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Attending Anesthesiologist
VA Puget Sound Health Care System
I do not have any relevant financial / non-financial relationships with any proprietary interests.
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors in the order listed on Form Page 2.
Follow this format for each person. DO NOT EXCEED FOUR PAGES.
NAME
Nishio, Isuta POSITION TITLE
Associate Professor, Dept. of Anesthesiology and Pain Medicine, University of Washington
Attending Physician, VA Puget Sound Health Care System
eRA COMMONS USER NAME (credential, e.g., agency login)
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable.)
INSTITUTION AND LOCATION DEGREE
(if applicable) MM/YY FIELD OF STUDY
Nara Medical University, Kashihara, Japan
Keio University, Tokyo, Japan M.D.
PhD 03/1986
08/1996 Medicine
Respiratory physiology
Keio University Hospital, Tokyo, Japan
University of Pittsburgh Medical Center
Residency 08/1991
06/2002
Anesthesiology
University of Pittsburgh Medical Center
Fellowship 06/2003 Pain Medicine
A. Personal Statement
As an anesthesiologist specializing in chronic pain management I have extensive clinical experience and expertise in spine interventions including facet injections, medial branch blocks and radiofrequency ablation (RFA). I have performed more than 500 cases of lumbar RFA (LRFA) at least.
I have prior experience in the conduct of retrospective analysis of repeated lumbar epidural steroid injections and their relation to subsequent opioid use and lumbar spine surgery.
My tendency to pay close attention to detail in attempt to minimize risks and maximize effectiveness has helped my clinical practice safer and perhaps more effective, and led to publication of an article proposing potentially safer practice of cervical epidural steroid injection. I have been working with Dr Pradeep Suri together clinically for 5 years in VA Puget Sound Health Care System (VAPSHCS), and shared many patients. He also helped me publish the aforementioned paper by reviewing and providing suggestions and constructive critiques.
Along with Dr Suri, I will be in charge of making sure the LRFA procedures are of high quality, consistent with what we describe in the research plan and the protocol. I will participate in monthly meetings to review study progress and recruitment, and more frequent meetings during the start-up and early recruitment phases.
In addition to my efforts with data collection, I will contribute to interpretation of results, the manuscripts related to this, and our future efforts to do the definitive large trial informed by this data.
The LRFA procedures described here fit very well with the existing practices for LRFA at our facility, where we have high standards for doing these procedures
As a practicing pain specialist with 30 year clinical experience, I will contribute my expertise to every aspect of study design and conduct of the research led by Dr Suri. My clinical background will be useful to the research team to make the study even more clinically relevant and significant regardless of the results.
B. Positions and Honors
FACULTY POSITIONS HELD:
8/92–12/94 Research fellow, Dept. of Anesthesiology, University of Pittsburgh, PA
7/03-12/03 Visiting Assistant Professor, Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan
01/04-6/2015 Assistant Professor, Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA
7/2015–present Associate Professor, Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA
HONORS:
Best paper of young investigator,
Nishio I. Changes in respiratory resistance and reactance following acute respiratory and metabolic alkalosis in dogs. J Anesth 1996; 10: 282-288
Society of Anesthesiologists in Japanese Private Medical Schools, 1997
Special Contribution Award Department of Vetrans Affairs, Jan 2006
Involvement and contribution to VISN20 Pain management ACA Collaborative
Goal Sharing Gold Award VA Puget Sound Health Care System, May 2007
Teacher of the year, Pain fellowship, Anesthesiology and Pain Medicine, University of Washington 2017
Positions and Employment
HOSPITAL POSITION HELD:
2015-present Associate Professor in Anesthesiology and Pain Medicine, University of Washington
2004-present Attending Anesthesiologist, VA Puget Sound Health Care System, Seattle, WA
2007-2015 Assistant Professor in Anesthesiology and Pain Medicine, University of Washington
2004-2007 Acting Assistant Professor in Anesthesiology and Pain Medicine, University of Washington
2003-2004 Visiting Assistant Professor in Anesthesiology, Keio University, Tokyo, Japan
2002-2003 Fellow- Pain Medicine, University of Pittsburgh, Pittsburgh, PA
1999-2002 Resident- Anesthesiology, University of Pittsburgh, Pittsburgh, PA
1998-1999 Intern- Transitional Year Program, UPMC Shadyside, Pittsburgh PA
1995-1998 Attending Anesthesiologist, National Tokyo Medical Center, Tokyo, Japan
1992-1994 Research Associate, Anesthesiology, University of Pittsburgh, Pittsburgh, PA
1991-1992 Instructor in Anesthesiology, Keio University, Tokyo, Japan
1990-1991 Attending Anesthesiologist, National Murayama Hospital, Tokyo, Japan
1989-1990 Attending Anesthesiologist, Shizuoka Red Cross Hospital, Shizuoka, Japan
1988-1989 Resident- Anesthesiology, Kawasaki Municipal Hospital, Kawasaki, Japan
1987-1988 Resident- Anesthesiology, Kiyose Children’s Hospital, Tokyo, Japan
1986-1987 Resident- Anesthesiology, Keio University, Tokyo, Japan
Other Experience and Professional Memberships
BOARD CERTIFICATION:
Diplomate of the Japanese Board of Anesthesiology: Certified 1992
Diplomate of the American Board of Anesthesiology: Certified 2003
Diplomate of the American Board of Anesthesiology Pain Medicine: Certified 2005
CURRENT LICENSES TO PRACTICE:
Washington State Medical License MD00044392
Pennsylvania Medical License (inactive)
Permanent Standard ECFMG certificate
Japanese Medical License
PROFFESIONAL ORGANIZATIONS
American Society of Anesthesiologist
American Society of Regional Anesthesia and Pain Medicine
American Pain Society
International Spine Intervention Society
Japan Society of Anesthesiologist
Japan Society of Pain Clinicians
Honors
Best paper of young investigator,
Nishio I. Changes in respiratory resistance and reactance following acute respiratory and metabolic alkalosis in dogs. J Anesth 1996; 10: 282-288
Society of Anesthesiologists in Japanese Private Medical Schools, 1997
Teacher of the year in Pain fellowship, University of Washington 2017
C. Contribution to Science
Most relevant to the current application
1. Friedly J, Nishio I, Bishop M, Maynard C. The relationship between repeated epidural steroid injections and subsequent opioid use and lumbar surgery. Arch Phys Med Rehabil 2008;89:1011-5
2. Rozet I, Nishio I, Robbertze R, Rotter D, Chansky H, Hernandez AV. Prolonged opioid use after knee arthroscopy in military veterans. Anesth Analg 2014;119:454-9.
3. Nishio I. Cervical transforaminal steroid injection; A proposal for optimizing the preprocedural evaluation with available imaging. Reg Anesth Pain Med 2014;39:546-9.
4. Singh V, Trescot A, Nishio I. Injections for chronic pain. Phys Med Rehabil Clin N Am. 2015;26:249-61.
Additional recent publications of importance to the field (in chronological order)
1. Nishio I, Ochiai R, Nakaoji T, Kondoh M, Takeda J, Sekiguchi H, Fukushima K. Evaluation of a compact blood cell counter (Celtac). Ikakikaigaku 1992; 62: 352-355
2. Ochiai R, Toyoda Y, Nishio I, Sekiguchi H, Fukushima K. Possible association of malignant hyperthermia with sevoflurane anesthesia. Anesth Analg 1992; 74: 616-618
3. Kotani T, Nishio I, Koh H, Suzuki G, Fukushima K, Noguchi I. Effect of succinylcholine on serum potassium concentration in chidren with chronic renal failure. Masui 1993; 42: 20-24
4. Nishio I, Noguchi J, Konishi M, Ochiai R et al. The effects of insufflating gas and anesthesia on respiratory system. Masui 1993; 42: 862-866
5. Shar NS, Nakayama DK, Jacob TB, Nishio I et al. Efficacy of inhaled nitirc oxide in a porcine model of adult respiratory distress syndrome. Arch Surg 1994; 129: 158-164
6. Nishio I. Changes in respiratory resistance and reactance following acute respiratory and metabolic alkalosis in dogs. J Anesth 1996; 10: 282-288
7. Nishio I, Ishikawa A, Ai K, Kenmoku T, Asana S, Ono A. Clinical trial of a new lightwand stylet device (Trachlight) by inexperienced anesthetists. Rinshomasui (J Clin Anesth. (Jpn)) 1996; 20: 1366-1368
8. Kenmoku T, Asano S, Ishikawa A, Nishio I, Ono A. Neurological deficit following general anesthesia. Rinshomasui (J Clin Anesth. (Jpn)) 1997; 21: 525-526
9. Shar NS, Nakayama DK, Jacob TB, Nishio I et al. Efficacy of inhaled nitirc oxide in oleic acid-induced acute lung injury. Crit Care Med 1997; 25: 153-158
10. Nishio I, Sekiguchi M, Aoyama Y, Asano S, Ono A. Decreased tensile strength of an epidural catheter during its removal by grasping with a hemostat. Anesth Analg 2001; 93: 210-212
11. Nishio I, Mandell GL, Ramanathan S, Sumkin JH. Epidual labor analgesia for a patient with disseminated lymphangiomatosis. Anesth Analg 2003; 96:1805-8
12. Nishio I, Williams BA, Williams JP. Diplopia, a complication of dural puncture. Review. Anesthesiology 2004; 100:158-64
13. Nishio I. Addiction among anesthesiologists, review. Rinsho Masui (J Clin Anes (Jpn), ISSN 0387-3686) 2007; 31:695-700
14. Kaditis AG, Motoyama EK, Zin W, Maekawa N, Nishio I, Imai T, Milic-Emili J. The effect of lung expansion and positive end-expiratory pressure on respiratory mechanics in anesthetized children. Anesth Analg. 2008;106:775-785
D. Research Support
Ongoing Research Support
None
Completed Research Support
Combined Treatments to Optimize Functional Recovery in Veterans with Chronic Low Back Pain
Dept. of Veterans Affair
Co-investigator (5%FTE)
7/1/2018 - 6/30/2020
Total Budget: $198,826
