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585 results on '"Tagami, Takashi"'

13. Etiology-Based Prognosis of Extracorporeal CPR Recipients After Out-of-Hospital Cardiac Arrest: A Retrospective Multicenter Cohort Study

Author

Sawano, Hirotaka, Egawa, Yuko, Kato, Shunichi, Bunya, Naofumi, Kasai, Takehiko, Ijuin, Shinichi, Nakayama, Shinichi, Kanda, Jun, Kanou, Seiya, Takada, Hiroaki, Inoue, Kazushige, Takeuchi, Ichiro, Honzawa, Hiroshi, Kobayashi, Makoto, Hamagami, Tomohiro, Takayama, Wataru, Otomo, Yasuhiro, Maekawa, Kunihiko, Shimizu, Takafumi, Nara, Satoshi, Nasu, Michitaka, Takahashi, Kuniko, Hagiwara, Yoshihiro, Kushimoto, Shigeki, Fukuda, Reo, Ogura, Takayuki, Shiraishi, Shin-ichiro, Zushi, Ryosuke, Otani, Norio, Kikuchi, Migaku, Watanabe, Kazuhiro, Nakagami, Takuo, Shoko, Tomohisa, Kitamura, Nobuya, Otani, Takayuki, Matsuoka, Yoshinori, Aoki, Makoto, Sakuraya, Masaaki, Arimoto, Hideki, Homma, Koichiro, Naito, Hiromichi, Nakao, Shunichiro, Okazaki, Tomoya, Tahara, Yoshio, Okamoto, Hiroshi, Kunikata, Jun, Yokoi, Hideto, Takiguchi, Toru, Tominaga, Naoki, Hamaguchi, Takuro, Seki, Tomohisa, Nakata, Jun, Yamamoto, Takeshi, Tagami, Takashi, Inoue, Akihiko, Hifumi, Toru, Sakamoto, Tetsuya, Kuroda, Yasuhiro, and Yokobori, Shoji

Published
2024
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22. The Restrictive Red Blood Cell Transfusion Strategy for Critically Injured Patients (RESTRIC) trial: a cluster-randomized, crossover, non-inferiority multicenter trial of restrictive transfusion in trauma

Author

Hayakawa, Mineji, Tagami, Takashi, Kudo, Daisuke, Ono, Kota, Aoki, Makoto, Endo, Akira, Yumoto, Tetsuya, Matsumura, Yosuke, Irino, Shiho, Sekine, Kazuhiko, Ushio, Noritaka, Ogura, Takayuki, Nachi, Sho, Irie, Yuhei, Hayakawa, Katsura, Ito, Yusuke, Okishio, Yuko, Muronoi, Tomohiro, Kosaki, Yoshinori, Ito, Kaori, Nakatsutsumi, Keita, Kondo, Yutaka, Ueda, Taichiro, Fukuma, Hiroshi, Saisaka, Yuichi, Tominaga, Naoki, Kurita, Takeo, Nakayama, Fumihiko, Shibata, Tomotaka, and Kushimoto, Shigeki

Published
2023
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28. Exploring the Potential of CarbonCool® in Rapid Prehospital Cooling for Severe Heat Stroke.

Author

Kido, Norihiro, Tagami, Takashi, Otake, Kosuke, Watanabe, Akihiro, Yoshino, Yudai, Ishimuro, Masaki, Miyakami, Kazuya, and Inoue, Junichi

Subjects
HEAT stroke, PHYSICAL diagnosis, BODY temperature regulation, CONSCIOUSNESS, PHYSIOLOGIC salines, INDUCED hypothermia, SCIENTIFIC observation, EMERGENCY medicine, RETROSPECTIVE studies, HOSPITAL emergency services, TREATMENT effectiveness, RESUSCITATION, DISCHARGE planning, GLASGOW Coma Scale, ROUTINE diagnostic tests, INTUBATION, MEDICAL thermometers, EXTUBATION, TRANSPORTATION of patients
Abstract

Objective: Heat stroke is a life-threatening condition that is characterized by body temperatures above 40 °C and central nervous system dysfunction. Immediate cooling is imperative to prevent irreversible cellular damage and improve patient outcomes. Here, we report two cases of heat stroke that highlight the use of a novel cooling suit (CarbonCool®) as a rapid cooling intervention administered in the prehospital setting, primarily focusing on patients with classic heat stroke. Methods: This study was a retrospective review of two cases involving older patients with severe classic heat stroke, wherein CarbonCool® was used. The device was deployed at the scene of the incidents, throughout transport, and into the emergency department setting, allowing for continuous cooling and medical intervention as needed. The effectiveness of the cooling device was assessed based on the rate of temperature reduction and overall clinical outcomes of the patients. Results: In both cases, CarbonCool® facilitated a rapid reduction in body temperature, aligning with the crucial requirement of immediate cooling for the management of heat stroke. The first case involved a comatose 90-year-old woman whose body temperature decreased from 42.0 to 35.8 °C within 60 min. The second case involved a comatose 70-year-old man who experienced a decrease in body temperature from 41.2 to 36.6 °C over 196 min. CarbonCool® allowed for the execution of concurrent resuscitative procedures and was compatible with various imaging modalities (including computed tomographic scan), allowing for continuous application from the scene to the intensive care unit. Moreover, both patients showed marked improvements in consciousness and were stabilized without the need for more invasive cooling procedures that are typically employed in hospital settings for such cases. Both patients were discharged without any disabilities. Conclusion: We present an innovative approach to prehospital care for patients with heat stroke through the use of CarbonCool®, highlighting its efficacy for rapid cooling and its potential impact on patient outcomes. However, further studies are warranted to fully confirm the efficacy of the system. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Optimal target blood pressure in elderly with septic shock (OPTPRESS) trial: study protocol for a randomized controlled trial

Author

Endo, Akira, Yamakawa, Kazuma, Tagami, Takashi, Umemura, Yutaka, Takahashi, Kyosuke, Nagasawa, Hiroki, Araki, Yuichi, Kojima, Mitsuaki, Sera, Toshiki, Yagi, Masayuki, Yamamoto, Ryo, Takahashi, Jiro, Nakane, Masaki, Takeda, Chikashi, Narita, Chihiro, Kazuma, Satoshi, Okura, Hiroko, Takahashi, Hiroyuki, Wada, Takeshi, Tahara, Shu, Matsuoka, Ayaka, Masaki, Todani, Shiraishi, Atsushi, Shimoyama, Keiichiro, Yokokawa, Yuta, Nakamura, Rintaro, Sageshima, Hisako, Yanagida, Yuichiro, Takahashi, Kunihiko, and Otomo, Yasuhiro

Published
2022
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41. Neuromuscular blocking agents during targeted temperature management for out-of-hospital cardiac arrest patients.

Author

Kawauchi, Akira, Aoki, Makoto, Kitamura, Nobuya, Tagami, Takashi, Hayashida, Kei, Aso, Shotaro, Yasunaga, Hideo, and Nakamura, Mitsunobu

Abstract

Neuromuscular blocking agents (NMBAs) can control shivering during targeted temperature management (TTM) of patients with cardiac arrest. However, the effectiveness of NMBA use during TTM on neurologic outcomes remains unclear. We aimed to evaluate the association between NMBA use during TTM and favorable neurologic outcomes after out-of-hospital cardiac arrest (OHCA). A multicenter, prospective, observational cohort study from 2019 to 2021. It included OHCA patients who received TTM after hospitalization. We conducted overlap weight propensity-score analyses after multiple imputation to evaluate the effect of NMBAs during TTM. The primary outcome was a favorable neurological outcome, defined as a cerebral performance category of 1 or 2 at discharge. Subgroup analyses were conducted based on initial monitored rhythm and brain computed tomography findings. Of the 516 eligible patients, 337 received NMBAs during TTM. In crude analysis, the proportion of patients with favorable neurological outcome was significantly higher in the NMBA group (38.3% vs. 16.8%; risk difference (RD): 21.5%; 95% confidence interval (CI): 14.0% to 29.1%). In weighted analysis, a significantly higher proportion of patients in the NMBA group had a favorable neurological outcome compared to the non-NMBA group (32.7% vs. 20.9%; RD: 11.8%; 95% CI: 1.2% to 22.3%). In the subgroup with an initial shockable rhythm and no hypoxic encephalopathy, the NMBA group showed significantly higher proportions of favorable neurological outcomes. The use of NMBAs during TTM was significantly associated with favorable neurologic outcomes at discharge for OHCA patients. NMBAs may have benefits in selected patients with initial shockable rhythm and without poor prognostic computed tomography findings. [ABSTRACT FROM AUTHOR]

Published
2024
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45. Effectiveness of Remdesivir for Hospitalized COVID-19 Patients Depending on the Severity of Respiratory Status: A Multicenter Retrospective Study in Japan

Author

Yoshimoto, Hidero, primary, Yamakawa, Kazuma, additional, Tanaka, Yoshihiro, additional, Osawa, Itsuki, additional, Tagami, Takashi, additional, Endo, Akira, additional, Yamamoto, Ryo, additional, Hayakawa, Mineji, additional, Ogura, Takayuki, additional, Hirayama, Atsushi, additional, Yasunaga, Hideo, additional, Takasu, Akira, additional, and Lee, Sang-Woong, additional

Published
2024
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50. Development and validation of the predictive risk of death model for adult patients admitted to intensive care units in Japan: an approach to improve the accuracy of healthcare quality measures

Author

Endo, Hideki, Uchino, Shigehiko, Hashimoto, Satoru, Aoki, Yoshitaka, Hashiba, Eiji, Hatakeyama, Junji, Hayakawa, Katsura, Ichihara, Nao, Irie, Hiromasa, Kawasaki, Tatsuya, Kumasawa, Junji, Kurosawa, Hiroshi, Nakamura, Tomoyuki, Ohbe, Hiroyuki, Okamoto, Hiroshi, Shigemitsu, Hidenobu, Tagami, Takashi, Takaki, Shunsuke, Takimoto, Kohei, Uchida, Masatoshi, and Miyata, Hiroaki

Published
2021
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