Ryo Kamidani

Toward an endothelium-centered framework for obstetric disseminated intravascular coagulation: Harmonizing pathophysiology, diagnosis, and treatment

Ryo Kamidani, Hideshi Okada

BACKGROUND: Obstetric disseminated intravascular coagulation (DIC) is a life-threatening coagulopathy triggered by placental abruption, amniotic fluid embolism, HELLP syndrome, and postpartum hemorrhage. Although rapid hemostasis and transfusion are central to management, growing evidence implicates endothelial injury, particularly endothelial glycocalyx (eGCX) degradation, in …

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Comparison of oxygenation targets in critically ill adults: a systematic review and network meta-analysis of randomized controlled trials

Ryosuke Imai, Ryohei Yamamoto, Takayuki Niitsu, Ann-Marcia C. Tukpah et autres

Acute respiratory failure affects an estimated 13-20 million people worldwide each year, and acute lung injury carries a mortality rate of approximately 35%-45%1 To prevent hypoxemic organ injury, oxygen is typically titrated according to pulse oximetry readings.2 However, excess oxygen can generate …

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Validation of the PECARN Abdominal Rule and FAST‐AST/ALT Criteria in Pediatric Blunt Abdominal Trauma: A Retrospective Cohort Study

Ryo Kamidani, Takashi Araki, Yoshihiro Tada, Ikuya Ueta

Aims: Rapid and accurate diagnosis of intra-abdominal injuries (IAIs) is crucial for pediatric patients with blunt abdominal trauma. However, clinical assessments can be challenging in children. We evaluated several clinical decision instruments (CDIs) designed to identify children with low risk of IAI …

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Treatment of pancreatitis 2: Nutritional strategies

Ryo Kamidani, Kunihiro Shirai

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Anti-NMDA receptor encephalitis with coexisting autoimmune GFAP astrocytopathy presenting with psychiatric symptoms leading to a suicide attempt: a case report

Soichiro Kano, Ryo Kamidani, Takahito Miyake, Yuto Tamaoki et autres

BACKGROUND: Distinguishing altered consciousness owing to an underlying organic disorder from a psychiatric etiology can be challenging in patients presenting at the emergency department after a suicide attempt. CASE PRESENTATION: The patient was a 52-year-old woman who jumped from the third floor …

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Centralization and transport of critically ill pediatric patients

Ryo Kamidani, Hideshi Okada

Background: Caring for critically ill pediatric patients requires specialized expertise, centralized facilities, and efficient transport systems. The centralization of pediatric intensive care units in tertiary centers has enhanced clinical outcomes, resource efficiency, and standardized care. In this study, we provided an updated …

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A case of hemodiafiltration dialysis preventing progression of acute kidney injury in a patient with hypermyoglobinemia in one kidney: a case report

Toru Minamiyama, Shozo Yoshida, Yosuke Mizuno, Hiroki Kitagaki et autres

BACKGROUND: Rhabdomyolysis is a clinical syndrome resulting from skeletal muscle damage and the release of its breakdown products into the bloodstream. It can range from asymptomatic cases to severe conditions such as acute kidney injury. Although the release of myoglobin (molecular weight …

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024

Nobuaki Shime, Taka-aki Nakada, Tomoaki Yatabe, Kazuma Yamakawa et autres

The 2024 revised edition of the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock (J-SSCG 2024) is published by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine. This is the fourth revision since …

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024

Nobuaki Shime, Taka‐aki Nakada, Tomoaki Yatabe, Kazuma Yamakawa et autres

The 2024 revised edition of the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock (J-SSCG 2024) is published by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine. This is the fourth revision since …

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Comparison of Oxygenation Targets in Patients with Acute Respiratory Failure: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials

Ryosuke Imai, Ryohei Yamamoto, Takayuki Niitsu, Ann-Marcia C. Tukpah et autres

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Concomitant heparin use promotes skin graft donor site healing by basic fibroblast growth factor: A pilot prospective randomized controlled study

Keishi Kohyama, Hisakazu Kato, Hideshi Okada, Takuma Ishihara et autres

Owing to its mitogenic and angiogenic characteristics, the use of basic fibroblast growth factor (bFGF) to promote wound healing has been investigated. However, its clinical efficacy has fallen short of expectations due to its instability. Heparin has been reported to stabilize bFGF. …

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Successful Therapeutic Leukapheresis for Chronic Myeloid Leukemia Identified by Persistent Erection: A Case Report

Ryo Kamidani, Naokazu Chiba, Ayumi Kuroda, Akihiro Uchida et autres

Cytoreduction in leukostasis can be achieved using leukapheresis. We report a case of chronic myeloid leukemia (CML) identified by a persistent erection, which was successfully treated using the Spectra Optia®︎ apheresis system. A 29-year-old male presented with an erection for 12 hours …

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