国立研究開発法人 国立成育医療研究センター National Center for Child Health and Development

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患者・ご家族の方へ Patient & Family

患者・ご家族の方へ Patient & Family

Division of Anesthesia, Pain Control, Adult Anesthesia

We are responsible for the provision of safe and comfortable anesthesia to all patients at the NCCHD. Our duties as members of multidisciplinary surgical teams include sedation for clinical tests and perioperative care.

We provide both chronic and acute pain control outside of the operating room.

We dedicate considerable effort into promoting research and education in the fields of pediatric anesthesia, acute care medicine, and obstetric anesthesia.

Medical services

Our division includes 11 attending physicians, and 8 fellowship trainees.

We carry out around 5,300 anesthesia procedures annually, including 4,000 pediatric anesthesia procedures and 600 Cesarean sections. Emergency procedures make up 14 per cent of our workload and we provide 24-hour coverage through our attending anesthesiologists. In the division of adult anesthesia (obstetric anesthesia), we provide around 900 painless epidural deliveries annually, and support safe and comfortable deliveries with the help of obstetricians and obstetric nurses.

Our policy

We provide anesthesia for all pediatric surgeries, cardiac catheterizations, fiberscope procedures, and examinations outside of operating rooms, such as magnetic resonance imaging (MRI). In preoperative outpatient clinics, we design safe and comfortable anesthesia plans for patients on an individual basis, and carefully explain
them to the patient and their family to ensure peace of mind.

In complex cases, where perioperative complications are expected, we hold discussions with related specialists to decide upon the most appropriate treatment plans for each patient.

In cases of epidural delivery, we respect the opinions of expectant mothers, and work together with them and obstetricians and obstetric nurses to ensure smooth delivery.

Our expertise

  • Difficult pediatric anesthesia: We provide general anesthesia and perioperative care to patients with complications relating to airway function, respiration, circulation, the central nervous system, and gastrointestinal system. We have made a strong contribution in the development of pediatric video-assisted laryngoscopy to help resolve pediatric airway difficulties.
  • Pediatric cardiac anesthesia: 200 cases annually, including neonatal open heart surgery.
  • Liver transplantation: 40 cases annually, including anesthesia for both living donor and recipient.
  • Painless delivery: we offer 24-hour coverage for painless epidural delivery, emergency Cesarean section, and obstetric emergency anesthesia.
  • Anesthesia for fetal and neonatal treatment: we support life-saving procedures in fetal and neonatal treatment alongside the Division of Fetal Medicine.

Our patients

  • All patients requiring anesthesia for surgery (congenital heart disease, liver and kidney transplantation, neurosurgery, neonatal surgery, otolaryngology, ophthalmology, orthopedic surgery, plastic surgery, dental surgery)
  • All patients requiring pain control in and out of hospital, including post-operative treatment and cancer pain control
  • All patients requiring anesthesia and pain control during their delivery

Advanced/specialized treatments

Perioperative pain control, painless epidural delivery, anesthesia for fetal treatment

Frequently performed examinations

Video-assisted laryngoscopy, bronchoscopy, nerve block and vessel puncture with ultrasound, overnight pulse oximetry, polysomnography