Professor: Mikito Kawamata

　In our department, the scope of practice includes intraoperative anesthetic managements (approximately 2800 cases general anesthesia and 500 cases spinal anesthesia) in the operating room using general and regional anesthesia and postoperative analgesia for postsurgical patients in the wards and in the intensive care unit.  In addition, inpatient (cancer pain management) and outpatient services are available. The outpatient service is mainly for referred patients with chronic severe pain which is poor controlled from orthopedic surgery, neurology and so on.  Individualized treatment plans are developed that may include both conventional medical interventions as well as a variety of complementary approaches.
　Our goal is for the surgical patients to feel safe and comfortable in the hospital and to help outpatients decrease the level of pain to restore quality of life.  And another mission is to educate residents for anesthesiologists who are able to play an active part in these fields. The educational program will consist of the above clinical components.

●In the operating room
*Anesthetic management for transplantations (liver, kidney, and marrow)
*Anesthetic management for urgent surgeries such as cardiac surgery and Caesarean section
*Patient−controlled Analgesia (PCA) postoperatively
*Clinical evaluation for new muscular relaxants

●In outpatient clinics
*Celiac plexus block for cancer pain which is poor controlled
*Pain control for chronic pain
*Evaluation of pain using an instrument (PainVision) which shows the level of pain

1. Kawamata M, Sugino S, Narimatsu E, Yamauchi M, Kiya T, Furuse S, Namiki A. Effects of systemic administration of lidocaine and QX-314 on hyperexcitability of spinal dorsal horn neurons after incision in the rat. Pain. 2006 122(1-2):68-80.


2. Kawamata M, Furue H, Kozuka Y, Narimatsu E, Yoshimura M, Namiki A.　 Changes in properties of substantia gelatinosa neurons after surgical incision in the rat: in vivo patch-clamp analysis.　Anesthesiology. 2006　104(3):432-40.


3. Kawamata M, Narimatsu E, Kozuka Y, Takahashi T, Sugino S, Niiya T, Namiki A. Effects of halothane and isoflurane on hyperexcitability of spinal dorsal horn neurons after incision in the rat.　Anesthesiology. 2005 102(1):165-74.