Comparing the Differences of Anesthesia System at Tohoku University Hospital in Japan Compared to King Chulalongkorn Memorial Hospital in Thailand

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Pipat Saeyup


Japan is a developed country. Not only is
technology highly innovated, but medicine is also
developed including anesthesiology. Anesthesia in
Japan has a high level of progression. There are many
differences between Japanese and Thai anesthesiologist
practices. The first author, PS, had a great opportunity
to learn these differences at Tohoku University Hospital
(TUH) for 4 weeks in April 2016. TUH is a well-known
hospital around Japan. It has provided anesthesia for
several years with high level of standard.
I was in front of TUH at entrance of the hospital
Department of anesthesiology at TUH, directed by
Dr.Yamauchi Masanori, provide anesthetic care for many
services both inside and outside operating theater
including pain clinic. There are 20-30 cases a day
scheduled for surgery. Around two third of them receive
anesthetic care by anesthesiologists or anesthesiologist
residents who are assigned tasks and supervised by
senior staffs and the rest are anesthesized with local
anesthetics and mild sedation by surgeon. Postoperatively,
most of patients are observed in hospital at least 24
hours because Japanese insurance companies provide
limited financial support only admitted cases.
Development in research is one of the most important
tasks at TUH. The system is welled supported by
fully-equipped laboratory resources along with prompt
advice from staff anesthesiologists with Ph.D. qualification.

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