| Japanese |
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| Title | 経食道非観血的循環動態モニターによる先天性心疾患術中の循環動態推移の検討 |
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| Subtitle | 症例 |
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| Authors | 田口晶子*, 高田勝美*, 尾崎眞*, 鈴木英弘* |
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| Authors(kana) | |
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| Organization | *東京女子医科大学麻酔科学教室 |
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| Journal | 循環制御 |
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| Volume | 19 |
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| Number | 4 |
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| Page | 554-557 |
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| Year/Month | 1998/ |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」新しく導入された非観血的循環動態モニターDYNEMO 3000(R)(SOMETEC Inc)は食道壁から大動脈血流量(以下, ABF), 1回拍出量(以下, SVa), 末梢血管抵抗, 大動脈血管径, 左心室等容収縮期, 左心室収縮駆出時間間隔を持続的に測定できる. 今回, 心室中隔欠損症, 心房中隔欠損症, 及びファロー四徴症症例に使用し, 循環動態の変化を観察した. 前2症例において体外循環離脱後ABF, SVaが増加, 後症例においてBlalock-Taussigシャント遮断後, ABFの増加が認められた. 本モニターは, 循環動態の変化が非侵襲的に経時的かつ即座に把握でき, 術中の循環動態モニターとして有用であった. 「はじめに」小児先天性心疾患の麻酔における術中循環動態モニターとして, 著者らは, 近年ヨーロッパ各国で広く使用され, 成人用と小児用の2種類の食道内プローブを持ち, 各年齢層に使用できる非観血的循環動態モニターであるDYNEMO 3000(R)(SOMETEC Inc)に着眼した. 今回, 本モニターを使用して術中の循環動態の推移を観察し, 小児先天性心疾患の麻酔における術中循環動態のモニターとしての有用性を検討した. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | |
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| English |
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| Title | Non-invasive Continuous Hemodynamic Measurement during Operation for a Child with Congenital Heart disease |
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| Subtitle | |
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| Authors | Akiko Taguchi*, Katsumi Takada*, Makoto Ozaki*, Hidehiro Suzuki* |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology, Tokyo Women's Medical College |
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| Journal | Circulation Control |
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| Volume | 19 |
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| Number | 4 |
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| Page | 554-557 |
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| Year/Month | 1998/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | For non-invasive hemodynamic monitoring, the monitor device used in this study has a 10mHz ultrasonic echo scan and a 5mHz Doppler velocimeter connected to an echo-esophageal probe allowing continuous measurement of the aonic diameter and of the blood flow velocity in the descending aorta, to be made. Thus, this device can measure the aonic blood flow (ABF), as well as calculate stroke volume (SVa) and systemic vascular resistance (TSVRa). In this paper, three cases are described where this device was used for children with ventricle septum defect (VSD), atrium septum defect (ASD) and tetralogy of Fallot (TOF). The hemodynamic changes were measured continuously during surgical procedures. After cardiopulmonary bypass, ABF and SVa increased, on the other hand, TSVRa decreased at the same time because of decreasing of left to right shunt in VSD and ASD. in TOF, after ligargitation of Bralock-Taussig shunt, ABF increased because of a decrease in the blood flow of this shunt. We think that this device is useful as a non-invasive monitor to recognize the hemodynamic changes continuously during surgery for a child with congenital heart disease. |
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| Practice | Basic medicine |
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| Keywords | Continuous hemodynamic measurement, Congenital heart disease, Transesophageal echo cardiography |
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