Department of Anesthesiology
October 6,2023 Update
Introduction
The Saitama Medical Center is one of the leading university hospitals in the country with three departments, the Department of Emergency and Critical Care Medicine, the Center for Maternal-Fetal and Neonatal Medicine, and the Medical Helicopter Base Hospital, and the Department of Anesthesiology has evolved in combining with the hospital function. In the operating room, an anesthesiologist manages anesthesia in most surgeries, excluding simple local anesthesia. An anesthesiologist is on duty at all times in the intensive care room and works with the doctors involved in the whole body management of patients with severe internal medicine, and not only after major surgery. The Department of Anesthesiology has a full-time obstetric anesthesia division and is actively involved in the treatment of not only caesarean operations and painless delivery, but also with mothers from the early stages of pregnancy to childbirth and even newborn babies.
In the pain clinic, we cooperate with the doctors of Oriental Medicine in the outpatient clinic at the Saitama Medical University Kawagoe Clinic. In addition, we are involved in almost all areas where anesthesiology can be involved, including medical helicopter doctors and cardiopulmonary resuscitation regular training. In this way, the Department of Anesthesiology at the Saitama Medical Center is involved in safe and high-quality systemic management in a wide range of areas, centering on the four pillars of operating room anesthesia, intensive care room management, maternity anesthesia, and the pain clinic.
Patient care at our department
- Operating Room Anesthesia
- We manage anesthesia according to the patient's condition so that surgery is performed safely for more than 7,000 surgeries per year. We will examine the patient and plan the anesthetic method before the surgery. You may be asked to visit an outpatient clinic prior to anesthesia (by appointment only), depending on your chronic illness and its degree. The anesthesia is adjusted during the surgery according to the situation of the operation and the patient's condition. We prepare for the case of unforeseen circumstances. Postoperative rounds are performed after surgery to confirm that there are no complications from the anesthesia. Please let us know if you have any comments related to anesthesia or surgery.
- Intensive care
- The Department of Emergency and Critical Care Medicine at the Saitama Medical Center has a general intensive care room (GICU) on the second floor, and the Department of Anesthesiology plays a part with the doctors in the management of severe patients. From April 2017, we increased from 6 anesthesia management beds to 8 anesthesia management beds and the Cardiovascular Care Unit (CCU)/Stroke Care Unit (SCU) went to 12 beds. As acute medical care professionals, we support medical treatment as a key to team medicine with the main department, related medical departments, dedicated nurses, pharmacist, etc., for patients with cardiac surgery, neurosurgery, and abdominal surgery, and patients who need comprehensive postoperative management, and for patients with serious medical conditions. We also provide advice as appropriate in the Cardiovascular Care Unit (CCU)/Stroke Care Unit (SCU), of which basically an attending physician is in charge.
- Pain clinic and acupuncture treatment
- For "pain", we diagnose the cause of pain from the symptoms, physical findings and various tests, and then use methods such as neural blocks and medication to relieve the pain. The "Saitama Medical Center" and the "Kawagoe Clinic" in front of Kawagoe station perform treatment. The Kawagoe clinic is mainly an outpatient clinic that works with sports outpatient, osteoporosis outpatient, the Department of Rehabilitation, Department of Psychiatry, and Oriental medicine (acupuncture outpatient, Oriental medicine outpatient), etc., and we carry out the "treatment of pain" comprehensively. At present, initial consultations are not accepted at the pain clinic at the Saitama Medical Center. This is only done at the Kawagoe clinic, and it is a reservation only system.
- Obstetric Anesthesiology/labor analgesia
- We strive to provide safe anesthesia for mothers and children in order to create an environment in which children can be born and raised with peace of mind. We primarily perform epidural painless delivery, cesarean anesthesia, surgical anesthesia during pregnancy, anesthesia for fetuses and newborns, and severe maternal management. They can get a reservation at the outpatient departments of obstetrics and anesthesiology by telling the obstetrician if they wish to receive consultation during a pregnancy checkup. In addition, they may be recommended to visit our clinic by the physician in charge of their medical treatment.
Target Symptoms
Pain clinic and acupuncture treatment
This is intended for diseases that can be seen in various departments such as the Department of Orthopaedic Surgery, Department of Dermatology, Department of Otolaryngology, Oral Surgery, Department of Psychiatry, and Terminal care. These include a wide range including herniated discs, spinal stenosis, posttherpetic neuralgia, facial paralysis, trigeminal neuralgia, facial cramps, and cancerous pain.
The treatment plan is based on the diagnosis obtained based on the properties of the pain and the neurological findings and is centered on neural block treatment, and the treatment is carried out with an appropriate combination of analgesic auxiliary medicine and opioid analgesics.
Blocks that can be carried out in our department
- Echo guide method block
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- Brachial plexus block
- Stellate ganglia block
- Intervertebral joint block
- TAP block
- Lumbar plexus block
- Articulatio sacroiliaca block
- Intercostal nerve block
- PECS/PECS II Block
- Saphenous nerve block
- Bursa subacromialis block
- Suprascapular nerve block
- Trigeminal nerve block
- Pulse treatment, etc.
- Landmark method block
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- Lumbar epidural block
- Sacral epidural block
- Intervertebral joint block
- Trigger point block
- Intraarticular injection
- Perspective block
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- Nerve root block/pulse treatment
- Lumbar plexus block
- Intervertebral contrast
- Intervertebral joint block
Treatment results
| Total number of surgeries | 7,757 |
| Department of Anesthesiology managed number | 6,633 |
| Total number of patients entering the intensive care unit | 824 |
| Postoperative management | 797 |
| Number of obstetric anesthesiology cases | 811 |
| Anesthesia for Caesarean delivery | 518 |
| Pain relief during labor (neuraxial analgesia) | 93 |
| Anesthesia for non-obstetric surgeries during pregnancy | 80 |
| Anesthesia for fetal treatment | 7 |
| Anesthesia for postpartum transfer patients | 37 |
| Anesthesia for Assisted Reproductive Technologies | 76 |
| Obstetric anesthesia consultation | 751 |
| Number of perspective blocks | 1,371 |
| Nerve root block | 371 |
| Intervertebral joint block | 249 |
| Articulatio sacroiliaca block | 83 |
| Epidural block | 161 |
| Epidural washing | 10 |
| Lumbar plexus block | 304 |
| Thoracic side spine block | 57 |
| Radiofrequency thermocoagulation | 123 |
| Other | 13 |
Medical staff(Anesthesiology)
| Name | Job Title | Position | Specialized Field | Credentials |
|---|---|---|---|---|
| 小山 薫 (Koyama Kaoru)  |
Professor | Chief of Clinical Services Chief of Education |
Anesthesiology Intensive care 疼痛治療学 |
Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist the Japanese society of Intensive Care Medicine専門医 Japan Socienty of Pain Clinicians専門医 Japanese Society of Cardiovascular Anesthesiologists専門医 |
| 小幡 英章 (Obata Hideaki)  |
Professor | vise chief director of clinical practice subhead of research |
anesthesia pain clinic |
Japanese Society of Anesthesiologists 指導医 Certified physician of the Japanese Society of Pain Clinic Certified instructor of the Japanese Society of Regional Anesthesia |
| 鈴木 俊成 (Suzuki Toshinari)  |
Associate Professor | Vice-Chief of Education | Anesthesiology Regional anesthesia 周術期輸液 |
Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist Certified physician of the Japanese Society of Regional Anesthesia |
| 加藤 崇央 (Kato Takao)  |
Associate professor | Chief of Research | Anesthesiology Intensive care |
Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist the Japanese society of Intensive Care Medicine専門医 Japanese Society of Cardiovascular AnesthesiologistsJB-POT専門医 |
| 清水 健次 (Shimizu Kenji)  |
Assistant Professor | Anesthesiology 疼痛治療学 |
Japanese Society of Anesthesiologists 専門医 Japan Socienty of Pain Clinicians専門医 Registered Anesthesiologist |
|
| 丸尾 俊彦 (Maruo Toshihiko)  |
Assistant Professor | Manager of Inpatient Services | Anesthesiology 疼痛治療学 |
Japanese Society of Anesthesiologists 認定医 Japan Socienty of Pain Clinicians専門医 Registered Anesthesiologist |
| 山家 陽児 (Yanbe Youji)  |
Assistant Professor | Anesthesiology 疼痛治療学 |
Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist |
|
| 田澤 和雅 (Tazawa Kazumasa)  |
Instructor | Anesthesiology Intensive care |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 北岡 良樹 (Kitaoka Yoshiki) |
Instructor | Anesthesiology Intensive care |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 原口 靖比古 (Haraguchi Yasuhiko)  |
Instructor | Anesthesiology Intensive care |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 杉本 真由 (Sugimoto Mayu) |
Instructor | Anesthesiology 疼痛治療学 |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 伊野田 絢子 (Inoda Ayako)  |
Instructor | Anesthesiology Intensive care |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 金子 友美 (Kaneko Tomomi)  |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 黒川 右基 (Kurokawa Yuuki) |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 岡田 啓 (Okada Akira) |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 坂本 尚子 (Sakamoto Shouko)  |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 大久保 訓秀 (Ookubo Kunihide)  |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 松浦 千穂 (Matsuura Chiho)  |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 認定医 Registered Anesthesiologist |
|
| 高橋 綾子 (Takahashi Ayako) |
Instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 住井 啓介 (Sumii Keisuke)  |
Instructor | Clinical anesthesia Obstetric anesthesia |
Registered anesthesiologist Japanese Society of Anesthesiologists. Registered anesthesiologist MHLW in Japan |
|
| 永井 隆文 (Nagai Takafumi) |
Instructor | Anesthesiology | Registered Anesthesiologist | |
| 髙山 瑠衣 (Takayama Rui) |
Instructor | Anesthesiology | ||
| 二宮 裕 (Ninomiya Hiroshi) |
Instructor | Anesthesiology | ||
| 黒木 将貴 (Kuroki Masataka) 
|
staff | Anesthesiology | Certified physician of the Japanese Society of Anesthesiology | |
| 荻野 礼眸 (Ogino Raimu) 
|
resident | Anesthesiology | ||
| 奥田 理沙 (Okuda Risa) 
|
resident | Anesthesiology | ||
| 小野 元彰 (Ono Motoaki)  |
resident | Anesthesiology | ||
| 柴田 実央子 (Shibata Mioko) 
|
resident | Anesthesiology | ||
| 濱岡 育海 (Hamaoka Ikumi) 
|
resident | Anesthesiology | ||
| 木村 亜紀子 (Kimura Akiko) |
Instructor | Anesthesiology | ||
| 横谷 円 (Yokotani Madoka) |
Instructor | Anesthesiology | ||
| 小島 拓也 (Kojima Takuya) |
Instructor | Anesthesiology | ||
| 境田 文威 (Sakaida Fumitake) |
Instructor | Anesthesiology | ||
| 吉田 賢一 (Yoshida Kenichi) |
Instructor | Anesthesiology | ||
| (兼)山口 智 (Yamaguchi Satoru) |
Assistant Professor | Oriental Medicine(acupuncture) | （公社）全日本鍼灸学会認定 （公社）日本鍼灸師会専門領域制度（スポーツ医学、老年医学、婦人科疾患、リスクマネージメント） 博士（医学） |
|
| (兼)小山 愛 (Kouchi Ai) |
Assistant Professor | Oriental Medicine(acupuncture) | 学士（鍼灸学） | |
| (兼)堀部 豪 (Horibe Gou)  |
Assistant Professor | Oriental Medicine(acupuncture) | 修士（臨床鍼灸学） | |
| 宮尾 秀樹 (Miyao hideki) |
Visiting Professor | Anesthesiology Intensive care 周術期輸液 |
Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist |
|
| 官川 響 (Hirokawa Touru)  |
非常勤講師 | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 源田 正 (Genda Tadashi) |
非常勤講師 | Anesthesiology | Japanese Society of Anesthesiologists 指導医 Registered Anesthesiologist |
|
| 齋藤 利恵 (Saitou Toshie) |
Visiting instructor | Anesthesiology | Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist |
|
| 佐々木 麻美子 (Sasaki Mamiko)  |
非常勤講師 | Anesthesiology 小児麻酔科学 |
Japanese Society of Anesthesiologists 指導医 Japanese Society of Pediatric Anesthesiology認定医 |
|
| 渡邉 大智 (Watanabe Taichi) |
Visiting instructor | Anesthesiology 心臓血管麻酔学 |
Japanese Society of Anesthesiologists 専門医 Registered Anesthesiologist Japanese Society of Cardiovascular Anesthesiologists JB-POT専門医 |
|
| (兼)松浦 悠人 (Matsuura Yuuto) |
非常勤鍼灸師 | Oriental Medicine(acupuncture) | ||
| (兼)井瀬 美由季 (Ise Miyuki) |
非常勤鍼灸師 | Oriental Medicine(acupuncture) |
Medical staff(Obstetric Anesthesiology)
| Name | Job Title | Position | Specialized Field | Credentials |
|---|---|---|---|---|
| 照井 克生 (Terui Katsuo)  |
Professor | Vice Chief of Clinical Service | Obstetric Anesthesia Labor Analgesia Medical Education |
Fellow of Japanese Society of Anesthesiologists JSA Board Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) Clinical Instructor Program J-CIMELS Instructor |
| 松田 祐典 (Mazda Yusuke)  |
Associate Professor | Chief of Clincial Service Vice Chief of Research (Department of Anesthesiology) Vice Chief of Education (Department of Anesthesiology) Obstetric Anesthesia Fellowship Director |
Obstetric Anesthesia Quality Improvement Perioperative Point-Of-Care Ultrasound |
Fellow of Japanese Society of Anesthesiologists JMSB Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) Clinical Instructor Program Excellence in Quality Improvement Certificate Program |
| 野口 翔平 (Noguchi Shohei)  |
Assistant Professor | Staff Physician | Anesthesiology in General Obstetrics & Gynecology Malignant Tumor |
JSOG Board Certified Specialist JSA Qualified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) Certificate in Japanese Board of Cancer Therapy Certificate in The Japanese Board of Perioperative Transesophageal Echocardiography |
| 遠藤 奈穂 (Endo Naho)  |
Instructor | Clinical Fellow | Obstetric Anesthesia |
JMSB Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
| 鬼塚 一聡 (Onitsuka Kazutoshi)  |
Instructor | Clinical Fellow | Obstetric Anesthesia |
JMSB Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
| 金子 恒樹 (Kaneko Koki)  |
Instructor | Staff Anesthesiologist Manager in Inpatient Ward |
Obstetric Anesthesia Labor Analgesia Simulation in Medical Training |
Fellow of Japanese Society of Anesthesiologists JSA Board Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) Clinical Instructor Program |
| 田村 和美 (Tamura Kazumi) |
Instructor | Staff Anesthesiologist Manager in Outpatint Clinic |
Obstetric Anesthesia Labor Analgesia Perinatal Anesthesia Assessment |
Fellow of Japanese Society of Anesthesiologists JSA Board Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
| 渡辺 楓 (Watanabe Kaede)  |
Instructor | Clinical Fellow | Obstetric Anesthesia Cirical Care |
JMSB Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
| 黒田 瑞江 (Kuroda Mizue) |
Instructor | Clinical Fellow | Obstetric Anesthesia | JMSB Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
| 畑山 裕生 (Hatayama Yuuki) |
Instructor | Clinical Fellow | Obstetric Anesthesia | JSOG Board Certified Specialist |
| 成田 優子 (Narita Yuko) |
Visiting Instructor | Obstetric Anesthesia | JSA Board Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
|
| 星野 裕子 (Hoshino Yuko) |
Visiting Instructor | Obstetric Anesthesia | JSA Board Certified Anesthesiologist Registered Anesthesiologist (MHLW in Japan) |
Outpatient clinic
| Department of Anesthesiology | ||||||
| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | |
| 麻酔科・ペインクリニック | ||||||
| 術前診察 |
交替制 |
交替制 |
交替制 |
交替制 |
交替制 |
交替制 |
| 専門外来 |
ペインクリニック 丸尾 俊彦 (Maruo Toshihiko) |
ペインクリニック 丸尾 俊彦 (Maruo Toshihiko) |
||||
| 東洋医学・鍼 | ||||||
| 専門外来 |
堀部 豪 (Horibe Gou) （午前のみ） |
小内 愛 (Kouchi Ai) |
村橋 昌樹 (Murahashi Masaki) （午前のみ） |
菊池 友和 (Kikuchi Tomokazu) （午前のみ） |
小内 愛 (Kouchi Ai) （午前のみ） |
|
産科麻酔科外来については、産科/周産期（母体・胎児部門）の外来診療担当医表をご覧ください
To the Medical Institutions
At the Department of Anesthesiology at the Saitama Medical Center we develop excellent clinicians who can manage the whole body in a wide range of areas through training in surgery room anesthesia, intensive care unit, obstetric anesthesia and pain clinic.
Our Department of Anesthesiology is the main facility responsible for the anesthesiology specialist training, which is conducted according to the training program (Saitama Medical Center, Department of Anesthesiology specialist training program) of the Anesthesia Science Society certification. We have sufficient experience and you can train with us with confidence. After completion of tenure of senior residents, University Hospital staff or affiliated hospital staff can continue working as a full-time physician (assistant professor).
They can also obtain specialist medical qualifications such as Japan Anesthesia Society certified physician -specialist physician- as well as supervisor, intensive care specialist, pain clinic certified physician, or cardiovascular anesthesia specialist. In addition, we regularly hold AHA certified BLS, ACLS, and PALS courses, and there is a path to becoming an AHA instructor.
In the Department of Obstetric Anesthesiology, there is also a
program to nurture leaders in the future of obstetric anesthesia called the "Kawagoe
Perinatal Anesthesia Fellowship."
For details, please refer to the Department of Anesthesiology website.
