研究者業績

淺野 直樹

asano naoki

基本情報

所属
藤田保健衛生大学 医学部 医学科 リハビリテーション医学Ⅱ 助教
学位
博士(医学)

J-GLOBAL ID
201501011527974630
researchmap会員ID
7000012951

MISC

 4
  • Shigeo Ishiguro, Naoki Asano, Kakunoshin Yoshida, Akinobu Nishimura, Hiroki Wakabayashi, Ayumu Yokochi, Masahiro Hasegawa, Akihiro Sudo, Kazuo Maruyama
    Journal of Anesthesia 27(1) 132-134 2013年2月  
    Ambulation in the early postoperative period of total knee arthroplasty is crucial, in order to avoid complications and obtain preferable outcomes. Although a femoral nerve block can provide enough postoperative analgesia after total knee arthroplasty, falling, or other accidents due to motor paresis, are potentially adverse events in patients who have received a conventional femoral nerve block. We devised a modified femoral nerve block to spare voluntary knee extension ability, and clinically applied it to patients who received total knee arthroplasty under minimally invasive surgery. In our new-approach nerve blockade technique, the main targets of the sensory nerves are the saphenous nerves which branch out from the femoral nerve trunk. All the patients rated pain at bed rest between 0 and 3 on a numerical rating scale 3 h after the operation. In addition, the rectus femoris muscle was not affected at all, and the surgically invaded vastus medialis oblique muscle was completely anesthetized. Patients were able to not only actively raise their extremities with their knee in extension, but also to flex the knee in the air without pain or aggravation. On day 0, the patients were able to walk around, with the leg that had been operated upon not giving way. Our anesthetic approach can provide better pain relief than a conventional femoral nerve block, while the patients achieve ambulation on the day of the procedure, following minimally invasive knee surgery. © 2012 Japanese Society of Anesthesiologists.
  • Ishiguro S, Yokochi A, Yoshioka K, Asano N, Deguchi A, Iwasaki Y, Sudo A, Maruyama K
    Anesth Analg 115(6) 1467-1470 2012年12月  
  • Naoki Asano, Shigeo Ishiguro, Akihiro Sudo
    JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY 24(2) 164-165 2012年4月  
  • 田川剛志, 桜庭茂樹, 八木原正弘, 佐藤佳世子, 浅野直樹, 奥田真弘, 大井由美子
    臨床麻酔 33(10) 1665-1666 2009年1月  

講演・口頭発表等

 12