| Japanese |
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| Title | 心臓手術中の大腿動脈圧, 橈骨動脈圧の圧差の検討―亜硝酸剤, カルシウム拮抗薬使用に関連して― |
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| Authors | 丸山一男, 橋本宇, 大井由美子, 奥田真弘, 栗岡孝明, 堀口良二, 小西邦彦, 宗行万之助 |
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| Organization | 三重大学医学部麻酔学教室 |
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| Journal | 循環制御 |
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| Volume | 9 |
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| Number | 4 |
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| Page | 475-481 |
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| Year/Month | 1988/ |
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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 | 体外循環を用いたA−Cバイパスや弁置換術中のニトログリセリン, ニカルジピン微量持続静脈内投与の動脈圧に対する影響を検討した. 結果として, 体外循環終了後60分において, ニトログリセリン, ニカルジピン投与群は, 大腿動脈と橈骨動脈の動脈圧差が存在したが, 非投与群では同時点で両動脈の圧差が認められなかった. 両薬剤投与群において, 平均動脈圧差は体外循環論180分で消失したが, 収縮期動脈圧差は手術終了時まで存在した. |
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| Practice | 基礎医学・関連科学 |
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| English |
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| Title | Comparison between pressures measured from the radial artery and femoral artery during cardiac surgery |
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| Authors | Kazuo Maruyama, Hiroshi Hashimoto, Yumiko Ohi, Masahiro Okuda, Takaaki Kurioka, Ryoji Horiguchi*, Kunihiko Konishi, Mannosuke Muneyuki |
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| Organization | Department of Anesthesiology School of Medicine Mie University, *Department of Anesthesia Matsusaka Chuo Hospital Koseiren of Mie |
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| Journal | Circulation Control |
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| Volume | 9 |
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| Number | 4 |
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| Page | 475-481 |
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| Year/Month | 1988/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Nitrates （as TNG） and calcium channel blockers are frequently administered during cardiac surgery. We decided to investigate whether or not nitrates, in conjunction with calcium channel blockers, would infuluence central and peripheral arterial pressure gradient after cardio−pulmonary bypass （CPB） during cardiac surgery. Our study demonstrated that combined TNG and nicardipine infusion during cardiac surgery involving coronary artery bypass grafting or valve replacement resulted in a significant femoral−to−radial arterial pressure gradient at 60 minutes after CPB. On the other hand, without TNG and nicardipine, there was no significant femoral−to−radial arterial pressure gradient at 60 minutes after CPB. This suggests that during cardiac surgery combined with TNG and nicardipine infusion, systolic and mean arterial pressure might be underestimated during and after CPB when measured at the radial artery as compared to the femoral artery, resulting in a possible inappropriate overadministration of inotropic and vasoactive drugs needed to control blood pressure. |
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| Practice | Basic medicine |
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| Keywords | radial artery, femoral artery, cardiovascular surgery |
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