| Japanese |
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| Title | Fick法による連続的心拍出量測定及び血行動態解析 |
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| Subtitle | 原著 |
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| Authors | 山村剛康*, 佐藤賢一*, 古御堂均*, 森本裕二*, 大塚浩司*, 岡村篤*, 石川岳彦*, 原田幸二*, 仲田房蔵*, 堂崎信一*, 水嶋雅子*, 五十嵐由香里*, 櫻谷憲彦*, 劔物修* |
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| Organization | *北海道大学医学部麻酔学講座 |
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| Journal | 循環制御 |
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| Volume | 10 |
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| Number | 2 |
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| Page | 289-294 |
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| Year/Month | 1989/ |
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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 | 「要旨」Fick法に基いて動脈および混合静脈血酸素飽和度(SaO2, SvO2)ならびに酸素消費量(VO2)から心拍出量(CO)を測定し, 連続的に血行動態を 解析した. CO, 心拍数, 動脈圧, 肺動脈圧, 中心静脈圧などはA/D変換器を介してオンラインでHP319Cコンピュータに入力した. イヌを用いた成績ではFick法および電磁血流計によるCOの間でr=0.97(y=x+0.03, n=198), 手術中の患者における熱希釈法との間でも, r=0.94(y=0.95x+0.1, n=35)と高い相関が得られた. 連続的に表示される血行動態図は患者の心機能と薬物治療に対する反応を迅速に反映するので, 麻酔中の循環管理の際の指標として有用と思われた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Cardiac output, Computer, Fick's principle, Hemodynamics, Monitoring |
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| English |
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| Title | Continuous Hemodynamic Analysis Based on Fick Cardiac Output Measurement |
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| Authors | Takeyasu Yamamura, Kenichi Satoh, Hitoshi Furumidoh, Yuji Morimoto, Hiroshi Ohtsuka, Atsushi Okamura, Takehiko Ishikawa, Kohji Harada, Fusazoh Nakata, Shinichi Dohzaki, Masako Mizushima, Yukari Igarashi, Norihiko Sakuraya, 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 | 10 |
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| Number | 2 |
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| Page | 289-294 |
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| Year/Month | 1989/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | A computer based system has been developed to monitor continuously cardiac output (CO) and other hemodynamic variables. CO was calculated every 10 sec based on the Fick equation：oxygen consumption by a gas exchange analyzer (Minato, MG-360, RM-300), and fiberoptic (Abott, Oximetrix-3), and pulse (Ohmeda, Biox-3740) oximetry. The overall accuracy of the system was estimated to be within 3%. The correlation between continuous Fick CO and thermodilution CO wals r=0.94 (y=0.95x+0.11, n=35). The system provided virtually continuous hemodynamic analysis and facilitated more sophisticated circulatory control of the patient within a limited fluctuation. |
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| Practice | Basic medicine |
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