| Japanese |
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| Title | 高血圧患者に対するダブルルーメンチューブ挿管時の循環動態(フェンタニル使用量による比較) |
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| Subtitle | 原著 |
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| Authors | 小林敏信, 荒井恭子, 秋山常樹, 綾部裕子, 加藤茂久 |
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| Organization | 静岡市立静岡病院麻酔科 |
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| Journal | 循環制御 |
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| Volume | 22 |
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| Number | 3 |
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| Page | 204-207 |
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| Year/Month | 2001/ |
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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」高血圧患者にダブルルーメンチューブ(DLT)を挿管する際の循環動態をフェンタニルの使用量を変えて検討した. 胸部大動脈手術を予定された高血圧患者を対象とし, F5群(フェンタニル5mcg/kg)とF10群(10mcg/kg)の2群に分けた. フェンタニル, ミダゾラム, パンクロニウムで麻酔を導入し, 入眠4分後にDLTを挿管し, 挿管前後の血圧, 心拍数を比較した. 収縮期血圧は麻酔導入前から挿管直前までは2群間に有意差はなかったが, 挿管直後, 1分後, 2分後はF10群がF5群より有意に低かった. 心拍数は全経過を通じて2群間に有意差はなかった. 「はじめに」喉頭展開とそれに続く気管内挿管は著明な血圧上昇, 頻脈を引き起こし, 重篤な合併症を引き起こす可能性がある1). 胸部大動脈の病変で人工血管置換術を施行される患者では高血圧を合併する頻度が高く, 大動脈瘤の破裂などの可能性もあるため挿管時の循環制御は特に重要である. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Intubation, Hypertension, Fentanyl, Double lumen tube |
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| English |
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| Title | Circulatory Changes After Intubation of a Double Lumen Tube in Hypertensive Patients. (comparison of the effects of 5 and 10 mcg/kg fentanyl) |
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| Subtitle | Original article |
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| Authors | Toshinobu Kobayashi, Kyoko Arai, Tsuneki Akiyama, Yuko Ayabe, Shigehisa Kato |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, Shizuoka City Hospital |
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| Journal | Circulation Control |
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| Volume | 22 |
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| Number | 3 |
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| Page | 204-207 |
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| Year/Month | 2001/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The effects of fentanyl (5 or 10 mcg/kg) given during induction of anesthesia on the hemodynamic responses to laryngoscopy and tracheal intubation using a double lumen tube were studied in 30 hypertensive patients who underwent elective thoracic vascular surgery. Following laryngoscopy and intubation, the maximum rise in the systolic arterial pressure was significantly lower in the patients given 10 mcg/kg than in those given 5 mcg/kg. There was no significant difference in the heart rate between the groups throughout the study period. It is concluded that in hypertensive patients, 10 mcg/kg fentanyl is more effective than 5 mcg/kg in reducing the cardiovascular responses to tracheal intubation of a double lumen tube. |
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| Practice | Basic medicine |
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| Keywords | Intubation, Hypertension, Fentanyl, Double lumen tube |
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