徳島大学 / 教育研究者総覧 --- 川西良典

専門分野

研究テーマ

著書・論文

学術論文(審査論文):

1.	Ryo Sekiguchi, Michiko Kinoshita, Ryosuke Kawanishi, Nami Kakuta, Yoko Sakai and Katsuya Tanaka : Comparison of hemodynamics during induction of general anesthesia with remimazolam and target-controlled propofol in middle-aged and elderly patients: a single-center, randomized, controlled trial., BMC Anesthesiology, 2023. (要約) MAP decreased after induction of anesthesia in both groups, without significant differences between the groups (- 41.1 [16.4] mmHg and - 42.8 [10.8] mmHg in remimazolam and propofol groups, respectively; mean difference: 1.7 [95% confidence interval: - 8.2 to 4.9]; p = 0.613). Furthermore, HR, CO, and SV decreased after induction in both groups, without significant differences between the groups. Remimazolam group had significantly shorter time until loss of consciousness than propofol group (1.7 [0.7] min and 3.5 [1.7] min, respectively; p < 0.001). However, MAP, HR, CO, and SV were not significantly different between the groups despite adjusting time until loss of consciousness as a covariate. Seven (35%) and 11 (55%) patients in the remimazolam and propofol groups, respectively, experienced hypotension (MAP < 65 mmHg over 2.5 min), without significant differences between the groups (p = 0.341). (キーワード) Adult / Aged / Middle Aged / Humans / Propofol / Piperidines / Hemodynamics / Anesthesia, General / Hypotension / Unconsciousness / Anesthetics, Intravenous (徳島大学機関リポジトリ) ● Metadata: 117916 (出版サイトへのリンク) ● Publication site (DOI): 10.1186/s12871-023-01974-9 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36624371 ● Search Scopus @ Elsevier (PMID): 36624371 ● Search Scopus @ Elsevier (DOI): 10.1186/s12871-023-01974-9 (徳島大学機関リポジトリ: 117916, DOI: 10.1186/s12871-023-01974-9, PubMed: 36624371)
2.	Michiko Kinoshita, Sarara Mutoh, Asuka Kasai, Ryosuke Kawanishi and Katsuya Tanaka : General Anesthesia in a Patient With Neuronal Intranuclear Inclusion Disease: A Case Report., A&A Practice, Vol.16, No.10, 2022. (要約) Neuronal intranuclear inclusion disease (NIID) is a progressive neurodegenerative disease with diverse clinical manifestations, including dementia and muscle weakness. We summarize anesthetic considerations in reporting general anesthesia for a 58-year-old man with bladder dysfunction and cerebellar ataxia who was diagnosed with NIID. The patient developed postinduction hypotension relevant to autonomic neuropathy. The potential risks, such as prolonged reaction to neuromuscular blocking agent, postoperative delirium, and worsening of NIID-related symptoms, were also considered. The responsiveness to anesthetics may vary widely from case t case. As the number of NIID cases increases, a better understanding of NIID is needed. (出版サイトへのリンク) ● Publication site (DOI): 10.1213/XAA.0000000000001633 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36599032 ● Search Scopus @ Elsevier (PMID): 36599032 ● Search Scopus @ Elsevier (DOI): 10.1213/XAA.0000000000001633 (DOI: 10.1213/XAA.0000000000001633, PubMed: 36599032)
3.	Tomohiro Soga, Katsuyoshi Kume, Nami Kakuta, Eisuke Hamaguchi, Rie Tsutsumi, Ryosuke Kawanishi, Kohei Fukuta, Katsuya Tanaka and Yasuo M. Tsutsumi : Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia: a prospective, randomized, double-blind study., Journal of Anesthesia, Vol.29, No.5, 696-701, 2015. (要約) No (0 %) patient in the NKI group experienced vomiting after surgery; however, 4-6 (20-30 %) of 20 patients in the ONS group experienced vomiting. This difference was significant at 0-24, 0-48, and 0-72 h. During the study period, no significant differences existed between the NK1 and ONS groups in the incidence of PONV, complete response rate, rescue antiemetic use, nausea score, and VAS score for pain. (徳島大学機関リポジトリ) ● Metadata: 109689 (出版サイトへのリンク) ● Publication site (DOI): 10.1007/s00540-015-2006-z (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 25801542 ● Summary page in Scopus @ Elsevier: 2-s2.0-84945453279 (徳島大学機関リポジトリ: 109689, DOI: 10.1007/s00540-015-2006-z, PubMed: 25801542, Elsevier: Scopus)
4.	Ryosuke Kawanishi, Kaori Yamamoto, Yoko Tobetto, Kayo Nomura, Michihisa Kato, Ritsuko Go, Yasuo Tsutsumi, Katsuya Tanaka and Yoshitsugu Takeda : Perineural but not systemic low-dose dexamethasone prolongs the duration of interscalene block with ropivacaine: a prospective randomized trial., Local and Regional Anesthesia, Vol.7, 5-9, 2014. (要約) To determine the effects of intravenous and perineural dexamethasone on the duration of interscalene brachial plexus block (ISB) with ropivacaine in patients undergoing arthroscopic shoulder surgery. In this prospective, randomized, placebo-controlled trial, patients presenting for arthroscopic shoulder surgery with an ISB were randomized to receive ropivacaine 0.75% (group C), ropivacaine 0.75% plus perineural dexamethasone 4 mg (group Dperi), or ropivacaine 0.75% plus intravenous dexamethasone 4 mg (group Div). The primary outcome was the duration of analgesia, defined as the time between performance of the block and the first request for analgesic. Thirty-nine patients were randomized. The median times of sensory block in groups C, Dperi, and Div were 11.2 hours (interquartile range [IQR] 8.0-15.0 hours), 18.0 hours (IQR 14.5-19.0 hours), and 14.0 hours (IQR 12.7-15.1 hours), respectively. Significant differences were observed between groups Dperi and C (P=0.001). Kaplan-Meier analysis for the first analgesic request showed significant differences between groups Dperi and C (P=0.005) and between groups Dperi and Div (P=0.008), but not between groups C and Div. Perineural but not intravenous administration of 4 mg of dexamethasone significantly prolongs the duration of effective postoperative analgesia resulting from a single-shot ISB with ropivacaine 0.75%. (出版サイトへのリンク) ● Publication site (DOI): 10.2147/LRA.S59158 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 24817819 ● Search Scopus @ Elsevier (PMID): 24817819 ● Search Scopus @ Elsevier (DOI): 10.2147/LRA.S59158 (DOI: 10.2147/LRA.S59158, PubMed: 24817819)
5.	Katsuyoshi Kume, Yasuo Tsutsumi M, Tomohiro Soga, Yoko Sakai, Noriko Kambe, Ryosuke Kawanishi, Eisuke Hamaguchi, Tomiya Kawahara, Asuka Kasai, Yoshimi Nakaji, Yousuke Horikawa T, Souichiro Nakayama, Takashi Kaji, Minoru Irahara and Katsuya Tanaka : A case of placenta percreta with massive hemorrhage during cesarean section., The Journal of Medical Investigation : JMI, Vol.61, No.1-2, 208-212, 2014. (要約) We describe a case of a 39-year-old woman diagnosed with placenta percreta complicated by massive hemorrhage during a cesarean section. At 27 weeks of gestation, she underwent an emergency cesarean section under general anesthesia for vaginal bleeding and an intrauterine infection. Soon after delivery, a massive hemorrhage was encountered while attempting to separate the placenta percreta from the bladder wall. Although total abdominal hysterectomy and partial cystectomy were performed, massive hemorrhaging persisted. Bleeding was finally controlled following bilateral internal iliac artery embolization. We used a cell salvage device and a rapid infuser for hemodynamics stabilization. Total blood loss was 47,000 mL, and anesthesia time was 12 h and 47 min. The patient was discharged on the 32(nd) postoperative day without major complications. Placenta accreta can be associated with life-threatening hemorrhage and it is vital to plan accordingly preoperatively. (キーワード) Adult / Blood Loss, Surgical / Cesarean Section / Cystectomy / Embolization, Therapeutic / Female / Hemodynamics / Hemorrhage / Humans / Hysterectomy / Placenta Accreta / Pregnancy / Treatment Outcome (出版サイトへのリンク) ● Publication site (DOI): 10.2152/jmi.61.208 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 24705768 ● Search Scopus @ Elsevier (PMID): 24705768 ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.61.208 (DOI: 10.2152/jmi.61.208, PubMed: 24705768)

総説・解説:

1.	堤保夫, 川西良典, 田中克哉 : 第7章特殊病態や特殊状態下での使用 2 喘息患者・COPD, 臨床麻酔実践シリーズ8 デスフルランの上手な使い方, 152-154, 2016年10月.
2.	川西良典, 堤保夫, 田中克哉 : 第6章各科手術での使用 4 胸部(呼吸器)外科手術 -HPV・重症筋無力症―, 臨床麻酔実践シリーズ8 デスフルランの上手な使い方, 106-110, 2016年10月.
3.	堤保夫, 川西良典, 田中克哉 : デスフルランの上手な使い方特殊病態や状態下での使用: 喘息患者・COPD患者, 日本臨床麻酔学会誌, Vol.36, No.4, 491-493, 2016年4月.
4.	川西良典, 堤保夫, 田中克哉 : デスフルランの上手な使い方各科手術での使用:胸部(呼吸器)外科手術 -HPV・重要筋無力症-, 臨床麻酔学会誌, Vol.36, No.4, 464-467, 2016年4月.

国際会議:

1.	Ryo Sekiguchi, Michiko Kinoshita, Ryosuke Kawanishi, Nami Kakuta, Yoko Sakai and Katsuya Tanaka : Comparison Between Hemodynamics Of Remimazolam And Propofol During General Anesthesia: A Randomized Study, The Anesthesiology Annual Meeting, Oct. 2022.
2.	Nomura Honoka, Ryosuke Kawanishi, Honda Yasuto and Katsuya Tanaka : The effects of ten minutes' pre-warming of body temperature during breast surgery., American Society of Anesthesiology 2021 Annual Meeting, Online, Oct. 2021.
3.	Ryosuke Kawanishi and Katsuya Tanaka : Comparison of facemask pressure-controlled ventilation and facemask pressure-conntrolled ventilation volume-guaranteed during induction of anesthesia. - A randomized-controlled trial -, American Society of Anesthesiologists, WEB, Oct. 2020.
4.	Yuta Uemura, Nami Kakuta, Ryosuke Kawanishi and Katsuya Tanaka : Effects of administration based on muscle mass on the onset and duration of action., American Society of Anesthesiologists 2019 Annual Meeting, Orlando FL, Oct. 2019.
5.	Kei Muraoka, Myonri Kan, Ryosuke Kawanishi, Shiho Satomi, Yasuo Tsutsumi and Katsuya Tanaka : Risk factors Associated with Hoarseness and Glottis Edema after Tracheal Intubation., American Society of Anesthesiologists 2016 Annual Meeting 2016.10.23, Chicago, Oct. 2016.
6.	Noriko Kambe, Ryosuke Kawanishi, Nakaji Yoshimi, Matsumoto Tomomi, Kume Katsuyoshi and Katsuya Tanaka : Effects of Tracheal Intubation with Airwayscope on the Injury around Glottis in a Manikin with Normal Airway, American Society of Anesthesiologist annual meeting, Oct. 2014.
7.	Mai Morimoto, Katsuya Tanaka, Michiko Kinoshita, Noriko Kambe, Ryosuke Kawanishi, Katsuyoshi Kume, Naohiro Oshita, Yasuo M. Tsutsumi and Shuzo Oshita : Effects of new developed mask for novel mask holding on the quality of mask ventilation and the pressure between face and mask., The American Society of Anesthesiologist Annual Meeting, San Francisco, Oct. 2013.

国内講演発表:

1.	前田卓也, 篠原光治, 武藤さら良, 木下倫子, 川西良典, 田中克哉 : 神経核内封入体病患者の麻酔経験, 日本麻酔科学会中国・四国支部第59回学術集会, 2022年.
2.	富山芳信, 川西良典, 笠井飛鳥 : 腹腔鏡胸腔鏡手術時間の年次推移, 日本手術医学会誌, Vol.41, No.Supplement, 164, 2019年9月.
3.	富山芳信, 川西良典, 笠井飛鳥, 石川雄樹, 板東悠太郎 : 手術終了ー退室時間に影響及ぼす諸因子の検討, 麻酔, Vol.67, 2019年5月.
4.	弘田健太郎, 川西良典, 東島祥代, 福田浩平, 堤保夫, 田中克哉 : 高度肥満患者の帝王切開術の麻酔経験, 日本麻酔科学会中国四国支部第55回学術集会, 2018年9月.
5.	大西亜里香, 川西良典, 角田奈美, 里見志帆, 酒井陽子, 田中克哉 : マクロクレアチニンキナーゼ血症を合併した開腹結腸悪性腫瘍切除術の麻酔経験, 日本麻酔科学会中国四国支部第55回学術集会, 2018年9月.
6.	沖田和也, 植村勇太, 石川雄樹, 川西良典, 田中克哉 : 筋肉量当たりのロクロニウム投与量が作用発現及び持続時間に与える影響, 日本麻酔科学会中国四国支部第55回学術集会, 2018年9月.
7.	内藤茂之, 川西良典, 角田奈美, 堤保夫, 田中克哉 : マスク換気時に胃内への空気流入が起こる最小の吸気圧の検討, 日本麻酔科学会中国四国支部第55回学術集会, 2018年9月.
8.	富山芳信, 川西良典, 箕田直治 : 予定手術時間と実施手術時間の差に及ぼす諸因子の検討, 日本手術医学会誌, Vol.39, No.supplement, 116, 2018年9月.
9.	富山芳信, 川西良典, 箕田直治 : 術後X線単純撮影とワイヤレスFDP搭載撮影装置が手術終了ー退室時間に及ぼす影響, 日本手術医学会誌, Vol.40, No.Supplement, 116, 2018年9月.
10.	川西良典, 石川雄樹, 大山拓朗, 角田奈美, 田中克哉 : マスク換気時の上気道狭窄部位の同定，咽頭狭窄のリスク因子の検討, 日本麻酔科学会第65回学術集会, 2018年5月.
11.	田中克哉, 川西良典, 堤保夫 : 分離肺換気でのデスフルラン使用デスフルランを使う理由∼臨床経験から∼, 日本臨床麻酔学会第37回大会スポンサードシンポジウム, 2017年11月.
12.	吉田佳子, 川西良典, 角田奈美, 堤保夫, 田中克哉 : スリップジョイントからのfogartyカテーテルの挿入・固定で安定した分離肺換気を施行下新生児の一例, 本麻酔科学会中国・四国第54回学術集会, 2017年9月.
13.	小松里帆, 川西良典, 箕田直治, 角田奈美, 田中克哉 : マスク換気困難のリスク因子および咽頭狭窄のリスク因子の検討, 日本麻酔科学会中国・四国第54回学術集会, 2017年9月.
14.	角田奈美, 堤保夫, 田中克哉, 川西良典 : 救急救命士の喉頭鏡を用いた気管挿管の成功率, 第42回日本外科系連合学術集会, 2017年6月.
15.	石崎美崎, 田中克哉, 川西良典, 中路佳美, 植村勇太, 堤保夫 : 呼吸器外科手術後の合併症に及ぼす因子 -麻酔薬の選択の影響―, 日本麻酔科学会中国・四国支部第51回学術集会, 2014年9月.
16.	川西良典, 香留希実子, 酒井陽子, 松本朋美, 田中克哉 : エアウェイスコープを併用した意識下ファイバー挿管が有用であった披裂部湯用による声門狭窄の1例, 日本麻酔科学会中国・四国支部第51回学術集会, 2014年9月.
17.	佐藤志帆, 川西良典, 田中克哉, 河原富也, 植村勇太, 堤保夫 : 透明な血管モデルを用いた研修医による動脈穿刺法の比較 -潅流圧の高低による比較―, 日本麻酔科学会中国・四国支部第51回学術集会, 2014年9月.
18.	川西良典, 中路佳美, 神邊紀子, 角田奈美, 堤保夫, 田中克哉 : 血管透見モデルを用いた研修医による動脈穿刺法の比較, 第61回日本麻酔科学会学術集会, 2014年5月.
19.	堤保夫, 角田奈美, 久米克佳, 曽我朋宏, 川西良典, 田中克哉 : 脳神経外科開頭手術後の嘔気・嘔吐に対するニューロキニン1受容体拮抗剤とオンダンセトロンの有効性の比較検討, 第61回日本麻酔科学会, 2014年5月.
20.	神邊紀子, 中路佳美, 川西良典, 松本朋美, 田中克哉 : エアウェイスコープ，McGRATHおよびMcGRATHを用いた直視下の気管挿管の有用性と合併症リスク評価:マネキンによる研究, 第61回日本麻酔科学会学術集会, 2014年5月.
21.	川西良典, 久米克佳, 河原富也, 堤保夫, 田中克哉, 大下修造 : 経気管支鏡高頻度ジェット換気および局所麻酔のジェット噴霧を用い，苦痛の少ない意識下経鼻ファイバー挿管を行った一例, 第50回日本麻酔科学会中国・四国支部学術集会, 2013年9月.

科学研究費補助金 (KAKEN Grants Database @ NII.ac.jp)

研究者番号（10718943）による検索

助教 : 川西良典

研究活動

専門分野

研究テーマ

著書・論文

学術論文(審査論文):

総説・解説:

国際会議:

国内講演発表:

科学研究費補助金 (KAKEN Grants Database @ NII.ac.jp)

助教 : 川西 良典

研究活動

専門分野

研究テーマ

著書・論文

学術論文(審査論文):

総説・解説:

国際会議:

国内講演発表:

科学研究費補助金 (KAKEN Grants Database @ NII.ac.jp)

助教 : 川西良典