| Japanese |
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| Title | Wake−upテストと循環変動 |
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| Subtitle | |
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| Authors | 今井真, 小村好弘, 華岡由香里, 横田祥, 劔物修 |
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| Authors(kana) | |
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| Organization | 北海道大学医学部麻酔学教室 |
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| Journal | 循環制御 |
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| Volume | 8 |
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| Number | 2 |
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| Page | 257-261 |
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| Year/Month | 1987/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | Wake−upテスト（テスト）を行ったNLA原法による40例につき, 麻酔薬の投与量の違いによるテスト時の循環変動について検討した. テスト時に循環変動が著明であった15例と, 安定していた25例に分け比較検討したところ, テスト時間は変動群で著明に長かった. 変動群ではテスト時に収縮期血圧が98mmHgから138mmHgへ上昇したが, 安定群では100mmHgから103mmHgと変化はなかった. ドロペリドールの投与量は変動群に有意に多く, フェンタニールの投与量は安定群に多い傾向をみた. さらに変動群では浅麻酔, 輸血量不足, 胸部圧迫による循環抑制が観察された. これらの結果より, 循環変動を小さくし, 円滑なテストを行うには, フェンタニールを主体にしドロペリドールを控えめにした麻酔方法に加えて, 十分な輸血, 適切な体位に配慮すべきであることが示唆された. |
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| Practice | 基礎医学・関連科学 |
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| English |
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| Title | Circulatory changes induced by wake-up test during scoliosis surgery |
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| Authors | Makoto Imai, Yoshihiro Komura, Yukari Hanaoka, Sho Yokota, Osamu Kemmotsu |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, Hokkaido University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 8 |
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| Number | 2 |
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| Page | 257-261 |
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| Year/Month | 1987/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Wake−up test has been advocated to reduce neurologic sequelae during scoliosis surgery. However, this test has frequently induced circulatory changes due to awakening patients during surgical procedure. We retrospectively evaluated the circulatory changes seen during wake−up test performed in 40 patients undergoing scoliosis surgery under neuroleptanesthesia. The patients were divided into 2 groups；the stable group （25 cases） with minimal circulatory changes and the unstable group （15 cases） with severe circulatory changes. The mean systolic blood pressure during wake−up test was changed from 109mmHg to 103mmHg in the stable group, from 98mmHg to 138mmHg in the unstable group, respectively. The time needed to awaken the patients was significantly shorter in the stable group than in the urtstable group （8.0 min vs 15 min, p＜0.01）. Droperidol was used less in the stable group than in the unstable group （0.18mg／kg vs 0.21mg／kg, p＜0.05）. |
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| Practice | Basic medicine |
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| Keywords | wake−up test, scoliosis surgery, circulatory changes |
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