徳島大学 / 教育研究者総覧 --- 布村俊幸

検索:

徳島大学 ⟩ 病院 ⟩ 中央診療施設等 ⟩ ER・災害医療診療部 ⟩

(researchmapへのインポート用ファイル) [PDF解説] [researchmapへの自動反映について]

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):

1.	中野勇希, 佐藤功志, 佐藤裕紀, 百田和貴, 秋本雄祐, 布村俊幸, 新井悠太, 石原学, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : 経肺圧を指標としたPEEP設定により，致死的低酸素血症から改善した神経芽細胞種に伴う腹部コンパートメント症候群の一乳児症例, 四国医学雑誌, Vol.2022;78, No.3,4, 115-120, 2022年.
2.	Yoshitoyo Ueno, Saki Harada, Koji Sato, Kazuki Momota, Hiroki Sato, Yusuke Akimoto, Yuta Arai, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki, Yasuhiko Nishioka and Jun Oto : Independent lung ventilation for the management of acute allograft rejection after single-lung transplantation for end-stage emphysema., The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 323-327, 2022. (要約) Background : We herein report the use of independent lung ventilation (ILV) for managing acute allograft rejection after single-lung transplantation (SLT) for end-stage emphysema. Case presentation : A 54-year-old woman was transferred to our hospital with severe hypoxemia and respiratory distress due to unilateral lung disease with diffuse alveolar damage in the right donor lung associated with acute allograft rejection and with hyperinflation of the left native lung due to emphysema. She was unresponsive to immunosuppressive medications and conventional ventilation strategies, so different ventilator settings for each lung were required. A double-lumen endotracheal tube (DLT) was inserted, and ILV was initiated. The right lung was ventilated with high positive end-expiratory pressure (PEEP), intended for lung recruitment, and the left lung was ventilated with lung protective strategies using a low tidal volume and low levels of PEEP to avoid hyperinflation. Two days later, her lung function was dramatically improved, and the DLT was replaced with a single-lumen endotracheal tube. Gas exchange was maintained, and she was successfully weaned from mechanical ventilation on intensive-care unit day 15. Conclusions : ILV appears to be effective and safe for managing acute allograft rejection after SLT for emphysema. J. Med. Invest. 69 : 323-327, August, 2022. (キーワード) Allografts / Emphysema / Female / Humans / Lung / Lung Transplantation / Middle Aged / Pulmonary Emphysema / Respiration, Artificial (出版サイトへのリンク) ● Publication site (DOI): 10.2152/jmi.69.323 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244790 ● Search Scopus @ Elsevier (PMID): 36244790 ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.69.323 (DOI: 10.2152/jmi.69.323, PubMed: 36244790)
3.	Yusuke Akimoto, Natsuki Bando, Hiroki Sato, Koji Sato, Kazuki Momota, Toshiyuki Nunomura, Yoshitoyo Ueno, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : Acquired laryngomalacia as a cause of post-extubation respiratory failure in patient with postoperative seizure and central pontine myelinolysis after craniotomy., The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 316-319, 2022. (要約) Background : Laryngomalacia is a congenital abnormality of the larynx that commonly occurs in children and rarely in adults. We report the first case of acquired laryngomalacia mainly due to postoperative seizure and central pontine myelinolysis after scheduled craniotomy. Case presentation : A 69-year-old man was admitted to the hospital for elective craniotomy for craniopharyngioma. After the surgery, he developed refractory seizure and required intubation and mechanical ventilation in the intensive-care unit (ICU). After treatment for the seizure, he was extubated. However, immediately after extubation, he developed stridor and respiratory retraction. We performed fiberoptic laryngoscopy and confirmed that the epiglottis had collapsed into the posterior wall of the pharynx during inspiration, which was suspected to be laryngomalacia. He received invasive mechanical ventilation for two days following re-extubation. After the second extubation, he developed stridor again due to acquired laryngomalacia. Six days later, his respiratory condition had worsened, and he received re-intubation and tracheostomy. After ICU discharge, central pontine myelinolysis was diagnosed by magnetic resonance imaging. Conclusions : Adult-onset laryngomalacia is a rare cause of upper airway obstruction but should be considered as a cause of postoperative extubation failure. We should not delay performing fiberoptic laryngoscopy to evaluate this pathology and provide optimal treatment. J. Med. Invest. 69 : 316-319, August, 2022. (キーワード) Aged / Airway Extubation / Child / Craniotomy / Humans / Laryngomalacia / Laryngoscopy / Male / Myelinolysis, Central Pontine / Respiratory Insufficiency / Respiratory Sounds / Seizures (出版サイトへのリンク) ● Publication site (DOI): 10.2152/jmi.69.316 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244788 ● Search Scopus @ Elsevier (PMID): 36244788 ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.69.316 (DOI: 10.2152/jmi.69.316, PubMed: 36244788)
4.	Yoshitoyo Ueno, Koji Sato, Kazuki Momota, Hiroki Sato, Yuki Nakano, Yusuke Akimoto, Toshiyuki Nunomura, Natsuki Tane, Taiga Itagaki and Jun Oto : The quality and quantity of sleep on dexmedetomidine during high-flow nasal cannula oxygen therapy in critically ill patients., The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 266-272, 2022. (要約) Purpose : High-flow nasal cannula oxygen therapy (HFNC) is a new type of non-invasive respiratory support for acute respiratory failure patients. However, patients receiving HFNC often develop sleep disturbances. We therefore examined whether dexmedetomidine could preserve the sleep characteristics in patients who underwent HFNC. Patients and Methods : This was a pilot, randomized controlled study. We assigned critically ill patients treated with HFNC to receive dexmedetomidine (0.2 to 0.7 µg / kg / h, DEX group) or not (non-DEX group) at night (9:00 p.m. to 6:00 a.m.). Polysomnograms were monitored during the study period. The primary outcomes were total sleep time (TST), sleep efficiency and duration of stage 2 non-rapid eye movement (stage N2) sleep. Results : Of the 28 patients who underwent randomization, 24 were included in the final analysis (12 patients per group). Dexmedetomidine increased the TST (369 min vs. 119 min, p = 0.024) and sleep efficiency (68% vs. 22%, P = 0.024). The duration of stage N2 was increased in the DEX group compared with the non-DEX group, but this finding did not reach statistical significance. The incidences of respiratory depression and hemodynamic instability were similar between the two groups. Conclusions : In critically ill patients who underwent HFNC, dexmedetomidine may optimize the sleep quantity without any adverse events. J. Med. Invest. 69 : 266-272, August, 2022. (キーワード) Cannula / Critical Illness / Dexmedetomidine / Humans / Oxygen / Sleep (出版サイトへのリンク) ● Publication site (DOI): 10.2152/jmi.69.266 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244779 ● Search Scopus @ Elsevier (PMID): 36244779 ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.69.266 (DOI: 10.2152/jmi.69.266, PubMed: 36244779)
5.	Taiga Itagaki, Nobuto Nakanishi, Takuya Takashima, Yoshitoyo Ueno, Natsuki Tane, Yumiko Tsunano, Toshiyuki Nunomura and Jun Oto : Effect of controlled ventilation during assist-control ventilation on diaphragm thickness : a post hoc analysis of an observational study., The Journal of Medical Investigation : JMI, Vol.67, No.3.4, 332-337, 2020. (要約) Background : Since diaphragm passivity induces oxidative stress that leads to rapid atrophy of diaphragm, we investigated the effect of controlled ventilation on diaphragm thickness during assist-control ventilation (ACV). Methods : Previously, we measured end-expiratory diaphragm thickness (Tdiee) of patients mechanically ventilated for more than 48 hours on days 1, 3, 5 and 7 after the start of ventilation. We retrospectively investigated the proportion of controlled ventilation during the initial 48-hour ACV (CV48%). Patients were classified according to CV48% : Low group, less than 25% ; High group, higher than 25%. Results : Of 56 patients under pressure-control ACV, Tdiee increased more than 10% in 6 patients (11%), unchanged in 8 patients (14%) and decreased more than 10% in 42 patients (75%). During the first week of ventilation, Tdiee decreased in both groups : Low (difference, -7.4% ; 95% confidence interval [CI], -10.1% to -4.6% ; p < 0.001) and High group (difference, -5.2% ; 95% CI, -8.5% to -2.0% ; p = 0.049). Maximum Tdiee variation from baseline did not differ between Low (-15.8% ; interquartile range [IQR], -22.3 to -1.5) and High group (-16.7% ; IQR, -22.6 to -11.1, p = 0.676). Conclusions : During ACV, maximum variation in Tdiee was not associated with proportion of controlled ventilation higher than 25%. J. Med. Invest. 67 : 332-337, August, 2020. (徳島大学機関リポジトリ) ● Metadata: 115438 (出版サイトへのリンク) ● Publication site (DOI): 10.2152/jmi.67.332 (文献検索サイトへのリンク) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33148911 ● Summary page in Scopus @ Elsevier: 2-s2.0-85095587008 (徳島大学機関リポジトリ: 115438, DOI: 10.2152/jmi.67.332, PubMed: 33148911, Elsevier: Scopus)

国内講演発表:

1.	福島翔太, 中瀧恵実子, 久次米里衣, 布村俊幸, 新井悠太, 殿谷淳子, 川人美鈴, 坂東加奈子, 津川武弘 : 当院独自の早期離床プロトコルが侵襲的人工呼吸管理症例の早期離床に及ぼす影響:過去起点コホート研究．, 第50回日本集中治療医学会学術集会, 2023年3月.
2.	百田和貴, 板東夏生, 佐藤功志, 佐藤裕紀, 秋本雄祐, 布村俊幸, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : 非侵襲的陽圧換気中に縦隔気腫を来したCOVID-19肺炎の一症例．, 第50回日本集中治療医学会学術集会, 2023年3月.
3.	中野勇希, 佐藤功志, 佐藤裕紀, 百田和貴, 秋本雄祐, 布村俊幸, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : 気管切開後25年間無症候性に経過した声門下狭窄が気管挿管を機に増悪し，術後抜管困難となった一症例, 第50回日本集中治療医学会学術集会, 2023年3月.
4.	上野義豊, 百田和貴, 佐藤功志, 佐藤裕紀, 秋本雄祐, 布村俊幸, 石原学, 田根なつ紀, 板垣大雅, 大藤純 : 末期肺気腫に対する片肺移植後の急性拒絶反応に対し，分離肺換気が奏功した一症例, 第50回日本集中治療医学会学術集会, 2023年3月.
5.	布村俊幸, 中瀧恵実子, 新井悠太, 板垣大雅 : COVID-19 に伴う全身性毛細血管漏出症候群により心肺停止に至った一例．, 第50回日本集中治療医学会学術集会, 2023年3月.
6.	上野義豊, 佐藤裕紀, 百田和貴, 佐藤功志, 秋本雄祐, 布村俊幸, 石原学, 田根なつ紀, 板垣大雅, 大藤純 : 開心術後患者における乳酸値ピークアウトまでの時間と術後経過との関連, 第50回日本集中治療医学会学術集会, 2023年3月.
7.	佐藤功志, 上野義豊, 佐藤裕紀, 百田和貴, 秋本雄祐, 布村俊幸, 石原学, 田根なつ紀, 板垣大雅, 大藤純 : VA-ECMO, 第50回日本集中治療医学会学術集会, 2023年3月.
8.	中野勇希, 佐藤功志, 佐藤裕紀, 百田和貴, 秋本雄祐, 布村俊幸, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : 高位気管切開既往患者に生じた声門下狭窄および気管軟化症により術後抜管困難となった一症例, 第6回徳島外科学会, 2023年2月.
9.	板東夏生, 宮本憲哉, 百田和貴, 佐藤功志, 佐藤裕紀, 秋本雄祐, 布村俊幸, 石原学, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : セツキシマブ投与後のインフュージョンリアクションから心停止に至るも後遺症なく救命できた一症例, 第6回徳島外科学会, 2023年2月.
10.	布村俊幸 : シンポジスト「シンポジウム．DIC の治療意義について」, 第2回南四国・集中治療医学シンポジウム, 2022年11月.
11.	百田和貴, 板東夏生, 佐藤功志, 佐藤裕紀, 秋本雄祐, 布村俊幸, 石原学, 上野義豊, 田根なつ紀, 板垣大雅, 大藤純 : 重篤な循環不全を呈した重症レジオネラ肺炎に対しVA-ECMO導入により救命した1例．, 第50回日本救急医学会総会・学術集会, 2022年10月.
12.	荒瀬美晴, 大村健史, 井川浩一, 新井悠太, 布村俊幸, 田根なつ紀, 中瀧恵実子, 三村誠二, 大藤純 : COVID-19患者におけるエアロゾルの発生を最小限に抑える経皮的気管切開術の工夫．, 第49回日本救急医学会総会・学術集会, 2021年11月.
13.	布村俊幸, 板垣大雅, 新井悠太, 中瀧恵実子, 大藤純 : 集中治療室内での患者-人工呼吸器非同調に対する意識調査．, 第1回南四国・集中治療医学フォーラム, 2021年11月.