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elucidation of the brain circulation during prehospital resuscitation

Research Project

Project/Area Number 15H05007
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionOsaka University

Principal Investigator

SHIOZAKI TADAHIKO  大阪大学, 医学部附属病院, 助教 (60278687)

Co-Investigator(Kenkyū-buntansha) 竹川 良介  大阪大学, 医学系研究科, 特任助教(常勤) (30759577)
酒井 智彦  大阪大学, 医学部附属病院, 特任助教(常勤) (50456985)
嶋津 岳士  大阪大学, 医学系研究科, 教授 (50196474)
吉矢 和久  大阪大学, 医学部附属病院, 助教 (40379201)
松本 直也  大阪大学, 医学系研究科, 招へい教員 (50359808)
清水 健太郎  大阪大学, 医学部附属病院, 助教 (60379203)
小倉 裕司  大阪大学, 医学系研究科, 准教授 (70301265)
廣瀬 智也  大阪大学, 医学系研究科, 招へい教員 (70597509)
大西 光雄  大阪大学, 医学部附属病院, 講師 (70597830)
田崎 修  長崎大学, 病院(医学系), 教授 (90346221)
射場 治郎  大阪大学, 医学部附属病院, 助教 (40570536)
森 宣人  大阪大学, 医学部附属病院, 医員 (00747149)
Research Collaborator HAYASHIDA Sumito  大阪市消防局, 警防部司令課
OCHI Seiichi  大阪市消防局, 生野消防署
NOMURA Junji  大阪市中央消防署
KITAGAWA Souichi  大阪市中央消防署
YAMAO Shinpei  大阪市消防局, 救急部救急課
NAKAE Kouji  大阪市消防局, 救急部救急課
TSUJINO Junya  大阪市消防局, 救急部救急課
SATOU Keiichi  大阪市消防局, 救急部救急課
SHIGEMATSU Shinji  大阪市消防局, 救急部救急課
SAKO Tatsuya  大阪市消防局, 救急部救急課
TAKEMOTO Yasunori  大阪市消防局, 北消防署
YOSHIDA Narutoshi  大阪市消防局, 救急部救急課
OHTA Shinji  大阪市消防局, 救急部救急課
HASHIGUCHI Junichi  大阪市消防局, 救急部救急課
HOTTA Akihiro  大阪市消防局, 救急部救急課
UCHIKADO Kakeru  大阪市消防局, 此花消防署
HAMAKAWA Naoki  大阪市消防局, 救急部救急課
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥16,770,000 (Direct Cost: ¥12,900,000、Indirect Cost: ¥3,870,000)
Fiscal Year 2017: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2015: ¥7,150,000 (Direct Cost: ¥5,500,000、Indirect Cost: ¥1,650,000)
Keywords心肺停止 / 心肺蘇生 / 脳酸素飽和度 / 携帯型機器 / 病院前治療 / 救急隊 / HAND ai TOS / パルスオキシメーター / 低酸素脳症 / CCCPR16 / 救命士 / 救急蘇生学 / 脳循環
Outline of Final Research Achievements

We began serial measurements of cerebral oxygen saturation (rSO2) in patients with cardiopulmonary arrest in clinical settings in March 2018 and obtained the data of 67 cases. We roughly classified the patterns of rSO2 during cardiopulmonary resuscitation into three types: 1) increase in 31 cases, 2) plateau in 31 cases, and 3) decline in 5 cases. We present the results at the American Heart Association Scientific Sessions every year and have received great acclaim from the members of the International Liaison Committee on Resuscitation.
In January 2017, we initiated a multicenter study (the TripleCPR 16 study) to determine whether “a rhythm check every 2 minutes is really necessary”. By the end of March 2018, 131 patients were enrolled, and no significant adverse events have been reported. Results of the intermediate subgroup analysis show that rSO2 values did not increase in patients with either type A acute aortic dissection or stone heart.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (17 results)

All 2017 2016 2015

All Journal Article (5 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 5 results,  Open Access: 4 results,  Acknowledgement Compliant: 4 results) Presentation (12 results) (of which Int'l Joint Research: 8 results)

  • [Journal Article] Relationship between Intracranial Pressure or Cerebral Perfusion Pressure and Prognosis in Patients with Severe Traumatic Brain Injury Treated with Mild Hypothermia2017

    • Author(s)
      Hayakawa Koichi、Tasaki Osamu、Iwamura Hiromu、Wada Daiki、Saitou Fukuki、Iba Jiro、Yoshiya Kazuhisa、Ikegawa Hitoshi、Shiozaki Tadahiko、Nakamori Yasushi、Fujimi Satoshi、Shimazu Takeshi、Kuwagata Yasuyuki
    • Journal Title

      Journal of Trauma & Treatment

      Volume: 06 Issue: 02 Pages: 1-6

    • DOI

      10.4172/2167-1222.1000380

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The relationship between cerebral regional oxygen saturation during extracorporeal cardiopulmonary resuscitation and the neurological outcome in a retrospective analysis of 16 cases.2017

    • Author(s)
      Ehara N, Hirose T, Shiozaki T, Wakai A, Nishimura T, Mori N, Ohnishi M, Sadamitsu D, Shimazu T
    • Journal Title

      J Intensive Care

      Volume: Feb 23 Issue: 1 Pages: 20-20

    • DOI

      10.1186/s40560-017-0216-1

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Hemodynamic effects of electrical muscle stimulation in the prophylaxis of deep vein thrombosis for intensive care unit patients: a randomized trial.2017

    • Author(s)
      Ojima M, Takegawa R, Hirose T, Ohnishi M, Shiozaki T, Shimazu T
    • Journal Title

      J Intensive Care

      Volume: Jan 13 Issue: 1 Pages: 9-9

    • DOI

      10.1186/s40560-016-0206-8

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Prehospital portable monitoring of cerebral regional oxygen saturation (rSO2) in seven patients with out‑of‑hospital cardiac arrest.2016

    • Author(s)
      Hirose T, Shiozaki T, Nomura J, Hamada Y, Sato K, Katsura K, Ehara N, Wakai A, Shimizu K, Ohnishi M, Hayashida S, Sadamitsu D and Shimazu T
    • Journal Title

      BMC Research Notes

      Volume: 9 Issue: 1 Pages: 428-428

    • DOI

      10.1186/s13104-016-2239-4

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Load-distributing-band cardiopulmonary resuscitation for out-of-hospital cardiac arrest increases regional cerebral oxygenation: a single-center prospective pilot study.2015

    • Author(s)
      Yoshihito Ogawa, Tadahiko Shiozaki, Tomoya Hirose, and et al
    • Journal Title

      SJTREM (Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)

      Volume: 23 Issue: 1 Pages: 99-99

    • DOI

      10.1186/s13049-015-0182-3

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Is Cerebral Regional Oxygen Saturation (rSO2) Useful As A Physiological Monitoring Tool During CPR In Pre- hospital Settings?: An Analysis Of 51 Cases In Osaka, Japan2017

    • Author(s)
      Tomohiko Sakai, Tadahiko Shiozaki, Mitsuo Ohnishi, Ryosuke Takegawa, Tomoya Hirose, Takeshi Shimazu
    • Organizer
      American Heart Association 2017 (AHA 2017)
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 心肺停止患者に対する連続胸骨圧迫の有用性の検討:triple CPR 16study2017

    • Author(s)
      竹川良介、塩崎忠彦、大西光雄、酒井智彦、嶋津岳士
    • Organizer
      第45回日本救急医学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 蘇生ガイドライン2020への挑戦 脳酸素飽和度を生理学的指標に2017

    • Author(s)
      酒井 智彦、大西 光雄、塩崎 忠彦、竹川 良介、森 宣人、廣瀬 智也、嶋津 岳士
    • Organizer
      第45回日本救急医学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 救急隊による心肺停止症例へ研究的取り組み-CPA症例の現場脳酸素飽和度測定研究2017

    • Author(s)
      村井 勝、酒井 智彦、塩崎 忠彦、廣瀬 智也、林 哲也、大浜 誠一郎、上田 宣克、越智 聖一、大西 光雄、嶋津 岳士
    • Organizer
      第20回日本臨床救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 救護活動にて従来の酸素飽和度モニターが測定不能でも脳酸素飽和度測定にて病状悪化を認識できた1例2017

    • Author(s)
      林 哲也、酒井 智彦、塩崎 忠彦、廣瀬 智也、村井 勝、大浜 誠一郎、上田 宣克、越智 聖一、大西 光雄、嶋津 岳士
    • Organizer
      第20回日本臨床救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Can we predict the probability of ROSC by the change in cerebral rSO2 value?2016

    • Author(s)
      Takegawa R, Shiozaki T, Hirose T, Mori N, Sakai T, Ohnishi M, Shimazu T
    • Organizer
      American Heart Association 2016 (AHA 2016)
    • Place of Presentation
      米国ニューオリンズ州ルイジアナ
    • Year and Date
      2016-11-12
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Correlation between Regional Cerebral Oxygen Saturation (rSO2) and Arterial Blood Gas (ABG) during Cardiopulmonary Resuscitation.2016

    • Author(s)
      Tajima G, Shiozaki T, Ogawa Y, Hirose T, Mori N, Ueki T, Izumino H, Yamano S, Hirao T, Inokuma T, Yamashita K, Tasaki O
    • Organizer
      American Heart Association 2016 (AHA 2016)
    • Place of Presentation
      米国ニューオリンズ州ルイジアナ
    • Year and Date
      2016-11-12
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The hemoglobin index:a possible new method for the screening of subarachnoid hemorrhage.2016

    • Author(s)
      Mori N, Hirose T, Yoshiya K, Ohnishi M, Shiozaki T, Shimazu T
    • Organizer
      American Association of Neurological Surgeons 2016
    • Place of Presentation
      米国イリノイ州シカゴ
    • Year and Date
      2016-04-30
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The hemoglobin index: a possible new method for the screening of subarachnoid hemorrhage2016

    • Author(s)
      Nobuto Mori, Tomoya Hirose, Kazuhisa Yoshiya, Mitsuo Ohnishi, Tadahiko Shiozaki, Takeshi Shimazu
    • Organizer
      84TH AANS Annual Scientific Meeting 2016
    • Place of Presentation
      米国 イリノイ州 シカゴ
    • Year and Date
      2016-04-30
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The relationship between cerebral regional oxygen saturation during extracorporeal cardiopulmonary resuscitation and neurological outcome.2015

    • Author(s)
      Tomoya Hirose, Naoki Ehara , Tadahiko Shiozaki, Akinori Wakai, Tetsuro Nishimura, Nobuto Mori, Mitsuo Ohnishi, Daikai Sadamitsu, Takeshi Shimazu
    • Organizer
      American Heart Association Scientific Sessions 2015 Resuscitation Science Symposium
    • Place of Presentation
      米国 フロリダ州 オーランド
    • Year and Date
      2015-11-07
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The Monitoring of rSO2 Value During CPR is Useful for High-Quality CPR2015

    • Author(s)
      Yoshihito Ogawa, Tadahiko Shiozaki, Tomoya Hirose, Goro Tajima, Tetsuo Nishimura, Hiroshi Ogura, Masashi Kishi, Takeshi Shimazu
    • Organizer
      American Heart Association Scientific Sessions 2015 Resuscitation Science Symposium
    • Place of Presentation
      米国 フロリダ州 オーランド
    • Year and Date
      2015-11-07
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Differential Recovery Between Regional Cerebral Oxygen Saturation and Physiological Parameters in Cardiopulmonary Arrest Patients After Return of Spontaneous Circulation2015

    • Author(s)
      Goro Tajima, Tadahiko Shiozaki, Yoshihito Ogawa, Tomoya Hirose, Nobuto Mori, Tomohiro Ueki, Hiroo Izumino, Shuhei Yamano, Tomohito Hirao, Takamitsu Inokuma, Kazunori Yamashita, Osamu Tasaki
    • Organizer
      American Heart Association Scientific Sessions 2015 Resuscitation Science Symposium
    • Place of Presentation
      米国 フロリダ州 オーランド
    • Year and Date
      2015-11-07
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2019-03-29  

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