Kunihisa Hotta
Jichi Medical University
AirwayCerebral circulationSurgeryVisual analogue scaleUltrasoundCardiothoracic surgeryMyoclonusNerve blockPostoperative nausea and vomitingMorphineEpidural spaceAnestheticBlock (telecommunications)BuprenorphineLocal anestheticMepivacaineCerebral infarctionAnesthesiologyHematomaContinuous wound infiltrationRopivacaineLaparotomyAnalgesicCatheterBupivacainePeripheral nerve blockSpinal myoclonusPain medicineSpinal anesthesiaPostoperative painCoronavirus disease 2019 (COVID-19)Regional anesthesiaIn patientEpidural catheterSurgical patientsUltrasound guidedUpper abdominal surgeryDifficult airwayPerioperativeAnesthesiaLumbarMedicineComplicationBlood pressure
40Publications
5H-index
103Citations
Publications 40
Newest
#1Kunihisa Hotta (Jichi Medical University)H-Index: 5
The treatment of surgical patients who are confirmed or suspected of coronavirus disease 2019 (COVID-19) is a challenge for all anesthesiologists. The safety of both patients and healthcare workers should be taken into consideration when performing anesthesia management for patients with COVID-19. General anesthesia requiring airway intervention may exacerbate COVID-19 pneumonia, and aerosol generation during airway intervention risks COVID-19 transmission to medical staff. However, regional ane...
8 CitationsSource
#2Kunihisa Hotta (Jichi Medical University)H-Index: 5
Last. Yoshie TobaH-Index: 1
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Introduction In single-space combined spinal-epidural anesthesia (CSEA), it is important to correctly determine if the fluid coming out of the spinal needle is cerebrospinal fluid (CSF) or the liquid used in the loss of resistance (LOR) technique. In this study, we used mepivacaine for LOR and measured the pH values of CSF and mepivacaine to determine whether the pH test is a reliable method to confirm CSF when performing single-space CSEA. Methods This clinical trial included 47 full-term pregn...
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#1Kunihisa Hotta (Jichi Medical University)H-Index: 5
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#1Nobuhiro Shimada (Jichi Medical University)H-Index: 3
#2Yasunori Niwa (Jichi Medical University)H-Index: 4
Last. Mamoru Takeuchi (Jichi Medical University)H-Index: 13
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BACKGROUND: Postherpetic itch has not commonly received attention as a complication of herpes zoster because pain predominates over itch in most patients with herpes zoster. Most cases of postherpetic itch are mild; however, cases of severe postherpetic itch reducing quality of life are rare. CASE PRESENTATION: A 52-year-old woman complained of severe itch in her left pinna and cheek 1 month after the first onset of herpes zoster at the same site. Owing to her scratching, she developed ulcers on...
1 CitationsSource
#1Miyuki Takahashi (Jichi Medical University)H-Index: 1
#2Kunihisa Hotta (Jichi Medical University)H-Index: 5
Last. Mamoru Takeuchi (Jichi Medical University)H-Index: 2
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Anaphylactic shock during pregnancy is a rare but life-threatening event for both the mother and the newborn. A 42-year-old woman, who was pregnant with twins, was scheduled for cesarean delivery under combined spinal and epidural anesthesia. An epidural catheter was placed uneventfully. After spinal anesthesia, the patient exhibited skin symptoms and severe hypotension. The patient was diagnosed with anaphylaxis, and subsequently, treatment was started. Fetal heart rate monitoring revealed sust...
3 CitationsSource
#1Tohru ShiratoriH-Index: 1
#2Kunihisa Hotta (Jichi Medical University)H-Index: 5
Last. Takayuki KamigaitoH-Index: 1
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Background 5-Aminolevulinic acid (5-ALA) is utilized for photodynamic diagnosis-assisted (PDD) surgery. However, it has been associated with vasodilation, hence, occasional hypotension.
1 CitationsSource
#1Kunihisa Hotta (Jichi Medical University)H-Index: 5
3 CitationsSource
#1Tohru ShiratoriH-Index: 2
#2Kunihisa Hotta (Jichi Medical University)H-Index: 5
Last. Masaaki Satoh (Jichi Medical University)H-Index: 12
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Spinal myoclonus (SM) is a rare neurologic movement disorder following neuraxial anesthesia (NA). SM following NA (SM-NA) has insufficient clinical information and its pathogenesis remains to be elucidated. The aim of this review article was to summarize the past cases and consider SM-NA pathophysiology. Based on our PubMed search, it was revealed that SM-NA develops within several hours after neuraxial local anesthetic (LA) administration and resolves in a day without leaving neurologic compila...
3 CitationsSource
#1Tohru ShiratoriH-Index: 1
#2Kunihisa Hotta (Jichi Medical University)H-Index: 5
Last. Shinji SasaoH-Index: 1
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Transient myoclonic involuntary movements, typically referred to as spinal myoclonus (SM), rarely develop in the extremities following neuraxial anesthesia (NA). NA indications in patients with history of SM following NA (SM-NA) are unknown. A 33-year-old woman developed SM-NA after elective cesarean section (CS). Approximately 130 min after spinal anesthesia induction, she began exhibiting involuntary movements, which became most severe after approximately 3 h. The involuntary movements gradual...
4 CitationsSource
#1Kunihisa Hotta (Jichi Medical University)H-Index: 5
#2Koki Taira (Jichi Medical University)H-Index: 2
Last. Mamoru Takeuchi (Jichi Medical University)H-Index: 13
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