実績内容
総手術件数の推移
麻酔実績
| 診療科 | 手術件数（2023年度） |
|---|---|
| 眼科 | 392 |
| 泌尿器科 | 354 |
| 心カテ（循環器科＋新生児科） | 351 |
| 歯科・口腔外科 | 282 |
| 心臓血管外科 | 260 |
| 形成外科 | 228 |
| 小児外科 | 226 |
| 整形外科 | 173 |
| 感染・免疫・予防（消化管内視鏡） | 161 |
| 脳神経外科 | 140 |
| 耳鼻いんこう科 | 120 |
| 産科 | 53 |
| その他 | 12 |
診療科別手術件数の推移
主な強調点
術前は、子供たちが怖がらずに手術室に来られるよう心がけています。
術中は、安全を第一に考えた麻酔を提供しています。
術後は、「痛くない」、「暴れない」、「気持ち悪くならない」麻酔を目指しています。
子供たちにとって手術が嫌な思い出にならないように努めます。
2021年度から、一部の診療科の手術で日帰り麻酔を開始しました。
日帰りが難しい場合であっても、手術当日朝入院や手術当日夕方帰宅等、安全性が損なわれない
範囲において入院期間短縮に柔軟に対応します。
原則として、手術の種類によって入院期間は決まっております。
入院期間短縮をご希望の方は事前に主治医にご相談ください。
（検討の結果、対応できない場合もありますのでご了承ください。）
麻酔科では、外科手術だけでなく、各種検査時の鎮静・麻酔も行なっています。
麻酔科が鎮静や麻酔を担当する検査は、上部下部消化管内視鏡検査、心臓カテーテル検査、アイ
ソトープ検査、CT・MRI等の画像検査、眼科的検査等です。最近では手術室外で行われる検査の
鎮静も開始し、一層の安全性向上に貢献しています。
Academic accomplishments
2025年（更新中）｜学術論文（査読付き）
Efficacy of spinal ultrasonography just before caudal epidural block for identifying tethered cord syndrome in urological cases with sacral dimples: A retrospective descriptive study.
Watanabe F, Kojima T, Miyazu M, Kitoh H.
Journal of Anesth 2024 (Accepted)
PICUを持つ小児病院の収益性 -原価計算研究の提案-
宮津光範, 池山貴也
日集中医誌 2025; 32: R2
Reduced choroidal blood flow after strabismus surgery with extraocular muscle recession.
Yasuda S, Takai Y, Yasuda Y, Yamamoto T, Tomita R, Iwase T, Nonobe N, Takeuchi J, Kojima T, Nishiguchi KM, Kaneko H.
Transl Vis Sci Technol 2025 (Accepted)
2024年｜学術論文（査読付き）
Utilizing the integrated dual recording system to enhance documentation and analysis of airway management in children with difficult airway: A case report.
Tatsuo Kajino, Shogo Ichiyanagi, Hiromi Kako.
Saudi J Anaesth 2024;18:293-295
Impact of various anesthetic regimens on motor-evoked potentials in infants undergoing spinal surgery: a case series.
Nakahari H, Ikeda M, Wilton CTN, Kurimoto M, Kojima T.
Medicine 2024
Emergency open surgical repair for ruptured abdominal aortic aneurysm in octogenarians and nonagenarians: A single-center retrospective observational study.
Kageyama S, Ohashi T, Kojima A, Kojima T.
Ann Vasc Surg 2024;108:36-46
小児の術後悪心嘔吐：ナラティブレビュー
小嶋 大樹
小児麻酔学会誌2024年（受理）
Impact of low-dose sevoflurane with propofol-based anaesthesia on motor evoked potentials: protocol for a single centre, randomised controlled study.
Taiki Kojima, Hirofumi Nakahari, Michihiro Kurimoto, Niall CT Wilton.
BMJ Open 2024;14:e087566
Predictors of membrane oxygenator failure in pediatric extracorporeal membrane oxygenation.
Makoto Ikeda, Hiroomi Murayama, Satoshi Aoki, Makoto Motomura, Taiki Kojima.
Artificial Organs 2024 (Accepted)
Life-threatening tracheal tube obstruction by vernix caseosa in a newborn: A case report.
Takero Iwai, Yuta Kawatsu, Taiki Kojima.
A and A practice 2024;18:e01829
Improvement in the resuscitation environment with the modified Toyota Kaizen approach through in situ anaesthesia simulation training.
*Kojima T*,Ichiyanagi S, Miyazu M.
Turk J Anaesthesiol Reanim 2024 (Accepted)
Impact of low-dose sevoflurane with propofol-based anesthesia on motor-evoked potentials in infants: a pilot single-arm crossover study.
*Kojima T*, Nakahari H, Ikeda M, Kurimoto M.
Journal of Anesth 2024 (Accepted)
Clinical impact of specific extraocular muscle manipulation and the oculocardiac reflex on postoperative vomiting in pediatric strabismus surgery: a multicenter, observational study.
*Kojima T*, Yamauchi Y, Fujiwara T, Obara S, Sueda A, Takahashi R, Yasuda S, Kitoh H.
Pediatr Anesth 2024 (Accepted)
Day surgery in children: 15-year analysis of unplanned admissions at a Japanese tertiary children’s hospital.
Sueda A, Kagawa T,* Kojima T*.
Journal of Anesh 2024（Accepted）
2023年｜学術論文（査読付き）
Efficacy of in-situ simulation training using evaluation checklists for sudden oxygen supply failure during general anesthesia: a preliminary report.
Nishida K, Watanabe F, Kojima T.
Saudi J Anaesth. 2023:17:1-6.
Outreaching in-situ simulation expands educator’s roles for pediatric anesthesiologists: Time to look at education needs for pediatric anesthesia emergencies.
Kojima T. Isogai H, Kawatsu Y.
Pediatr Anesth 2023:33:266-267
A feasible web-conference-style remote simulation using demonstration video clips in anaesthesia under the COVID-19 outbreaks: A preliminary survey study.
Kojima T, Kawatsu Y.
Turk J Anaesthesiol Reanim 2023;51:341-346.
Application of GoPro for effective debriefing in pediatric anesthesia simulation.
Kojima T, Morikawa A.
Pediatr Anesth 2023;33:412-413
Epidemiology of adverse events attributed to airway management in pediatric anesthesia: protocol for the prospective, multicenter, registry-based, cross-sectional Japan Pediatric Difficult Airway in Anesthesia study (J-PEDIA)
Kojima T, Yamauchi Y, Watanabe F, Ichiyanagi S, Kobayashi Y, Kaiho Y, Kasuya S, Urayama KY, Kuratani N, Suzuki Y.
BMJ open 2023;13:e067554
Optimal dose of normal saline for confirming correct peripheral venous access with precordial Doppler ultrasonography in children.
Omori A, Otaki Y, Tanaka M, Miyazu M, Ohde S, Kojima T.
Sci Rep 2023;13:5994.https://doi.org/10.1038/s41598-023-32578-5
Anesthesia management of neonates and infants requiring intraoperative neurophysiological monitoring: A concise review. Paediatr Anaesth 2023.
Nakahari H, Wilton NC, Kojima T.
Paediatr Anaesth 2023;33:526-531.
The pupillometer’s test during emergence from anesthesia could provide useful information on the timing for extubation in children.
Kajino T, Yamauchi Y, Kojima T.
Paediatr Anaesth 2023 doi:10.1111/pan.14682.
Association between plasma fibrinogen concentration after cardiopulmonary bypass and postoperative blood loss in children undergoing cardiac surgery: A retrospective cohort study.
Nishida K, Kojima T, Monteleone MP, Watanabe F.
Cureus 2023. doi: 10.7759/cureus.38245
Fiberoptic intubation vs. video-assisted fiberoptic intubation in a high-fidelity pediatric simulator: a randomized controlled trial.
Isogai H, Kojima T, Kako H.
Cureus 2023. doi: 10.7759/cureus.39280
The integrated dual recording system: An innovative method to record and convey difficult airway information.
Nishida K, Ichiyanagi S, Miyazu M, Kako H.
Paediatr Anaesth. 2023;33:680-681.
Low dose sevoflurane co-administered with propofol-based anaesthesia obliterates intraoperative neurophysiological monitoring in an infant: a case report.
Nakahari H, Wilton NC, Ikeda M, Kojima T.
Anaesthesia Reports 2023 (Accepted).
Adverse tracheal intubation events in critically ill underweight and obese children: retrospective study of the national emergency airway for children registry (2013-2020).
Gladen KM, Tellez D, Napolitano N, Edwards LR, Sandars RC, Kojima T, et al.
Pediatr Crit Care Med 2023, doi: 10.1097/PCC.0000000000003387.
The Japan Pediatric Difficult Airway Registry (J-PEDIA) project improves the quality of clinical practice and clinical research.
Kojima T, Sueda A, Fujiwara T.
Paediatr Anaesth 2023 (Accepted)
Laryngeal stimulation test to identify the optimal timing for deep tracheal extubation in children.
Kajino T, Yamauchi Y, Kojima T.
Paediatr Anaesth 2023 (Accepted)
Quality Improvement in Paediatric Preoperative Screening: A Japanese Perspective.
Sueda A, Kagawa T, Kojima T.
Anaesth Rep 2023 (Accepted)
Melting temperature mapping method in children:Rapid identification of pathogenic microbes.
Ishikawa T, Uejima Y, Okai M, Shiga K, Shoji K, Miyairi I, Kato M, Morooka S, Kubota M, Tagaya T, Tsuji S, *Aoki S*, Ide K, Niimi H, chiyama T, Onodera M, Kawai T.
J Infect Chemother. 2023 (Accepted)
商業誌
小児集中治療
麻酔 青木智史、中川聡
2023年、72巻、11号、1030－1037
データベースからひも解く小児の気道管理
小嶋大樹
LiSA 2023年、30巻、10号、1114-1119
2022年｜学術論文（査読付き）
Sedation with dexmedetomidine and propofol in children with Fontan circulation undergoing cardiac catheterization: a descriptive study.
Omori A, Watanabe F, Kojima T.
Saudi J Anaesth. 2022;16:34-37.
Early mortality of emergency surgery for acute type A aortic dissection in octogenarians and nonagenarians: A multi-center retrospective study.
Kageyama S, Ohashi T, Yoshida T, Kobayashi Y, Kojima A, Kobayashi D, Kojima T.
J Thorac Cardiovasc Surg. 2022;15:S0022-5223(22)00199-4.
Precordial Doppler to assess vascular access in children: a preliminary report.
Hirayama Y, Hozumi T, Aoki S, Kojima T.
Pediatr Int. 2022;64:e15164.
Can the ulnar artery serve as an alternative option for arterial cannulation in neonates?
Nishida K, Ichiyanagi S, Kako H.
Paediatr Anaesth. 2022. DOI:10.1111/pan.14400.
Successful anesthesia case of emergency cesarean section complicated with pregnancy-related group A streptococcus sepsis.
Kawatsu Y, Miyazu M, Kojima T.
J Obstet Anaesth Crit Care. 2022;12:64-66.
A novel, inexpensive three-dimensional computer graphics teaching tool to provide ultrasound technique education to anesthesia trainees.
Watanabe F, Kojima T.
J Clin Anesth. 2022;78:110677.
Glycaemic management in a child with ornithine transcarbamylase deficiency undergoing cardiac surgery with hypothermic cardiopulmonary bypass.
Anaesth Rep. 2022;10:e12179.
Blindfolded in-situ simulation can help improve non-technical skills in anesthesia emergencies.
Kojima T, Nakahari H, Kawatsu Y.
J Clin Anesth. 2022;11:110888.
Optimal probe position for precordial Doppler ultrasound in children.
Nishida K, Omori A, Kojima T.
Pediatr Int 2022 (Accepted)
Ultrasound-guided femoral vascular access in pediatric cardiac catheterization.
Go K, Kojima T, Watanabe F.
Pediatr Int 2022:e15446
商業誌
徹底分析シリーズ：周術期抗菌薬とその周辺―術中の抗菌薬アレルギー
北村 佳奈
LiSA. MEDSi. 東京都. (In press).
特集：こどもと思春期の整形外科診療、こどもに対する鎮静、鎮痛
北村 佳奈, 一柳 彰吾
臨床整形外科. 医学書院. 東京都. (In press).
臨床整形外科 2022 Vol.57 No.5 こどもに対する鎮静・鎮痛
北村佳奈, 一柳彰吾, 宮津光範
2021年｜学術論文（査読付き）
Valvular changes after aortic valve neo-cuspidization in children: A case series.
Watanabe F, Go K, Kojima T.
Pediatr Int. 2021. DOI: 10.1111/ped.14680.
Introduction of precordial Doppler ultrasound to confirm correct peripheral venous access during general anesthesia in children: A preliminary study.
Kojima T, Kitamura K, Ichiyanagi S, Watanabe F, Yamaguchi Y, Sato E, Tani D, Kako H, Kandil AI, Ohde S, Miyazu M.
PLOS ONE. 2021;16:e0248999.
Volar RIM plate rarely causes flexor tendon complications despite its plate prominence over the watershed line: a descriptive study.
Hayakawa K, Okamoto H, Kojima T, Fukuoka M, Murakami H.
J Hand Surg Asian Pac. 2021;26:2:194-206.
Model difference in the effect of cilostazol on the development of experimental pulmonary hypertension in rats.
Ito T, Zhang E, Omori A, Kabwe J, Kawai M, Maruyama J, Okada A, Yokochi A, Sawada H, Mitani Y, Maruyama K.
BMC Pulm Med. 2021;21:377.
The use of GoPro for video feedback in training for pediatric airway management.
Ichiyanagi S, Kitamura K, Kako H.
Paediatr Anaesth. 2021;31:1259-1260.
A novel inexpensive and instantly-creatable simulator for the training of ultrasound-guided peripheral vascular access in infants.
Watanabe F, Kojima T.
J Clin Anesth. 2021;73:110381.
Introduction of convenient conus to coccyx point-of-care ultrasound (C3PO) in children with a sacral dimple.
Watanabe F, Miyazu M, Kojima T.
J Clin Anesth. 2021;74:110446.
Applicability of precordial Doppler ultrasound to confirm the correct placement of peripheral intravenous access in children.
Yamada A, Kojima T.
J Clin Anesth. 2021;74:110434.
Application of the SimZones educational model in developing sequential simulation- and practice-based learning for anesthesia training.
Kojima T, Yamada A, Omori A.
J Clin Anesth. 2021;75:110512.
A novel technique to remove a foreign body in a distal bronchus in a child.
Yamauchi Y. Miyazu M.
J Clin Anesth. 2021;75:110513.
Population Pharmacokinetics and Pharmacodynamics of Meropenem in Critically Ill Pediatric Patients.
Saito J, Shoji K, Oho Y, Kato H, Matsumoto S, Aoki S, Nakamura H, Ogawa T, Hasegawa M, Yamatani A, Miyairi I.
Antimicrob Agents Chemother. 2021;65:e01909-20.
商業誌
TEE画像と先天性心疾患の外科的視野を統合する！ 三次元CGを駆使した解説～ 前編：心室中隔欠損症.
渡邉 文雄
LiSA. MEDSi. 東京都. 27巻4号 347-354.
TEE画像と先天性心疾患の外科的視野を統合する！ 三次元CGを駆使した解説～ 後編：部分型房室中隔欠損症, Fallot四徴症, 両大血管右室起始症.
渡邉 文雄
LiSA. MEDSi. 東京都. 27巻6号 571-579.
徹底分析シリーズ 末梢ルートトラブル—点滴漏れと薬剤性静脈炎 総論：麻酔科医への警鐘—血管外漏出を軽んずべからず！
一柳 彰吾
LiSA. MEDSi. 東京都. 28巻1号 36-39.
麻酔シミュレーション教育のススメ①―今日から始めるアネシムガイド.
小嶋 大樹
LiSA. MEDSi. 東京都. 28巻７号 680-685.
麻酔シミュレーション教育のススメ②―アネシムの実際と小児麻酔研修プログラムへの応用.
小嶋 大樹
LiSA. MEDSi. 東京都. 28巻9号 878-882.
教科書
Ⅱ周術期の感染予防 ２周術期の抗菌薬使用法. 宮津 光範. 麻酔科プラクティス5 麻酔科必携 周術期のリスク管理 安全対策・感染予防・合併症管理.
水本 一弘 編集
文光堂. 東京都
2020年｜学術論文（査読付き）
Impact of the stress ulcer prophylactic protocol on reducing the unnecessary administration of stress ulcer medications and gastrointestinal bleeding: a single-center, retrospective pre-post study.
Ogasawara O, Kojima T, Miyazu M, Sobue K.
J Intensive Care. 2020;16:10.
Comparison of injection pain in pediatric population; original versus generic rocuronium.
Watanabe F, Kako H, Miyazu M.
2020;14:44-47.
Do fellows and faculty share the same perception of simulation fidelity? A pilot study.
Singh D, Kojima T, Gurnaney H, Deutsch E.
Simul Healthc. 2020;15:266-270.
Validity of the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ) for Japanese patients with labral tear.
Watanabe N, Murakami S, Uchida S, Tateishi S, Ohara H, Yamamoto Y, Kojima T.
J Hip Preserv Surg. 2020;29:466-473.
術後大動脈弁狭窄に対して経食道心エコーによる術中診断が術式を変えた大動脈縮窄複合根治術後患児の１例.
渡邉 文雄, 宮津 光範, 石田 祐基, 北村 佳奈.
Cardiovascular anesthesia. 2020;24:75-78.
Meropenem pharmacokinetics during extracorporeal membrane oxygenation and continuous haemodialysis: a case report.
Saito J, Shoji K, Oho Y, Aoki S, Matsumoto S, Yoshida M, Nakamura H, Kaneko Y, Hayashi T, Yamatani A, Capparelli E, Miyairi I.
J Glob Antimicrob Resist. 2020;22:651-655.
商業誌
症例カンファレンス 小児の喘息既往をどう考える？
一柳 彰吾
LiSA. MEDSi. 東京都. 27巻9号 889-906.
新生児の呼吸・循環管理―生理学的考え方で成人との違いを乗り越えよう！
加古 裕美
LiSA. MEDSi. 東京都. 2７巻９号 932-938.
教科書
発達障害・自閉症の小児の麻酔.
北村 佳奈, 宮津 光範
すっきりフローチャートで学ぶ小児の麻酔. 克誠堂出版. 東京都. 川名 信 監修.
術後鎮痛
一柳 彰吾, 宮津 光範
すっきりフローチャートで学ぶ小児の麻酔. 克誠堂出版. 東京都. 川名 信 監修.
2019年｜学術論文（査読付き）
Pulmonary hypertensive crisis during general anesthesia in a 3-year-old autistic boy with undiagnosed scurvy, undergoing cardiac catheterization: a case report.
Ichiyanagi S. Takeshita I. Kandil. A, Miyazu M. Kojima T.
A and A practice. 2019;13:379-381.
Sudden airway collapse after pneumoperitoneum with undiagnosed tracheomalacia in a morbidly obese 12-year-old boy undergoing laparoscopic cholecystectomy: a case report.
Kojima T, Ali I. Kandil, Joseph P. Privite.
A and A practice. 2019;12:421-423.
Japanese version of international PROMs “Vail Hip Score”: Reliability, validity, and responsiveness according to the COSMIN checklist.
Watanabe N, Murakami S, Uchida S, Tateishi S, Ohara H, Yamamoto Y, Kojima T.
J Orthop Sci. 2019;24:447-451.
Exploring the validation of a Japanese version of the international Hip Outcome Tool 12: Reliability, validity, and responsiveness.
Watanabe N, Murakami S, Uchida S, Tateishi S, Ohara H, Yamamoto Y, Kojima T.
J Orthop Sci. 2019;24:652-657.
Population Pharmacokinetics and Pharmacodynamics of Meropenem in Critically Ill Pediatric Patients.
Saito J, Shoji K, Oho Y, Kato H, Matsumoto S, Aoki S, Nakamura H, Ogawa T, Hasegawa M, Yamatani A, Miyairi I.
Antimicrob Agents Chemother. 2021;65:e01909-20.
商業誌
2019のシェヘラザードたち：子供にやさしい小児麻酔.
加古 裕美
LiSA. MEDSi. 東京都. 2019年第26冊 ’19春号 39-45.
