| Japanese |
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| Title | 硬麻併用全麻の覚醒および抜管時の循環動態─気管チューブとラリンジアルマスクの比較─ |
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| Subtitle | 原著 |
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| Authors | 清水泰行, 柏野繁雄, 森本裕二, 四釜裕睦, 石川岳彦, 劔物修 |
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| Organization | 北海道大学医学部侵襲制御医学講座 |
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| Journal | 循環制御 |
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| Volume | 21 |
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| Number | 1 |
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| Page | 28-31 |
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| Year/Month | 2000/ |
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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 | 硬膜外麻酔の併用が麻酔覚醒, 抜管時の循環系に与える影響, および硬膜外麻酔の併用下での気管チューブまたはラリンジアルマスクの抜去が循環系に与える影響をretrospectiveに検討した. 最近4年間の麻酔管理症例の中で硬膜外麻酔を併用した全身麻酔と全身麻酔のみの症例, 持続硬膜外麻酔を併用した全身麻酔のなかでラリンジアルマスクを用いた症例と気管チューブを用いた症例を抽出し, 比較した. その結果, 硬膜外麻酔の併用が全身麻酔からの覚醒, 抜管時の血圧上昇を緩和すること, そして硬膜外麻酔を併用しても, ラリンジアルマスクは気管チューブと比較して覚醒時の高血圧や頻脈が少ないことが示された. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Epidural block, Emergence, Tracheal extubation, LMA removal |
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| English |
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| Title | The Effects of Epidural Block on Hemodynamic Responses to Emergence from General Anesthesia and Tracheal Extubation or Removal of Laryngeal Mask Airway. |
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| Subtitle | |
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| Authors | Yasuyuki Shimizu, Shigeo Kaseno, Yuji Morimoto, Hirochika Shikama, Takehiko Ishikawa, Osamu Kemmotsu |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology and Critical Care Medicine,Hokkaido University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 21 |
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| Number | 1 |
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| Page | 28-31 |
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| Year/Month | 2000/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We studied retrospectively the effects of epidural block on hemodynamic responses to emergence from general anesthesia and tracheal extubation or laryngeal mask airway (LMA) removal. Systolic arterial pressure and heart rate were selected and analyzed among the data of patients in the past four years, who underwent general anesthesia only (Group G), general anesthesia with epidural block (Group E), tracheal intubation (Group T), LMA insertion (Group L). Systolic arterial pressure at the time of emergence and extubation in Group E decreased significantly compared with Group G. All variables of Group L decreased significantly compared with those of Group T. The results suggest that epidural block reduces arterial pressure responses to emergence from general anesthesia and that LMA decreases arterial pressure and heart rate responses during emergence when compared to the use of tracheal tubes. These results in LMA are similar when we use or not use epidural block |
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| Practice | Basic medicine |
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| Keywords | Epidural block, Emergence, Tracheal extubation, LMA removal |
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