Anesthesiology and Reanimatology
Overview of the departmentWe are responsible for perioperative stress reduction on surgical intervention: general anesthesia, epidural/spinal anesthesia, and sedation with various nerve blocks/local anesthesia in the Central Operating Room, Angiography Room, and High-energy Laboratory Operating Room. In the “Pain Clinic”, the patients suffering from acute and chronic pain are cured and cared.
Consultation system/therapeutic strategies
Each patient is attended by at least one physician. Preoperative physical status is carefully assessed every morning involving all staff in the Department of Anesthesiology and Reanimatology. Under surveillance/guidance by instructors in the Department of Anesthesiology and Reanimatology, anesthesia is induced using the most advanced monitors and drugs. Severe-status patients are evaluated in the Perioperative Management Outpatient Clinic so that intra- and preoperative conditions are optimal on the day of surgical intervention . To achieve recovery early after surgery, we are making efforts to reduce postoperative acute pain and prevent nausea/vomiting.
Drug therapy, nerve block, cognitive behavioral therapy, surgery, and complementary medicine for chronic and cancer-related pain are conducted.
Fields of expertise
General anesthesia, epidural/spinal anesthesia, local anesthesia (including nerve block), sedation, wound pain reduction, nausea/vomiting reduction, and anxiety reduction which are necessary for surgical treatmen.
-Preoperative management/guidance for patients with a poor general condition
-Management of severe-status patients in cooperation with the Intensive Care Unit
-Appropriate anesthesia control for patients wishing to achieve early discharge
-Establishment of anesthesia plans for specific diseases
-Various types of acute pain
-Various types of chronic pain
Advanced medical practice
1) Perioperative management with epidural anesthesia
2) Securing vascular access using echography and local anesthesia
3) Evaluation of the depth of anesthesia using serial electroencephalography (BIS monitor)
4) Appropriate drug administration using a muscle relaxant monitor
5) Strategies for postoperative acute pain using a patient-controlled analgesia (PCA) system
6) Drug administration using a simulator to predict the blood concentrations of anesthetics(Target controlled infusion:TCI)
7) Respiratory control using a high-function respirator
8) Respiratory control with the serial measurement of carbon dioxide in expired air
9) Objective anesthesia recording and storage based on electronic anesthesia records
1) Nerve block and laser therapy in the outpatient clinic
2) Specific drug therapy with various analgesics and analgesia-assisting drugs for individual patients
Symptoms/diseases treated in our department
Based on the latest anesthetics, the newest anesthetic machine and the most up-to-date concepts, the patient is protected against stress related to all types of surgery, including laparoscopic surgery and surgery using artificial heart-lung machines, ranging from neonates to elderly patients with various complications. Patients can spend time in the confort before,at,and after the surgery.
Herpes zoster-related pain, trigeminal pain, headache, facial pain, complex topical pain syndrome, neurogenic pain (including phantom pain), intercostal neuralgia, thoracic/abdominal pain related to chronic pancreatitis, limb/dorsal/low back pain involving the vertebrae, shoulder/cervical pain, postoperative pain, cancer-related pain, circulatory disorder, facial spasm, and blepharospasm.
Primary examinations and explanations
Before surgery, various examinations are conducted: cardiac/respiratory function tests to evaluate the general condition and blood tests/urinalysis to assess liver/kidney functions. If necessary, further examination is added.
To investigate the most effective drugs for various types of pain, drug-challenge tests with intravenous drip are sometimes carried out.