Tokushima University / Educator and Researcher Directory --- Momota, Kazuki

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Tokushima University ⟩ Graduate School of Biomedical Sciences ⟩ 医学域 ⟩ 先端医学教育研究プロジェクト ⟩
Tokushima University ⟩ Graduate School of Biomedical Sciences ⟩ 医学域 ⟩ Medical Science ⟩ Surgery ⟩ Department of Emergency and Critical Care Medicine ⟩
Tokushima University ⟩ Faculty of Medicine ⟩ School of Medicine ⟩ Course of Biological Medicine ⟩ Emergency and Critical Care Medicine ⟩

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Academic Paper (Judged Full Paper):

1.	Yuki Nakano, Yoshitoyo Ueno, Emi Ishitani, Koji Sato, Hiroki Sato, Kazuki Momota, Natsuki Bando, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki, Yoshiaki Kitamura and Jun Oto : Repetitive postoperative extubation failure due to dynamic inspiratory airway collapse concomitant with subglottic stenosis in a patient who previously underwent tracheostomy., The Journal of Medical Investigation : JMI, Vol.70, No.1.2, 301-305, 2023. (Summary) We should be aware of the history of tracheostomy, especially at high tracheostomy sites, even in the absence of respiratory symptoms as risk factors for dynamic inspiratory airway collapse concomitant with subglottic stenosis contributing to repeated respiratory failure after extubation. J. Med. Invest. 70 : 301-305, February, 2023. (Keyword) Humans / female / Adult / Tracheostomy / Airway Extubation / Constriction, Pathologic / Intubation, Intratracheal / Respiration, Artificial (Tokushima University Institutional Repository) ● Metadata: 118365 (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.70.301 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37164740 ● Summary page in Scopus @ Elsevier: 2-s2.0-85158867166 (Tokushima University Institutional Repository: 118365, DOI: 10.2152/jmi.70.301, PubMed: 37164740, Elsevier: Scopus)
2.	Yuki Nakano, Koji Sato, Hiroki Sato, Kazuki Momota, Yusuke Akimoto, Toshiyuki Nunomura, Yuta Arai, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : 経肺圧を指標としたPEEP設定により，致死的低酸素血症から改善した神経芽細胞種に伴う腹部コンパートメント症候群の一乳児症例, Shikoku Acta Medica, Vol.2022;78, No.3,4, 115-120, 2022. (Summary) Background : Neuroblastoma is the most common extracranial solid tumor of childhood. Although the prognosis of neuroblastoma is relatively good, newborns less than two months of age with stage 4S neuroblastoma may present with aggressive hypoxia and restrictive respiratory impairment due to abdominal compartment syndrome. Case presentation : Two-month-old girl, height of 63 cm and body weight of 10 kg. She was diagnosed as neuroblastoma with Stage 4S. Because she was suffered from refractory hypoxemia and restrictive respiratory impairment due to abdominal compartment syndrome induced by multiple liver metastasis and massive ascites, she was transferred to our ICU. Her trachea was intubated and ventilated with assist/controlled mode, driving pressure 22 cmH2O, positive end-expiratory pressure(PEEP)8 cmH2O, fraction of inspiratory oxygen(FIO2)1.0, but tidal volume was obtained only 3.2 mL/kg and PaO2/FIO2 ratio of 55 mmHg. Therefore, we insert esophageal sensor and monitored esophageal pressure to performed transpulmonary pressure guided PEEP titration. When we changed PEEP from 8 to 15 cmH2O so that the end-expiratory transpulmonary pressure achieving 0 to 5 cmH2O, her oxygenation(PaO2/FIO2 ratio : 55 to 178 mmHg)and respiratory compliance(1.4 to 3.0 mL/cmH2O)were dramatically improved. Her respiratory condition was further stabilized by ascites puncture and radiotherapy, and the patient was extubated successfully on the 25th ICU day. Conclusions : Although pediatric neuroblastoma with stage 4S may induce severe respiratory efficiency, the responsiveness of treatment for neuroblastoma is promising. Multimodal treatments including optimal ventilator management such as transpulmonary pressure -guided PEEP titration contributes to improved patient's prognosis. (Keyword) Neuroblastoma / Abdominal compartment syndrome / Transpulmonary pressure (Link to Search Site for Scientific Articles) ● CiNii @ National Institute of Informatics (CRID): 1050575882547923200 (CiNii: 1050575882547923200)
3.	Yoshitoyo Ueno, Saki Harada, Koji Sato, Kazuki Momota, Hiroki Sato, Yusuke Akimoto, Yuta Arai, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki, Yasuhiko Nishioka and Jun Oto : Independent lung ventilation for the management of acute allograft rejection after single-lung transplantation for end-stage emphysema., The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 323-327, 2022. (Summary) Background : We herein report the use of independent lung ventilation (ILV) for managing acute allograft rejection after single-lung transplantation (SLT) for end-stage emphysema. Case presentation : A 54-year-old woman was transferred to our hospital with severe hypoxemia and respiratory distress due to unilateral lung disease with diffuse alveolar damage in the right donor lung associated with acute allograft rejection and with hyperinflation of the left native lung due to emphysema. She was unresponsive to immunosuppressive medications and conventional ventilation strategies, so different ventilator settings for each lung were required. A double-lumen endotracheal tube (DLT) was inserted, and ILV was initiated. The right lung was ventilated with high positive end-expiratory pressure (PEEP), intended for lung recruitment, and the left lung was ventilated with lung protective strategies using a low tidal volume and low levels of PEEP to avoid hyperinflation. Two days later, her lung function was dramatically improved, and the DLT was replaced with a single-lumen endotracheal tube. Gas exchange was maintained, and she was successfully weaned from mechanical ventilation on intensive-care unit day 15. Conclusions : ILV appears to be effective and safe for managing acute allograft rejection after SLT for emphysema. J. Med. Invest. 69 : 323-327, August, 2022. (Keyword) Allografts / Emphysema / Female / Humans / Lung / Lung Transplantation / Middle Aged / Pulmonary Emphysema / Respiration, Artificial (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.69.323 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244790 ● Search Scopus @ Elsevier (PMID): 36244790 ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.69.323 (DOI: 10.2152/jmi.69.323, PubMed: 36244790)

Proceeding of Domestic Conference:

1.	Kazuki Momota, 合田祥悟, 日吉宗大, 佐藤洋祐, 金城綾美, 松田律史, 増井伸高 and 丸藤哲 : 自損目的にメタノールを服用した一例．, 第51回日本救急医学会総会・学術集会, Nov. 2023.
2.	Yusuke Akimoto, Natsuki Bando, Koji Sato, Hiroki Sato, Kazuki Momota, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : リーク補正機能が原因と考えられたミストリガの3例．(優秀演題), 第45回日本呼吸療法医学会学術集会, Aug. 2023.
3.	Koji Sato, Yoshitoyo Ueno, Natsuki Bando, Kazuki Momota, Takuya Takashima, Hiroki Sato, Toshiyuki Nunomura, Manabu Ishihara, Taiga Itagaki and Jun Oto : ステロイドパルス療法後にオルニチントランスカルバミラーゼ欠損症による高アンモニア脳症を発症した1例．, 日本集中治療医学会第7回中国・四国支部学術集会, Jul. 2023.
4.	Natsuki Bando, Kazuki Momota, Koji Sato, Hiroki Sato, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : セツキシマブ投与後のインフュージョンリアクションから心停止に至るも後遺症なく救命できた一症例．, 第39回日本救急医学会中国四国地方会, Jul. 2023.
5.	Koji Sato, Yoshitoyo Ueno, Natsuki Bando, Kazuki Momota, Takuya Takashima, Hiroki Sato, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : HELLP症候群に伴う急性肝不全，DICに対して血漿交換療法が効果的であった一症例．, 第39回日本救急医学会中国四国地方会, Jul. 2023.
6.	Koji Sato, Yoshitoyo Ueno, Kazuki Momota, Taiga Itagaki and Jun Oto : COVID-19重症肺炎に対して電気インピーダンストモグラフィによるPEEP設定を行った一例．, 第34回日本臨床モニター学会総会, Apr. 2023.
7.	Kazuki Momota, Natsuki Bando, Koji Sato, Hiroki Sato, Yusuke Akimoto, Toshiyuki Nunomura, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : 非侵襲的陽圧換気中に縦隔気腫を来したCOVID-19肺炎の一症例．, 第50回日本集中治療医学会学術集会, Mar. 2023.
8.	Natsuki Bando, Yoshitoyo Ueno, Kazuki Momota, Koji Sato, Hiroki Sato, Yusuke Akimoto, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : 電気インピーダンス・トモグラフィにて閉塞性無気肺を疑い，早期介入に至った重症COVID-19症例．, 第50回日本集中治療医学会学術集会, Mar. 2023.
9.	Hiroki Sato, Natsuki Bando, Kazuki Momota, Koji Sato, Hiroki Sato, Yusuke Akimoto, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : 開心術周術期の出血量や輸血量が術後再開胸止血術の頻度に与える影響．, 第50回日本集中治療医学会学術集会, Mar. 2023.
10.	Yuki Nakano, Koji Sato, Hiroki Sato, Kazuki Momota, Yusuke Akimoto, Toshiyuki Nunomura, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : 気管切開後25年間無症候性に経過した声門下狭窄が気管挿管を機に増悪し，術後抜管困難となった一症例, 第50回日本集中治療医学会学術集会, Mar. 2023.
11.	Yoshitoyo Ueno, Kazuki Momota, Koji Sato, Hiroki Sato, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : 末期肺気腫に対する片肺移植後の急性拒絶反応に対し，分離肺換気が奏功した一症例, 第50回日本集中治療医学会学術集会, Mar. 2023.
12.	Yoshitoyo Ueno, Hiroki Sato, Kazuki Momota, Koji Sato, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : 開心術後患者における乳酸値ピークアウトまでの時間と術後経過との関連, 第50回日本集中治療医学会学術集会, Mar. 2023.
13.	Koji Sato, Yoshitoyo Ueno, Hiroki Sato, Kazuki Momota, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Natsuki Tane, Taiga Itagaki and Jun Oto : VA-ECMO, 第50回日本集中治療医学会学術集会, Mar. 2023.
14.	Yuki Nakano, Koji Sato, Hiroki Sato, Kazuki Momota, Yusuke Akimoto, Toshiyuki Nunomura, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : 高位気管切開既往患者に生じた声門下狭窄および気管軟化症により術後抜管困難となった一症例, 第6回徳島外科学会, Feb. 2023.
15.	Natsuki Bando, 宮本憲哉, Kazuki Momota, Koji Sato, Hiroki Sato, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : セツキシマブ投与後のインフュージョンリアクションから心停止に至るも後遺症なく救命できた一症例, 第6回徳島外科学会, Feb. 2023.
16.	Yusuke Akimoto, Natsuki Bando, Koji Sato, Hiroki Sato, Kazuki Momota, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : くも膜下出血後のたこつぼ心筋症および神経原性肺水腫に対してバゾプレシンを用いて循環管理を行った1例．, 第50回日本救急医学会総会・学術集会, Oct. 2022.
17.	Kazuki Momota, Natsuki Bando, Koji Sato, Hiroki Sato, Yusuke Akimoto, Toshiyuki Nunomura, Manabu Ishihara, Yoshitoyo Ueno, Natsuki Tane, Taiga Itagaki and Jun Oto : 重篤な循環不全を呈した重症レジオネラ肺炎に対しVA-ECMO導入により救命した1例．, 第50回日本救急医学会総会・学術集会, Oct. 2022.