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国立がん研究センター 中央病院

Home > Clincal depts. > Department of Anesthesia and Intensive Care

Department of Anesthesia and Intensive Care

Tetsufumi Sato, Yoko Kinoshita, Minako Arai, Junya Matsumi, Nobuko Yokokawa, Seiji Shiraishi, Rie Suzuki, Mari Shibata, Yosuke Kawaguchi, Maria Ikegami, Ryota Tsukui, Miyako Nagaya, Kanae Tsutsumi, Fumiko Seto, Kazumasa Hiroi, Sayo Iwasaki, Kihoko Ichikawa, Yutaro Asagoe, Rutesara Kyuragi

Introduction

Our Department provides anesthesia and intensive care. Anesthetic services are provided for 15 main operating theatres and sessions in endoscopy. There are about 4,000 operations per year. The Intensive Care Unit has eight beds and provides care for all specialties including general medical and general surgical cases. There are over 500 admissions annually and the ICU is also responsible for resuscitation services within the hospital.

Routine activities

The Department of Anesthesia and Intensive Care at the National Cancer Research Center Central Hospital is comprised of seven staff anesthetists who are involved in critical care, education and research. Our Department provides perioperative care to the all patients who require general anesthesia and spinal analgesia. Our operation theater performs approximately 4,500 surgical procedures per year, which include neurosurgical, orthopedic, plastics, ophthalmologic, gynecologic, urologic, and general surgery (Table 1, 2). We also provide care to patients undergoing procedures in locations outside the main operating room such as sessions in endoscopy. In addition, many patients are seen in the Anesthesia Consulting Clinic, which runs every weekday. Many staff also have other clinical appointments including attending the ICU (the eight-bed Medical/Surgical Unit) and providing acute pain management. Some members of the department are actively involved in research at clinical levels and supervise post-doctorate, doctorate, postgraduate and undergraduate students.

Our ICU is certificated by the Japanese Society of Intensive Care Medicine. It provides care for all specialties including general medical, general surgical and neurosurgical cases. It is managed as a closed-system, supported by two certificated intensivists and a trainee. There are eight operational ICU beds and over 650 admissions annually (Table 3). The ICU is also responsible for resuscitation services within the hospital.

Clinical trials

One of the members is part of the faculty of the clinical trial group in the Japanese Society of Intensive Care Medicine. To understand the incidence and risk factors of severe adverse events in post-operative patients, epidemiological analysis was performed. To improve current care for perioperative patients, prospective studies are being conducted.


Table 1. Cases for anesthetic management

 

Table 2. Type of procedures

 

Table 3. Number of cases, Deaths in ICU and ICU mortality

List of papers published in 2015

Journal

  1. Nonaka S, Kawaguchi Y, Oda I, Nakamura J, Sato C, Kinjo Y, Abe S, Suzuki H, Yoshinaga S, Sato T, Saito Y. Safety and effectiveness of propofol-based monitored anesthesia care without intubation during endoscopic submucosal dissection for early gastric and esophageal cancers. Dig Endosc, 27:665- 673, 2015