Anesthesia & Clinical Research
Open Access

Department of Dental Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan

Biography

Gaku Mishima is an Associate professor in the Department of Dental Anesthesiology, Nagasaki University Hospital, Nagasaki, Japan
. His study interests major on Anaesthesiology, Regional Anesthesia,Orthopedic Surgery. In recent years, he has researched several Anaesthesiology topics and  Anaesthetics also. Currently , Dr. Gaku Mishima  is the author/editors/reviewer in several international journals.
 He published 10 articles in many journals and the articles are informative and got good citations.

Publications

• Case Report   
  Lateral Fiberoptic Intubation for a Morbidly Obese Patient with Undergoing Maxillofacial Surgery
  Author(s): Shinji Kurata, Gaku Mishima and Takao Ayuse
  
  It has been recognized that the fiberoptic bronchoscope intubation is appropriate solution to manage the difficult airway. This maneuver might be usually applied in supine position during awake or during sedated condition with spontaneous breathing under cooperation of patients. However, there are some cases that patients cannot be positioned because of anatomical problem, such as morbidly obesity and/or tumor or edema in soft tissue of pharyngeal. It has been suggested that fiberoptic bronchoscope intubation in lateral position might be alternative method to mimic respiratory complication. We have experienced the case of fiberoptic bronchoscope intubation in lateral position. We attempted fiberoptic intubation for severe obesity patient under sedation in the left lateral position, using a flexible fiberoptic bronchoscope in lateral position; the tracheal tube was successfully nasally.. View More»
  

  Abstract PDF