Japanese
Title硬膜外持続注入法による循環動態の変動―腹部大動脈手術を対象として―
Subtitle
Authors山野上敬夫*, 堀部まゆみ*, 和泉博通*, 望月高明**, 伊村郁夫**, 和田誠之**, 土谷太郎**
Authors(kana)
Organization*広島市あかね会土谷総合病院麻酔科, **広島市あかね会土谷総合病院心臓血管外科
Journal循環制御
Volume9
Number2
Page221-225
Year/Month1988/
Article原著
Publisher日本循環制御医学会
Abstract硬膜外持続注入法における循環動態の変動を, 腹部大動脈遮断を要する手術を対象に計測し, 全身麻酔にて管理した症例と比較検討した. 心拍数は大動脈遮断5分後において, 平均動脈圧は, 大動脈遮断前, 5分後, 手術終了時において, 硬膜外持続注入法の方が有意に低かった. 心係数, 肺動脈拡張期圧, 全末梢血管抵抗係数, 左室一回仕事係数などに, 有意差はなかった. 以上より, 硬膜外持続注入法は, 循環動態の大きな変動を余儀なくされる大動脈手術において, 循環管理上有用であると結論した.
Practice基礎医学・関連科学
Keywords
English
TitleHemodynamic Changes During Continuous Epidural Infusion
Subtitle
AuthorsTakao Yamanoue*, Mayumi Horibe*, Hiromichi Izumi*, Takaaki Mochizuki**, Ikuo Imura**, Seishi Wada**, Taro Tsuchiya**
Authors(kana)
Organization*Department of Anesthesia, Akane Foundation Tsuchiya General Hospital, **Department of Cardiovascular Surgery, Akane Foundation Tsuchiya General Hospital
JournalCirculation Control
Volume9
Number2
Page221-225
Year/Month1988/
ArticleOriginal article
PublisherJapan Society of Circulation Control
AbstractHemodynamic change during continuous epidural infusion was measured and compared with that during general anesthesia. Operations which require abdominal aortic cross clamping were chosen for this measurement because hemodynamic fluctuations are inevitable in this type of operations. In continuous epidural infusion group, heart rate before aortic cross clamping, and mean arterial pressure before clamping, 5 minutes after clamping, and at the end of operation were significantly low than those in general anesthesia group. On the other hand, cardiac index, pulmonary arterial diastolic pressure, systemic vascular resistance index, and left ventricular stroke work index were not significalntly different between these two groupes. We concluded that these results suggest that continuous epidural infusion can be recomended as a method of anesthesia for patients who have unstable hemodynamics.
PracticeBasic medicine
Keywords

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