Audio Journal Club No. 4

第１５回MOMO セミナー報告 松本直久

卒業講演① 松本

今回をもってセミナーのコーディネーターを卒業となりました。せっかくの機会を頂きま

したので⿇酔科医となってから今に⾄るまでを振り返ってみました。神⼾⾚⼗字病院、岡⼭

⼤学病院、⿃取市⽴病院、そして現在所属している姫路⾚⼗字病院で勤務をさせて頂き、そ

れぞれの施設で素晴らしい経験をさせて頂いたのと同時に、どの施設にも頼れる優しい上

級医の先⽣がおり、本当に恵まれた環境にいたことを改めて感じました。脈々と受け継がれ

てきた岡⼭⼤学⿇酔科蘇⽣科の伝統があるからこそ、どの関連病院にも尊敬できる先⽣と

素晴らしい環境があるのだと思います。これまで与えてもらってばかりの⽴場でしたが、少

しでも研修医やレジデントの先⽣に良い影響を与えられる存在になっていくことがこれま

でお世話になった先⽣⽅への恩返しと思って⽇々精進していきたいです。

卒業講演② 五反⽥先⽣

詳細は五反⽥先⽣のレポートを御覧ください。病院・⿇酔科の中核として⼤活躍されてお

り、⾏動⼒や志の⾼さが感じられ⾝の引き締まる思いでした。講演を聞いた全員が良い刺激

を受けたのではないでしょうか。

産科⿇酔関連 森松教授

産科と⿇酔、無痛分娩に関わる内容をご講演頂きました。⿇酔科医である以上、分娩に関わ

る⿇酔は避けては通れませんが、必要な知識を最近のデータなどを⽤いて解説頂きました。

また、無痛分娩に関わる現在の全体的な流れや今後の展望、ハイボリュームセンターにおけ

るシステムなど、なかなか知り得ることのできない、森松教授だからこそ聞ける話だったと

思います。参加者のなかでも無痛分娩の管理経験はあまりなく、今後の重要なトピックの１

つになると考えられます。

知識が共有でき、刺激をもらえて、最先端に触れることができる最⾼のセミナーだと思いま

す。森松教授をはじめ、特別ゲストの先⽣⽅、参加者の皆様、本当にありがとうございまし

た。

4^th MAP Seminar Report

 

Date: November 12, 2021

Speaker: Dr. Yamanoi, Dr. Fu and Dr. Kuroe

 

We conducted our fourth MAP seminar on November 12, 2021. More than 20 members participated in this seminar. There were three members who presented their studies in English, Dr. Yamanoi, Dr. Fu and Dr. Kuroe.

The first was Dr. Yamanoi, whose study was on the relationship between the occurrence of double low time intraoperatively and postoperative delirium. Many people are first exposed to the concept of double low time, which Dr. Yamanoi defines as the time when intraoperative MAP <75 mmHg and BIS <45 occur simultaneously. The results were that the longer the intraoperative double low time, the higher the incidence of postoperative delirium tended to be. Many students had some questions about whether MAP is defined as higher and time grouping, which Dr. Yamanoi answered. We are interested in this novel topic and look forward to more information from Dr.Yamanoi next time.

Next was Dr. Fu, whose study was on the difference in outcome of AKI diagnosis using different diagnostic benchmarks. Her study focused on the use of creatinine and urine volume criteria in the KDIGO guidelines and the different ways of calculating urine volume to produce different diagnostic criteria, which can lead to large differences in the incidence and prognosis of postoperative AKI. Based on the questions raised by other participants, we think it would be interesting to confirm the results of the study in other different populations, if the same results were obtained in different populations, and we need to look at the causes of death and the near and long-term recovery of renal function, which may be more useful for the study.

Finally Dr. Kuroe presented his research: Integrated pulmonary index can predict respiratory compromise in high-risk patients in the post-anesthesia care unit. His results suggest that IPI can predict the occurrence of RC in high-risk patients in the PACU. Dr. Kuroe’s presentation caused a very intense discussion, and everyone asked questions about their points of interest, and Dr. Kuroe answered everyone’s questions carefully.

Three PhDs presented their own research in this seminar and the other participants asked questions of their own interest about their presentations. I think this is a good opportunity to present your own research and to hear others’ opinions to think more deeply about your own research. I am sure the next seminar will be even better.

 

Fu Jingwen

Factors for Acute Kidney Injury Following Total Arch Replacement and Association with Temperature Management During Cardiopulmonary Bypass: A Single-center Retrospective Observational Study.