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Usefulness of the surgical room construction having new air conditioning system

Research Project

Project/Area Number 15K06323
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Architectural environment/Equipment
Research InstitutionKagawa University

Principal Investigator

Usuki Hisashi  香川大学, 医学部附属病院, 准教授 (90232834)

Project Period (FY) 2015-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords手術室 / 体温 / 術中低体温 / 空調 / HEPAfilter / 医療 / 手術室の空調 / 患者低体温 / 術者の快適性 / サーモグラフィ
Outline of Final Research Achievements

The main reason of the intraoperative hypothermia is discrepancy between the adequate temperature for the patient (Pt) and that for the surgeon. We built the new operation room (OR) with new air conditioning system (AS) after the experiments. The new AS has two parts, which are central area for a Pt and lateral area for surgeons. The temperatures of the air from the parts were controlled independently. The frequencies of the hypothermic state in the Pts undergoing surgery in the old ORs were compared with that in the new ORs. Hypothermic state was defined as a temperature cooler by 0.5°C or more than that at the starting point of surgery. In the results, the rate of hypothermic state in old ORs was 28.0% and that in new ORs was 1.9% in gastric cancer Pts. And the rate in old ORs was 35.1% and that in new ORs was 9.3% in colorectal cancer Pt. Thus, the usefulness of the new air conditioning system for achieving Pts’ normothermia and surgeons’ comfort could be verified.

Academic Significance and Societal Importance of the Research Achievements

手術時の合併症に関わる体温低下を回避する目的で多くの患者保温具が用いられているが、その保温具が使い難い術式も珍しくない。また、この保温具は術者にとっては必ずしも快適でなく、保温具の使用が術者のパフォーマンスに影響するとの報告もある。今回の空調設備は患者側には温かい空気を送り、一方、術者側には涼しい空気を送るため、術者にとっても快適であり手術の精度に影響しない。同時に室温を必要以上に下げる必要がないため、患者の体温低下も起こさない。つまり、術者も快適で最高のパフォーマンスを発揮でき、患者にとっても合併症が起きにくいだけでなく手術の精度が上がる利点がある。

Report

(6 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (31 results)

All 2020 2019 2018 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (28 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results)

  • [Journal Article] 「New Concept Air Conditioning System for the Operating Room to Minimize Patient Cooling and Surgeon Heating:A Historical Control Cohort Study」2019

    • Author(s)
      Hisashi Usuki・Hiroaki Kitamura・Yasuhisa Ando・Hironobu Suto・Eisuke Asano・Minoru Ohshima・Takayoshi Kishino・Kensuke Kumamoto・Keiichi Okano・Yasuyuki Suzuki
    • Journal Title

      World Journal of Surgery

      Volume: 44-1 Issue: 1 Pages: 44-52

    • DOI

      10.1007/s00268-019-05203-8

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] World J of Surgery 「New-concept air conditioning system of operating room to achieve both patients’ benefit avoiding intraoperative hypothermia and surgeons’ comfort」2018

    • Author(s)
      臼杵尚志
    • Journal Title

      手術医学会誌

      Volume: 38-2 Pages: 26-32

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 鏡視下手術時の体温変化と手術室建設時に行う術中保温対策2017

    • Author(s)
      臼杵尚志、古泉真理
    • Journal Title

      日本手術医学会誌

      Volume: 38 Pages: 26-32

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] SSI防止策を念頭に置いた周術期体温管理に適した手術室空調2020

    • Author(s)
      臼杵尚志
    • Organizer
      第35回日本環境感染学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 新規空調設備を備えた手術室における大腸癌症例の体温変化に関する検討2019

    • Author(s)
      臼杵尚志、和田侑希子、浅野栄介、須藤広誠、大島稔、隈元 謙介, 岡野圭一, 鈴木康之
    • Organizer
      第105回消化器病学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Hypothermia in laparoscopic surgery and new-concept air conditioning system of operating room2019

    • Author(s)
      Hisashi Usuki
    • Organizer
      第31回SMIT(International Congress of the Society for Medical Innovation and Technology)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Structure of operating room to avoid perioperative complication2019

    • Author(s)
      Hisashi Usuki
    • Organizer
      QIRT Asia 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 消化器外科手術例に対する手術室建築の観点からの感染対策2019

    • Author(s)
      臼杵尚志,上村 淳, 安藤 恭久, 須藤 広誠, 浅野 栄介, 岸野 貴賢, 大島 稔, 隈元 謙介, 岡野 圭一, 鈴木 康之
    • Organizer
      第74回日本消化器外科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 手術室の構造と周術期管理~特に体温管理について~2018

    • Author(s)
      臼杵尚志、松川浩之、西村文平、和田侑希子、古市ゆみ、安藤恭久、浅野栄介、大島稔、岸野貴賢、藤原理朗、岡野圭一、鈴木康之
    • Organizer
      第118回日本外科学会定期学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 周術期管理に有用な手術室の建設とその臨床効果2018

    • Author(s)
      臼杵尚志
    • Organizer
      第20回日本医療マネジメント学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 医学・医療機器の進化とそれを支えるもの2018

    • Author(s)
      臼杵尚志
    • Organizer
      第93回日本医療機器学会大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 胸腔鏡下切除術における合併症軽減策としての手術室空調2018

    • Author(s)
      臼杵尚志,岸野貴賢,藤原理朗,鈴木康之
    • Organizer
      第72回食道学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] OPERATING ROOM: WHICH TEMPERATURE IS COMFORTABLE FOR BOTH PATIENTS AND SURGEONS?2018

    • Author(s)
      Hisashi Usuki
    • Organizer
      European Association of Thermology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 「Air conditioning system for avoiding peri-operative complications in endoscopic surgery」2018

    • Author(s)
      臼杵尚志
    • Organizer
      第73回日本消化器外科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「Body temperature in thoracoscopic esophagectomy and air conditioning system of operation room」2018

    • Author(s)
      Hisashi Usuki, Hiroyuki Matsukawa, Bunpei Nishiura, Yumi Furuichi, Yukiko Wada, Yasuhisa Ando, Hironobu Suto, Eisuke Asano, Minoru Ohshima, Takayoshi Kishino, Masao Fujiwara, Keiichi Okano, Yasuyuki Suzuki
    • Organizer
      第16回ISDE(International Society for Diseases of the Esophagus)国際会議
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 「腹腔鏡下手術の体温管理と手術室空調」2018

    • Author(s)
      臼杵尚志,北村裕亮
    • Organizer
      第40回日本手術医学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「腹腔鏡下大腸切除術時の体温管理に有利な手術室空調」2018

    • Author(s)
      臼杵尚志、古市ゆみ、浅野栄介、隈元健介、鈴木康之
    • Organizer
      第73回大腸肛門病学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「医療安全に寄与する手術部効率化の実際」2018

    • Author(s)
      臼杵尚志,松川浩之,西浦文平,古市ゆみ,和田侑希子,上村淳,安藤恭久,須藤広誠,大島稔,岸野貴賢,隈元謙介,岡野圭一,鈴木康之
    • Organizer
      第60回日本臨床外科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「鏡視下手術の特殊性を鑑みた手術部の機能と運用、将来展望」2018

    • Author(s)
      臼杵尚志、松川浩之、西村文平、古市ゆみ、和田侑希子、安藤恭久、須藤広誠、浅野栄介、大島稔、岸野貴賢、隈元謙介、岡野圭一、鈴木康之
    • Organizer
      臼杵尚志、松川浩之、西村文平、古市ゆみ、和田侑希子、安藤恭久、須藤広誠、浅野栄介、大島稔、岸野貴賢、隈元謙介、岡野圭一、鈴木康之第34回日本内視鏡外科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「手術患者の体温管理と術者快適性の両立を企図した空調の清浄度検査と導入効果」2018

    • Author(s)
      臼杵尚志
    • Organizer
      第34回環境感染学会総会・学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「手術室空調設備の大腸癌手術中体温変化に与える影響」2018

    • Author(s)
      臼杵尚志
    • Organizer
      第15回日本消化管学会総会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 「New air conditioning system for avoiding perioperative hypothermia in laparoscopic gastrectomy」2018

    • Author(s)
      臼杵尚志
    • Organizer
      第91回日本胃癌学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 鏡視下胃切除術時の体温管理に有用な新空調システム2018

    • Author(s)
      臼杵尚志
    • Organizer
      第90回日本胃癌学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 消化管手術時の適正な体温管理を目的とした手術室の建築2017

    • Author(s)
      臼杵尚志、鈴木康之
    • Organizer
      第14回日本消化管学会総会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 内視鏡手術に特化した手術室空調とは2017

    • Author(s)
      臼杵尚志、安藤恭久、須藤広誠、浅野栄介、岸野貴賢、大島稔、藤原理朗、岡野圭一、鈴木康之
    • Organizer
      第30回日本内視鏡外科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 限られた条件下での効率性・安全性に配慮した手術部建築2017

    • Author(s)
      臼杵尚志、古泉真理、上井悦子
    • Organizer
      第39回日本手術医学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 気胸併用胸腔鏡下食道切除術の術中体温変化への影響2017

    • Author(s)
      臼杵尚志、岸野貴賢、藤原理朗、鈴木康之
    • Organizer
      第71回日本食道学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 手術室の構造から行う周術期体温管理2016

    • Author(s)
      臼杵尚志、竹谷洋、若林彩香、前田詠理、安藤恭久、上村淳、野毛誠示、前田典克、須藤広誠、浅野栄介、岸野貴賢、大島稔、藤原理朗、岡野圭一、鈴木康之
    • Organizer
      第78回日本臨床外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2016-11-24
    • Related Report
      2016 Research-status Report
  • [Presentation] 手術室建築時に行う術中保温対策2016

    • Author(s)
      臼杵尚志、古泉真理
    • Organizer
      第38回日本手術医学会総会
    • Place of Presentation
      那覇
    • Year and Date
      2016-11-05
    • Related Report
      2016 Research-status Report
  • [Presentation] Use of Thermal Imaging for Hypothermia in Surgery- Relationship between Hypothermia in Surgical Centers and in Mountain Climbing2016

    • Author(s)
      Hisashi Usuki
    • Organizer
      American Academy of Thermology 2016 Annual Session
    • Place of Presentation
      Greenville
    • Year and Date
      2016-09-10
    • Related Report
      2016 Research-status Report
  • [Presentation] 手術室の温度環境設定に関する考察2016

    • Author(s)
      臼杵尚志、竹谷洋、若林彩香、前田詠理、阪部雅章、上村淳、野毛誠示、前田典克、須藤広誠、浅野栄介、岸野貴賢、山本尚樹 藤原理朗、岡野圭一、鈴木康之
    • Organizer
      第33回日本サーモロジー学会
    • Place of Presentation
      奈良
    • Year and Date
      2016-05-14
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2021-02-19  

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