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Anesthesiology |
Director NISHIWAKI, Kimitoshi (Professor) 3E |
Extensive pain treatment as well as surgical anesthesia and surgical intensive care |
We perform surgical anesthesia and perioperative systemic management and provide medical care in the pain clinic mainly targeting chronic pain. |
The department consists of 34 members. We provide general anesthesia, epidural anesthesia, and spinal anesthesia for all patients undergoing surgery or examinations for 24 hours. The pain clinic is open for outpatients on Mondays, Wednesdays, and Fridays and the clinic also provides inpatient medical care. We also play an active role in the management of the Surgical Intensive Care Unit.
Surgical anesthesia is provided for all diseases that require it. The pain clinic treats patients with all diseases with pain, mainly chronic pain, such as postherpetic neuralgia, CRPS, and trigeminal neuralgia. The surgical intensive care unit provides systemic management of severely ill perioperative patients.
We actively perform peripheral nerve block under ultrasonographic guidance both in surgical anesthesia and in the pain clinic. In the pain clinic, we perform spinal cord electric stimulation therapy, nerve block using high-frequency thermocoagulation, and various other nerve blocks.
The number of cases where this department was in charge of the surgical anesthesia was 5,800 in fiscal year 2011. The pain clinic treated 30 outpatients a day and three inpatients at one time.
We provide cancer treatment at a dedicated outpatient clinic as well as clinical examination prior to surgery.
We conduct many research such as neurogenic pulmonary edema, the effect of anesthetics on vascular endothelial cells, heart rate variability, and postoperative analgesia after peripheral nerve block under ultrasonographic guidance.