU) at our hospital. When undergoing surgery that has a large impact on the body, such as Cardiovascular Surgery surgery or extended radical surgery for cancer, an Anesthesiology who is proficient in intensive care at the GICU provides meticulous systemic management based on a consistent policy throughout surgery and postoperative care. Furthermore, for internal medical diseases and other diseases that require systemic management and intensive care, the Anesthesiology plays a central role when entering the GICU and provides treatment in cooperation with the doctors in charge of each department. Currently, not only doctor specializing in anesthesia, but also emergency doctors and internal medicine doctors are dedicated to the GICU, enabling more diversified management.

Experts who are proficient in systemic management protect the safety of patients.

<Surgical anesthesia>

In the central operating room on the 4th floor (total of 19 rooms), Anesthesiology staff who are proficient in management of seriously injured patients and emergency systemic management handle more than 6,000 surgical anesthesia cases a year on a 24-hour basis. We can also provide general anesthesia outside the operating room, such as in an angiography room or radiotherapy room.

<Intensive Care Unit (G-ICU)>

Centered on the 4th floor intensive care unit (G-ICU: 8 beds), a team of nurses, clinical engineers, pharmacists, rehabilitation staff, etc., centered on Anesthesiology doctor are proficient in intensive care, will work together to treat critically ill patients. is being treated for

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clinical research

Currently, the Department of Anesthesiology is conducting the following clinical research.

In this research, we will use the data (information) obtained from the patient's daily clinical practice.
If you object to the use of your data for this research, you can stop using the information or providing it to other research institutions at any time. If you would like to know more about the research plan or content, if you have any objections to the use of your data in this research, or if you have any other questions, please contact us at the contact information below. .

Research subject name Explanatory text
(PDF)
Study of 11 cases of serious complications caused by pulmonary artery catheters PDF
Predictors of early circuit occlusion in continuous renal replacement therapy without anticoagulation PDF
Examining the relationship between medical strain in intensive care units and clinical outcomes during the COVID-19 pandemic PDF
Microbiological research and examination of patient prognosis in critically ill patients with lower gastrointestinal perforation PDF
Examination of the necessity of cerebrospinal fluid examination for ICU patients with consciousness disorder PDF
Effect of remimazolam on postoperative delirium PDF
Examination of clinical features of hyperviscous Klebsiella pneumoniae bacteremia PDF
Can the use of remimazolam for maintenance of anesthesia in general anesthesia shorten extubation time compared with the use of desflurane? PDF
Study on prognostic predictability of severity score in ICU admission maintenance dialysis patients PDF
Construction of a TPN monitoring system using an in-hospital development system for electronic medical records PDF
The Role of the Anesthesia Recovery Unit (PACU) in Restricted Use in Critical Care Units Due to the Spread of COVID-19 Infection PDF
Investigation of risk factors for dysphagia after Cardiovascular Surgery and its impact on prognosis PDF
Anesthesia management in the operating room for tracheostomy in COVID-19 patients PDF
Discharge Outcomes in Patients with COVID-19 Under Intubated Mechanical Ventilation: A Single-Center Retrospective Observational Study PDF
Research on post-intensive care syndrome associated with novel coronavirus infection
Post-Intensive Care outcomes of patients with COrona VIrus Disease 2019;PICS-COVID study
PDF
Comparison of COVID-19 cases with ARDS cases due to other diseases PDF
Regarding the relationship between nutritional status and severity of COVID-19 cases PDF
Comparison of epidural anesthesia and IV-PCA plus regular administration of acetaminophen in postoperative analgesia after laparoscopic gastrectomy PDF
Observational study on physical, mental and cognitive function after 3 months in severely ill COVID-19 patients requiring mechanical ventilation PDF
Occurrence of adverse events related to in-hospital transportation of critically ill patients PDF
Problems of Preoperative Instructions for Insulin-Used Diabetes Patients Admitted to the Hospital on the Day of Surgery -Actual Preoperative Outpatient Services at Our Hospital PDF
Multicenter Registry for Blood Pressure Management after Cardiac Surgery PDF
Effectiveness of Airway Management under Membrane Oxygenation in Airway Obstruction PDF
Prognostic survey of ICU patients 1 year after tracheostomy PDF

Notice regarding implementation of clinical research for patients undergoing Cardiovascular Surgery

Currently, the Department of Cardiovascular Surgery and Anesthesiology is conducting the following clinical research. In this research, we will use the data (information) obtained from the patient's daily clinical practice. If you would like to know more about the research plan or content, if you have any objections to the use of your data in this research, or if you have any other questions, please contact us at the contact information below. .

Research subject name Explanatory text
(PDF)
Fluid management after open-heart surgery in maintenance dialysis patients PDF

Notice of medical research

After being reviewed by the ethics committee of our hospital, we decided to conduct the following medical research.

STUDY TITLE "A Multicenter Registry of Acute Kidney Injury in Critically Ill Patients"

Research outline and purpose Acute kidney injury (AKI) is a common complication in critically ill patients requiring intensive care, but there are insufficient data on prognosis and clinical practice. When AKI becomes severe, renal replacement therapy may be used in some cases, but no other effective treatment for AKI has been found. In this study, we will collect information that will serve as the basis for future research aimed at improving the quality of AKI care by investigating the current state of medical care for AKI in severely ill patients in Japan.
Research period July 1, 2016 - December 31, 2016
Subject of research Critically ill adults (18 years and older) admitted to the ICU.
Data to handle Medical information from admission to the intensive care unit to discharge from the hospital
Expected results Describe the actual clinical practice and prognosis of AKI, collect information to search for effective treatment, and build a research base.
Personal information protection system Researchers do not directly handle personal information in this research, and it is strictly stored at each medical institution.
Matters to be understood We will collect biometric information (blood pressure, blood test data, etc.) used for medical treatment in the ICU, information on renal replacement therapy such as hemodialysis, and information on admission and discharge (date, outcome).
Handling of data after completion of research Collected data will be stored as electronic data for at least 10 years after publication as a paper.
Browsing research plans Materials related to the research plan and research methods can be obtained and viewed by the principal investigator, but only to the extent that they do not hinder the protection of the personal information and intellectual property of other research subjects.
Cancellation of research participation If you do not wish to use the data in this research, please contact the following contact. If you contact us, we will not use that person's data for this research.
Research director Kobe City Medical Center General Hospital Anesthesiology
Person in charge: Masahiro Kawakami
Phone number: 078-302-4321 (representative)
Main research institute The main research institute for this research is Kyoto University.

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