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Anesthesiology and Pain Relief Center

Anesthesiology and Pain Relief Center

The Anesthesiology and Pain Relief Center provides peri-operative anesthetic management for patients undergoing surgery at the Central Surgical Center and pain management for outpatients and inpatients at the Pain Relief Center.

Medical services

In the operating theater, each patients is medically treated by an anesthetic team that consists of one anesthesia specialist and one medical intern. At the outpatient clinic and inpatient ward, a team of two pain physicians and one resident provides medical care.

Diagnosis and treatment policy

  • The highest priority is always placed on ensuring patients’ safety in the management of surgical anesthesia. For patients who have serious preoperative comorbidities, we hold an outpatient booth for extended evaluation and case review meeting for discussion with surgeons.
  • The goal of pain management is not only pain relief but also improvements of ADL and QOL.

Specialties

Operating theater

We cover almost all diseases that requires surgery for treatment. Our division is staffed with highly skilled anesthesiologists with advanced skills such as transesophageal echocardiography.

Pain Relief Center

We focus the biopsychosocial model of pain and promote adequate use of several lines of analgesics including opioids. In close cooperation with other departments, we evaluate physical and psychological conditions of patients with pain. Our interdisciplinary approach synergistically promotes to achieve high-quality pain management.

Target diseases

  • All diseases treated surgically in our operating theaters.
Pain Relief Center

Neuropathic pain (post-herpetic neuralgia, diabetic polyneuropathy, spinal pain syndrome, brachial plexus injury, phantom limb pain, thalamic pain, etc); Nociceptive/Inflammatory pain (low back pain, osteoarthritis, peripheral vascular diseases, etc); Cancer pain; pain by cancer treatments; facial myokymia, etc.

Advanced treatments/ Specialized treatments

The following therapies for pain relief are available:

Spinal cord stimulation

By inserting electrodes into the epdidural space and stimulating the spinal cord, the SCS achieves pain relief, amelioration of spasticity subsequent to nerve injury and improvement of peripheral circulation.

Exercise treatment

Painful and degenerative syndromes of the musculoskeletal system are treated by the exercise treatment, which can prevent pain and degeneration of the system.

Cognitive-Behavioral therapy

educating coping strategy and correcting behavioral patterns can result in recovery of meaningful life

Epiduroscopy

By inserting the endoscopy and detaching adhesions in the lumbar epidural space, compression of nerve roots is relieved and radicular pain is improved.

Botulism injection

Botulism injection improves the facial myokymia, the cervical dystonia, and other spastic disorders.

Frequently performed tests

Monitoring during general surgical anesthesia, pulmonary arterial catheter, transesophageal echocardiography, and cerebral oxygen saturation monitoring may be performed according to the scale of the surgery and the patients’ condition.

Pain Relief Center

We perform multi-faceted evaluations on pain including nature of pain, health literacy, pain catastrophizing, neuropathic pain screening, personality inventory, psycho-psychiatric assessment, etc).

Yoshitsugu Yamada

Yoshitsugu Yamada

Departments/Divisions

Anesthesiology and Pain Relief Center

Titles

M.D. , Ph.D.

Expertise/Specialties

Anesthesiology, Critical care medicine, Respiratory care, Operative medicine, Pain medicine

Research Interests

Acute lung injury, Mechanical ventilation, acute inflammatory response, Mechanism of general anesthesia, Modulation of pain

Languages

Japanese/ English

See More

Neuropathic pain

We provide approaches to prevent pain-related decreases in ADL and the QOL, using appropriate pharmacotherapy in combination with other treatment methods, such as cognitive behavioral therapy.
Diseases treated in this department include: postherpetic neuralgia; pain after spinal cord injury; cervical myelopathy; pain after brachial plexus injury; phantom limb pain; diabetic neuropathy; disc herniation; pain syndrome after spinal surgery; lumbar spinal canal stenosis; complex regional pain syndrome (CRPS) [reflex sympathetic dystrophy syndrome (RSD) and causalgia]; ossification of the spinal ligaments; trigeminal neuralgia; glossopharyngeal neuralgia; intercostal neuralgia; and pain after thoracotomy.

Pain during cancer treatment

We support cancer treatment by effectively managing diverse types of treatment-related pain (such as chemotherapy-related neuropathy and postoperative pain).
> Cancer-related pain
We manage pain during the advanced cancer stages mainly using narcotic analgesics in cooperation with the Department of Palliative Care.Nerve block is applied accordingly.

Ischemic pain due to peripheral vascular disorders

We aim to conserve affected limbs and avoid amputation as much as possible by performing effective approaches, such as pharmaco-, spinal cord stimulation, and nerve block therapies. Diseases treated with these approaches include: Buerger's disease; and antiphospholipid antibody syndrome.

Musculoskeletal pain

We also treat musculoskeletal pain, such as low back and joint pain and stiff shoulders. Preventive approaches, such as appropriate therapeutic exercises and obesity treatment, are also focused on. Diseases treated with these approaches include: low back pain; cervical disease; hip and knee osteoarthritis; stiff shoulders; periarthritis (frozen shoulders); and traumatic neck syndrome (whiplash).

Headaches

Such as migraine, cluster headache, tension-type headache, temporal arteritis, atypical facial pain, sphenopalatine neuralgia, and sore tongue.

Diseases treated in this department, other than pain

Such as facial nerve paralysis (Bell's palsy), Hunt syndrome, ophthalmoplegia syndrome, facial spasm, psychosomatic disorders, spasmodic torticollis, and chronic fatigue syndrome.

Major diseases treated in this department and numbers of in- and outpatients (including duplicated diagnoses)

Disease name Number of new outpatients Number of inpatients
1 Spinal, musculoskeletal system 163 49
2 Varicella zoster related 30 26
3 Other nerve pains (pain associated with spinal cord injury, phantom limb pain, thalamic pain syndrome) 51 22
4 Cancer Pain Management 20 3
5 Pediatric Pain Management 4 0

(2015)

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