| Japanese |
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| Title | 深部体温からみた心臓手術における硬膜外麻酔 |
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| Subtitle | 原著 |
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| Authors | 土井克史*, 光藤努*, 佐藤圭路*, 小川雅巳*, 高鳥智仁**, 小坂義弘** |
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| Authors(kana) | |
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| Organization | *国立呉病院麻酔科, **島根医科大学麻酔学教室 |
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| Journal | 循環制御 |
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| Volume | 12 |
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| Number | 2 |
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| Page | 291-296 |
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| Year/Month | 1991/ |
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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」開心術に対する硬膜外麻酔の応用をCABG群と弁置換術群とにわけて, 深部体温の面から検討した. 硬膜外麻酔群は手術前日に挿入した硬膜外カテーテルよりメピバカインを注入した後, フェンタニール麻酔群はフェンタニール0.5mgを静注した後に, 全群ともミダゾラム, パンクロニウムにて導入, 挿管した. 麻酔維持はエンフルレンのみ使用した. 執刀前後の循環動態(心係数, 収縮期血圧, 心拍数)は硬膜外麻酔群においてCABG, 弁置換術とも変化なかったが, フェンタニール麻酔群では収縮期血圧, 心拍数は有意に増加した. 人工心肺中の前額手掌体温較差は硬膜外麻酔群において有意に小さかった. 硬膜外麻酔は弁置換術においてもCABGと同様に有用であると考えられた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | epidural anesthesia, open heart surgery, dissociation of deep body temperature |
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| English |
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| Title | Effects of epidural anesthesia on the dissociation of deep body temperature for open heart surgery |
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| Authors | Katsushi Doi, Tsutomu Mitsufuji, Keiji Satoh, Masami Ogawa, Tomoyoshi Takatori*, Yoshihiro Kosaka* |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology Kure National Hospital, *Shimane Medical University |
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| Journal | Circulation Control |
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| Volume | 12 |
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| Number | 2 |
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| Page | 291-296 |
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| Year/Month | 1991/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | In recent years there have been a number of applications of epidural anesthesia for open heart surgery. To evaluate the efficacy of epidural anesthesia, dissociation of deep body temperature (DDBT), systolic blood pressure, heart rate and cardiac index (CI) were measured during open heart surgery. Anesthesia and operations were CABG-epidural anesthesia (group I), valve replacement-epidural anesthesia (group II), valve replacement-fentanyl anesthesia (group III). In the groups of epidural anesthesia, anesthesia was induced after injection of 1.5% mepivacaine. In group III, anesthesia was induced with fentanyl. Furthermore anesthesia was maintained with enflurane in oxygen and air in all groups. DDBT was significantly smaller in the groups of epidural anesthesia than in group III. In the groups of epidural anesthesia, there were no significant changes in CI, systolic blood pressure and heart rate during pre and post incision. On the other hand, in the group of non-epidural anesthesia, there were significant increases in systolic blood pressure and heart rate during pre and post incision. We conclude that epidural anesthesia is more useful than fentanyl anesthesia in providing stable hemodynamics and sufficient peripheral circulation for open heart surgery. |
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| Practice | Basic medicine |
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| Keywords | epidural anesthesia, open heart surgery, dissociation of deep body temperature |
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