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  1. Article ; Online: B-line Elastography Measurement of Lung Parenchymal Elasticity.

    Koda, Ren / Taniguchi, Hayato / Konno, Kei / Yamakoshi, Yoshiki

    Ultrasonic imaging

    2023  Volume 45, Issue 1, Page(s) 30–41

    Abstract: This paper proposes a method to determine the elasticity of the lung parenchyma from the B-line Doppler signal observed using continuous shear wave elastography, which uses a small vibrator placed on the tissue surface to propagate continuous shear waves ...

    Abstract This paper proposes a method to determine the elasticity of the lung parenchyma from the B-line Doppler signal observed using continuous shear wave elastography, which uses a small vibrator placed on the tissue surface to propagate continuous shear waves with a vibration frequency of approximately 100 Hz. Since the B-line is generated by multiple reflections in fluid-storing alveoli near the lung surface, the ultrasonic multiple-reflection signal from the B-line is affected by the Doppler shift due to shear waves propagating in the lung parenchyma. When multiple B-lines are observed, the propagation velocity can be estimated by measuring the difference in propagation time between the B-lines. Therefore, continuous shear wave elastography can be used to determine the elasticity of the lung parenchyma by measuring the phase difference of shear wave between the B-lines. In this study, three elastic sponges (soft, medium, and hard) with embedded glass beads were used to simulate fluid-storing alveoli. Shear wave velocity measured using the proposed method was compared with that calculated using Young's modulus obtained from compression measurement. Using the proposed method, the measured shear wave velocities (mean ± S.D.) were 3.78 ± 0.23, 4.24 ± 0.12, and 5.06 ± 0.05 m/s for soft, medium, and hard sponges, respectively, which deviated by a maximum of 5.37% from the values calculated using the measured Young's moduli. The shear wave velocities of the sponge phantom were in a velocity range similar to the mean shear wave velocities of healthy and diseased lungs reported by magnetic resonance elastography (3.25 and 4.54 m/s, respectively). B-line elastography may enable emergency diagnoses of acute lung disease using portable ultrasonic echo devices.
    MeSH term(s) Elasticity Imaging Techniques/methods ; Elasticity ; Elastic Modulus ; Phantoms, Imaging ; Lung/diagnostic imaging
    Language English
    Publishing date 2023-01-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603271-0
    ISSN 1096-0910 ; 0161-7346
    ISSN (online) 1096-0910
    ISSN 0161-7346
    DOI 10.1177/01617346221149141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Usefulness of the Yokohama Advanced Cardiopulmonary Help Team in patients with acute respiratory distress syndrome.

    Utada, Shusuke / Taniguchi, Hayato / Honzawa, Hiroshi / Takeda, Tomoaki / Abe, Takeru / Takeuchi, Ichiro

    Acute medicine & surgery

    2024  Volume 11, Issue 1, Page(s) e953

    Abstract: Aim: To evaluate whether establishing an extracorporeal membrane oxygenation (ECMO) specialist team, termed the Yokohama Advanced Cardiopulmonary Help Team (YACHT), affected the outcomes and centralization of patients requiring ECMO in Yokohama-Yokosuka ...

    Abstract Aim: To evaluate whether establishing an extracorporeal membrane oxygenation (ECMO) specialist team, termed the Yokohama Advanced Cardiopulmonary Help Team (YACHT), affected the outcomes and centralization of patients requiring ECMO in Yokohama-Yokosuka regions.
    Methods: This retrospective observational study included patients aged ≥18 years and treated with venovenous-ECMO for severe acute respiratory distress syndrome (ARDS) from 2014 to 2023. The primary outcome was intensive care unit (ICU) mortality. The secondary outcomes included ICU-, mechanical ventilator-, and ECMO-free days and complications during the first 28 days.
    Results: This study included 46 (12 without- and 34 with-YACHT) patients. Among with-YACHT patients, 24 were transferred to our hospital from other hospitals, 14 were assessed by dispatched ECMO physicians, and 9 were transferred after ECMO introduction. No without-YACHT patients were transferred from other hospitals. With-YACHT patients experienced coronavirus disease 2019-associated respiratory failure more frequently (0 vs. 27,
    Conclusions: Mortality was not significantly different pre- and post-YACHT establishment; however, it helped promote regionalization and centralization in Yokohama-Yokosuka areas. We will collect more cases to demonstrate YACHT's usefulness.
    Language English
    Publishing date 2024-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.953
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  3. Article ; Online: Association of obesity paradox with prognosis of veno-venous-extracorporeal membrane oxygenation in patients with coronavirus disease 2019.

    Honzawa, Hiroshi / Taniguchi, Hayato / Ogawa, Fumihiro / Oi, Yasufumi / Abe, Takeru / Takeuchi, Ichiro

    Acute medicine & surgery

    2023  Volume 10, Issue 1, Page(s) e871

    Abstract: Aim: Although the obesity paradox is known for various diseases, including cancer and acute respiratory distress syndrome, little is known about veno-venous extracorporeal membrane oxygenation (VV-ECMO) in patients with coronavirus disease 2019 (COVID- ... ...

    Abstract Aim: Although the obesity paradox is known for various diseases, including cancer and acute respiratory distress syndrome, little is known about veno-venous extracorporeal membrane oxygenation (VV-ECMO) in patients with coronavirus disease 2019 (COVID-19). In this study, we aimed to investigate the association between body mass index (BMI) and prognosis in critical patients with COVID-19 requiring VV-ECMO.
    Methods: We conducted a retrospective observational single-center study at Yokohama City University Civic General Medical Center between March 2020 and October 2021. Participants were patients with COVID-19 who required VV-ECMO. They were classified into two groups: BMI ≤30 kg/m
    Results: In total, 23 patients were included in the analysis, with a median BMI of 28.7 kg/m
    Conclusion: VV-ECMO induction for patients with COVID-19 may lead to earlier indications in patients with BMI >30 kg/m
    Language English
    Publishing date 2023-07-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.871
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  4. Article ; Online: Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study.

    Honzawa, Hiroshi / Taniguchi, Hayato / Abe, Takeru / Takeuchi, Ichiro / Inoue, Akihiko / Hifumi, Toru / Sakamoto, Tetsuya / Kuroda, Yasuhiro

    The American journal of emergency medicine

    2024  Volume 78, Page(s) 69–75

    Abstract: Purpose: The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association ... ...

    Abstract Purpose: The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA undergoing ECPR.
    Materials and methods: A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison.
    Results: A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652-1.236], p = 0.509).
    Conclusions: The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge.
    MeSH term(s) Humans ; Out-of-Hospital Cardiac Arrest/therapy ; Extracorporeal Membrane Oxygenation ; Treatment Outcome ; Perfusion ; Cardiopulmonary Resuscitation ; Catheters ; Retrospective Studies
    Language English
    Publishing date 2024-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2024.01.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Point-of-care lung ultrasound for the assessment of pneumonia: a narrative review in the COVID-19 era.

    Kameda, Toru / Mizuma, Yoshihiro / Taniguchi, Hayato / Fujita, Masato / Taniguchi, Nobuyuki

    Journal of medical ultrasonics (2001)

    2021  Volume 48, Issue 1, Page(s) 31–43

    Abstract: In the coronavirus disease-2019 (COVID-19) era, point-of-care lung ultrasound (LUS) has attracted increased attention. Prospective studies on LUS for the assessment of pneumonia in adult patients were extensively carried out for more than 10 years before ...

    Abstract In the coronavirus disease-2019 (COVID-19) era, point-of-care lung ultrasound (LUS) has attracted increased attention. Prospective studies on LUS for the assessment of pneumonia in adult patients were extensively carried out for more than 10 years before this era. None of these prospective studies attempted to differentiate bacterial and viral pneumonia in adult patients using LUS. The majority of studies considered the LUS examination to be positive if sonographic consolidations or multiple B-lines were observed. Significant differences existed in the accuracy of these studies. Some studies revealed that LUS showed superior sensitivity to chest X-ray. These results indicate that point-of-care LUS has the potential to be an initial imaging modality for the diagnosis of pneumonia. The LUS diagnosis of ventilator-associated pneumonia in intensive care units is more challenging in comparison with the diagnosis of community-acquired pneumonia in emergency departments due to the limited access to the mechanically ventilated patients and the high prevalence of atelectasis. However, several studies have demonstrated that the combination of LUS findings with other clinical markers improved the diagnostic accuracy. In the COVID-19 era, many case reports and small observational studies on COVID-19 pneumonia have been published in a short period. Multiple B-lines were the most common and consistent finding in COVID-19 pneumonia. Serial LUS showed the deterioration of the disease. The knowledge and ideas on the application of LUS in the management of pneumonia that are expected to accumulate in the COVID-19 era may provide us with clues regarding more appropriate management.
    MeSH term(s) COVID-19/diagnostic imaging ; Community-Acquired Infections/diagnostic imaging ; Humans ; Lung/diagnostic imaging ; Pneumonia/diagnostic imaging ; Pneumonia, Bacterial/diagnostic imaging ; Pneumonia, Ventilator-Associated/diagnostic imaging ; Point-of-Care Systems ; SARS-CoV-2 ; Ultrasonography
    Language English
    Publishing date 2021-01-13
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 1396630-3
    ISSN 1613-2254 ; 0287-0592 ; 1346-4523
    ISSN (online) 1613-2254
    ISSN 0287-0592 ; 1346-4523
    DOI 10.1007/s10396-020-01074-y
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  6. Article ; Online: Temporal changes in peripheral regional oxygen saturation associated with return of spontaneous circulation after out-of-hospital cardiac arrest: A prospective observational cohort study in Japan.

    Taniguchi, Hayato / Abe, Takeru / Doi, Tomoki / Nakamura, Kyota / Matsumoto, Jun / Takeuchi, Ichiro

    Resuscitation

    2022  Volume 174, Page(s) 68–74

    Abstract: Aim: Temporal changes in cerebral regional oxygen saturation (crSO: Methods: This was a prospective study at two tertiary emergency centres in Japan. We evaluated the relationship between ROSC and temporal changes in crSO: Results: We included 145 ...

    Abstract Aim: Temporal changes in cerebral regional oxygen saturation (crSO
    Methods: This was a prospective study at two tertiary emergency centres in Japan. We evaluated the relationship between ROSC and temporal changes in crSO
    Results: We included 145 patients with OHCA, of whom 35 achieved ROSC. Witness status (odds ratio [95% confidence interval]: 11.6 [3.13-58.1]) and ΔprSO
    Conclusion: We demonstrated for the first time that prSO
    MeSH term(s) Cardiopulmonary Resuscitation ; Humans ; Japan/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Oxygen Saturation ; Prospective Studies ; Return of Spontaneous Circulation
    Language English
    Publishing date 2022-03-28
    Publishing country Ireland
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2022.03.024
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  7. Article ; Online: Immunomodulation by Inflammation during Liver and Gastrointestinal Tumorigenesis and Aging.

    Nagai, Nao / Kudo, Yotaro / Aki, Daisuke / Nakagawa, Hayato / Taniguchi, Koji

    International journal of molecular sciences

    2021  Volume 22, Issue 5

    Abstract: Chronic inflammation is thought to promote tumorigenesis and metastasis by several mechanisms, such as affecting tumor cells directly, establishing a tumor-supporting microenvironment, enhancing tumor angiogenesis, and suppressing antitumor immunity. In ... ...

    Abstract Chronic inflammation is thought to promote tumorigenesis and metastasis by several mechanisms, such as affecting tumor cells directly, establishing a tumor-supporting microenvironment, enhancing tumor angiogenesis, and suppressing antitumor immunity. In this review, we discuss the recent advances in our understanding of how inflammation induces the immunosuppressive tumor microenvironment, such as increasing the level of pro-inflammatory cytokines, chemokines, and immunosuppressive molecules, inducing immune checkpoint molecules and cytotoxic T-cell exhaustion, and accumulating regulatory T (Treg) cells and myeloid-derived suppressor cells (MDSCs). The suppression of antitumor immunity by inflammation is especially examined in the liver and colorectal cancer. In addition, chronic inflammation is induced during aging and causes age-related diseases, including cancer, by affecting immunity. Therefore, we also discuss the age-related diseases regulated by inflammation, especially in the liver and colon.
    MeSH term(s) Aging/immunology ; Aging/pathology ; Animals ; Cell Transformation, Neoplastic/immunology ; Cell Transformation, Neoplastic/pathology ; Gastrointestinal Neoplasms/immunology ; Gastrointestinal Neoplasms/pathology ; Humans ; Immunomodulation ; Inflammation/immunology ; Liver Neoplasms/immunology ; Liver Neoplasms/pathology
    Language English
    Publishing date 2021-02-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22052238
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  8. Article: Save the ICU and save lives during the COVID-19 pandemic

    Taniguchi, Hayato / Shime, Nobuaki

    J. Intensive Care

    Abstract: Appropriate critical care delivery for Coronavirus disease 2019 (COVID-19) is a cornerstone in saving lives. Earlier publications worldwide demonstrate higher mortality among patients receiving mechanical ventilation in intensive care units during " ... ...

    Abstract Appropriate critical care delivery for Coronavirus disease 2019 (COVID-19) is a cornerstone in saving lives. Earlier publications worldwide demonstrate higher mortality among patients receiving mechanical ventilation in intensive care units during "surges"in the number of cases. In contrast, lower mortality outcomes are evident in Japan using CRISIS [CRoss Icu Searchable Information System] data by the national registry, Japan ECMOnet for COVID-19. This highlights the need for scientific analysis of the medical factors contributing to high survival rates and social factors associated with low case "surges,"to gain insight into protective strategies for possible coming waves in the COVID-19 pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #598892
    Database COVID19

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  9. Article ; Online: Trauma severity associated with stress index in emergency settings: an observational prediction-and-validation study.

    Taniguchi, Hayato / Doi, Tomoki / Abe, Takeru / Takeuchi, Ichiro

    Acute medicine & surgery

    2020  Volume 7, Issue 1, Page(s) e493

    Abstract: Aim: Early judgments for treating severe trauma patients are essential for life-saving. Stress index (SI), obtained from a division of blood glucose level by serum potassium at arrival, might be useful for early prediction. However, the efficacy of SI ... ...

    Abstract Aim: Early judgments for treating severe trauma patients are essential for life-saving. Stress index (SI), obtained from a division of blood glucose level by serum potassium at arrival, might be useful for early prediction. However, the efficacy of SI was unknown. The purpose of this study was to identify and validate prediction models of severe trauma (ST) and the need for damage control operation (DCOP) and massive transfusion (MT) by using SI among trauma patients.
    Methods: This study was a retrospective and prospective observational study. The prediction models were created by 1-year retrospective data of 167 trauma patients. The prediction models were validated by 6 months of prospective data of 87 trauma patients.
    Results: The prediction model for ST contained respiratory rate and SI as significant factors. The prediction model for DCOP contained SI. The prediction model for MT contained systolic blood pressure and SI. The correlation of probability of MT, ST, and DCOP was
    Conclusion: We identified and validated our prediction models for ST and the need for DCOP and MT among trauma patients using SI as a main predictor. Our models indicated that fewer variables in an early phase of the treatment process can inform clinicians regarding how severe a patient is and which intervention is needed.
    Language English
    Publishing date 2020-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2751184-4
    ISSN 2052-8817 ; 2052-8817
    ISSN (online) 2052-8817
    ISSN 2052-8817
    DOI 10.1002/ams2.493
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  10. Article ; Online: Iliopsoas Hematoma in Patients Undergoing Venovenous ECMO.

    Taniguchi, Hayato / Ikeda, Tokuji / Takeuchi, Ichiro / Ichiba, Shingo

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2020  Volume 30, Issue 1, Page(s) 55–63

    Abstract: Background: Iliopsoas hematoma occasionally occurs in patients receiving anticoagulation therapy. It may be a life-threatening complication and can cause disseminated intravascular coagulation, which could develop into abdominal compartment syndrome. ... ...

    Abstract Background: Iliopsoas hematoma occasionally occurs in patients receiving anticoagulation therapy. It may be a life-threatening complication and can cause disseminated intravascular coagulation, which could develop into abdominal compartment syndrome. The incidence of and factors associated with iliopsoas hematoma during venovenous extracorporeal membrane oxygenation (ECMO) have not been well studied.
    Objectives: To describe the incidence of iliopsoas hematoma and associated factors among patients undergoing venovenous ECMO.
    Methods: A retrospective cohort study was conducted at Nippon Medical School Hospital from April 2015 to October 2018. All patients (>18 years old) with iliopsoas hematoma received a diagnosis based on computed tomography.
    Results: During the study period, 54 patients were supported with venovenous ECMO. Iliopsoas hematoma occurred in 8 of those patients (15%), none of whom had disseminated intravascular coagulopathy or abdominal compartment syndrome develop. Univariate analysis indicated that management of ECMO while the patient was awake and mobilization beyond sitting on the edge of the bed were significantly different (P < .05) in patients with and patients without iliopsoas hematoma. Mortality, however, did not differ significantly between the 2 groups.
    Conclusions: Our findings emphasize that recognizing factors associated with iliopsoas hematoma and detecting them early are crucial during venovenous ECMO in order to treat patients with iliopsoas hematoma appropriately.
    MeSH term(s) Extracorporeal Membrane Oxygenation/adverse effects ; Hematoma/diagnostic imaging ; Hematoma/etiology ; Hematoma/therapy ; Humans ; Retrospective Studies
    Language English
    Publishing date 2020-12-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2021351
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