Tetsuro Nikai

Papers

Total Citations

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About

Tetsuro Nikai is a leading anesthesiologist and critical care researcher whose work focuses on perioperative lung protection, mechanical ventilation strategies, and the physiological impacts of surgical positioning. His most cited paper, "Positive End-expiratory Pressure and Distribution of Ventilation in Pneumoperitoneum Combined with Steep Trendelenburg Position" (2019, 97 citations), investigates how pneumoperitoneum and extreme head-down tilt during robot-assisted laparoscopic prostatectomy cause diaphragmatic shift and dorsal atelectasis. This landmark study advanced understanding of how positive end-expiratory pressure (PEEP) can counteract ventilation distribution abnormalities in minimally invasive surgery. Dr. Nikai’s broader contributions include optimizing respiratory mechanics in anesthetized patients, preventing postoperative pulmonary complications, and refining PEEP titration protocols. His work has been instrumental in shaping evidence-based guidelines for ventilation management during laparoscopic and robotic procedures. With a citation impact reflecting the clinical relevance of his findings, Dr. Nikai is recognized for bridging the gap between basic respiratory physiology and practical intraoperative care, making him a key voice in anesthesiology and perioperative medicine.