| Japanese |
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| Title | 開心術に対する硬膜外麻酔の応用 |
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| Subtitle | 原著 |
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| Authors | 菊池恵子*, 小西晃生*, 藤井眞行*, 奥秋晟* |
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| Authors(kana) | |
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| Organization | *福島県立医科大学麻酔科学教室 |
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| Journal | 循環制御 |
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| Volume | 11 |
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| Number | 4 |
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| Page | 537-542 |
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| Year/Month | 1990/ |
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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」大動脈冠動脈バイパス術および弁置換術症例を対象に, 術中術後の諸因子について硬膜外麻酔群(E群)と非硬膜外麻酔群(N群)を比較検討した. E群は手術前日にC7/Th1より硬膜外カテーテルを挿入し, 1%リドカインとモルヒネ(2-4mg)を, またN群はフエンタニール(20-50μg/kg)を使用し, 両群ともGOEを必要に応じ併用した. 両群間の輸液量, 尿量, 最低Ht値などに有意差はなかった. 術中術後の循環動態に著明な差異はなかったが, 術中は, E群で高血圧, 頻脈などの異常反応は十分抑えられた. またE群では術中の中枢-末梢温較差は小さく, 末梢循環は良好に保たれた. さらにE群では術後の抜管時間は早く, 鎮静も良好であり, 開心術においても硬膜外麻酔は安全かつ有用な管理法であると思われた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | epidural anesthesia, openheart surgery, peripheral circulation |
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| English |
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| Title | Application of epidural anesthesia for open heart surgery |
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| Subtitle | |
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| Authors | Keiko Kikuchi, Akio Konishi, Masayuki Fujii, Akira Okuaki |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology Fukushima Medical College |
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| Journal | Circulation Control |
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| Volume | 11 |
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| Number | 4 |
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| Page | 537-542 |
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| Year/Month | 1990/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Epidural anesthesia, so called "stress free" anesthesia can be applied to more various operations, today. In this study, the effect of epidural anesthesia was evaluated undergoing openheart surgery including coronary artery bypass grafting (CABG) and valve replacement. Various factors of hemodinamics, for example, blood pressure, heart rate, body temperature and cardiac output, etc, were measured during and after the operation under general anesthesia with or without epidural anesthesia. In the group of epidural anesthesia, after epidural puncture at C7/Th1 on the day before the operation, 1% lidocaine intermittently and morphine (2-4 mg) were injected, and in the group of non-epidural anesthesia intravenous fentanyl (20-50 μg/kg) was used mainly. Futhermore, both groups were maintained with nitrous oxide in oxygen and supplementary dose of enflurane. By the epidural anesthesia, the excessive sympathetic reactions could be depressed satisfactorily and no signifficant differences in hemodynamics during and after the surgical procedure were found between epidural and non-epidural anesthesia. And epidural anesthesia was considered available to providing the surfficient peripheral circUlation and the good sedation, and to shortening the term of the endotracheal intubation postoperatively. In conclusion, epidural anesthesia is useful and safety method in open heart surgery if the indication of the epidural puncture would be kept carefully. |
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| Practice | Basic medicine |
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| Keywords | epidural anesthesia, openheart surgery, peripheral circulation |
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