Impact of Different KDIGO Criteria on Clinical Outcomes for Early Identification of Acute Kidney Injury after Non-Cardiac Surgery

2022.10.23 お知らせ

. 2022 Sep 23;11(19):5589.

doi: 10.3390/jcm11195589.

Impact of Different KDIGO Criteria on Clinical Outcomes for Early Identification of Acute Kidney Injury after Non-Cardiac Surgery

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MOMO seminar

2022.10.21 お知らせ

  • 症例報告 佐藤
    「ミトコンドリア病(MELAS)患者に対する生体腎移植の一例」
    比較的稀な疾患であるMELASを有する患者に対する麻酔管理について報告致しました。
    ミトコンドリア病の有病率は1万人に1人程度と報告されており、稀ではあるものの時折遭遇する可能性のある疾患だと思います。症例報告の論文は散見され、いずれも麻酔薬遷延の可能性と乳酸アシドーシスへの注意が必要と述べられていたことを皆で共有しました。
    ご参加頂いた先生方は未経験の疾患だったようですが多くの積極的なご質問を頂き、活発な意見交換の場となり嬉しく思います。
  • 麻酔科専門医試験口頭試問対策 森松教授
    後半は最近恒例となっている口頭試問対策をして頂きました。
    学会から公表されている過去問を使用し森松先生を試験官に見立てての模擬試験風の対策です。
    今回は専門医試験直前の先生方のご参加もあり、いつも以上に緊張感とリアリティーのある時間でした。
    森松先生からは試験問題の解説だけでなく、試験の雰囲気や当日の心構えから最近のガイドラインの読み解き方に至るまで、受験生のためになる情報盛り沢山!かつ当日の緊張がほぐれそうなユーモアたっぷりなお話を頂きました。
    今年受験される先生方を応援しつつ、来年受験するにあたり身の引き締まる思いがしました。

    今回から初期研修医の先生方や岡山大学以外の先生にもご参加頂き、MOMOセミナーの交流がより活発になっていくのを感じました。
    今後の発展にも微力ながら貢献できればと思います。

12th MAP seminar

2022.10.14 お知らせ

12th MAP Seminar Report

Date: October 14, 2022

Speaker: Dr. Shimizu, Dr. Shen and Dr. Yamaoka

We conducted our 12th MAP seminar on October 14, 2022. 15 members participated in this seminar. Three presenters presented their research in English, Dr. Shimizu, Dr. Shen and Dr. Yamaoka. We also welcomed two newly arrived overseas students.

The first was Dr. Shimizu, whose study was on the incidence of postoperative pulmonary complications (PPCs) following pediatric cardiac surgery and the efficacy of prophylactic high flow nasal cannula (HFNC). He showed the PPCs rate within 48 hours after extubation, and subgroup analysis between PPC(-) vs PPC(+). During the discussion session, a student asked whether the selection of the patients will have an impact on the results. Dr. Shimizu indicated that the subject of this study was patients less than 48 months of age and that the results of this study should be interpreted in this subject.

Next was Dr. Shen, whose study was on the relationship between blood glucose level and intraoperative hypothermia. Based on previous studies, Dr. Shen hypothesized that patients with poorly controlled preoperative blood glucose level are at higher risk for the development of intraoperative hypothermia. And found postinduction glucose level is an independent risk factor associated with intraoperative hypothermia. During the discussion, a doctor asked what we could do in our clinical work based on the results of the study. Dr. Shen replied that we should increase the number of blood glucose measurements, accurately control the duration of preoperative fasting, and choose the appropriate type of preoperative intravenous rehydration fluid.

Finally, Dr. Yamaoka presented his research: Dynamic changes in Bach1 expression in the kidney of rhabdomyolysis-associated acute kidney injury. His research demonstrated the dynamic changes in Bach1 expression in a rat model of RM-AKI. And suggest that the increase in the concentration of intracellular free heme contributes to the pathogenesis of RM-AKI. One student had questions about the interpretation of the results, and Dr. Yamaoka patiently explained that.

In this MAP seminar, the three presenters presented in English and refined their research in active discussions with the participants. Professor also commented on and summarized each person’s presentation. Although the research areas were different, participants were able to gain new research methods from the different presentations. We look forward to the next seminar.

Shen Zhangtian