Tokushima University / Educator and Researcher Directory --- Nakaji, Yoshimi

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Tokushima University ⟩ University Hospital ⟩ 先端医科医療開発研究プロジェクト ⟩
Tokushima University ⟩ University Hospital ⟩ Central Clinical Facilities ⟩ Surgical Center ⟩
Tokushima University ⟩ Faculty of Medicine ⟩ School of Medicine ⟩ Course of Biological Medicine ⟩ Anesthesiology ⟩

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Research

Field of Study

Subject of Study

Book / Paper

Academic Paper (Judged Full Paper):

1.	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, 61, 1-2, 208-212, 2014. (Summary) 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. (Keyword) Adult / Blood Loss, Surgical / Cesarean Section / Cystectomy / Embolization, Therapeutic / Female / Hemodynamics / Hemorrhage / Humans / Hysterectomy / Placenta Accreta / Pregnancy / Treatment Outcome (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.61.208 (Link to Search Site for Scientific Articles) ● 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)

Proceeding of International Conference:

1.	Noriko Kambe, Ryosuke Kawanishi, Yoshimi Nakaji, Matsumoto Tomomi, Katsuyoshi Kume 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.

Proceeding of Domestic Conference:

1.	Asuka Kasai, Yoshimi Nakaji and Katsuya Tanaka : 地方大学病院における無痛分娩の導入と経過，今後の課題, 日本麻酔科学会第72回学術集会, Jun. 2025.
2.	石崎美崎, Katsuya Tanaka, Ryosuke Kawanishi, Yoshimi Nakaji, Yuta Uemura and Yasuo Tsutsumi : 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, Sep. 2014.