| Japanese |
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| Title | 心拍動下CABGにおける右心バイパス併用の術後管理への影響 |
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| Subtitle | 原著 |
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| Authors | 矢部充英*, 山田徳洪*, 東浩司*, 池田和世*, 細野由佳子*, 寺井岳三* |
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| Authors(kana) | |
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| Organization | 大阪労災病院麻酔科
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| Journal | 循環制御 |
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| Volume | 26 |
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| Number | 2 |
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| Page | 148-151 |
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| Year/Month | 2005/6 |
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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 | 右心バイパスを併用した心拍動下CABG症例(RHB群)の術後管理への影響をon-pump CABG症例(on-pump群)やOPCAB症例(off-pump群)と比較検討した. 手術終了から抜管までの時問はon-pump群と比べてoff-pump群, RHB群で有意に短く, 術後24時間の出血量および使用カテコラミン量はon-pump群と比べてoff-pump群, RHB群で有意に少なかった. 心拍動下CABG症例における右心バイパスの併用は術中の循環不全を避けるために有用であり, 術後人工呼吸器からの早期離脱, 術後出血量およびカテコラミン使用量軽減という点で, OPCAB同様に低侵襲的である可能性が示唆された. 特に高度拡大心症例や脳疾患合併症例など, OPCAB術中心臓脱転時の低血圧により循環不全や脳梗塞の増悪の可能性が高い症例においては積極的に右心バイパスを併用する意義があると考えられた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Right-heart bypass, Off-pump CABG, Postoperative management |
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| English |
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| Title | The influence of beating coronary bypass in combination with right-heart bypass on postoperative management |
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| Subtitle | |
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| Authors | Mitsuhide Yabe, Tokuhiro Yamada, Koji Azuma, Kazuyo Ikeda, Yukako Hosono, Takekazu Terai |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, Osaka Rosai Hospital
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| Journal | Circulation Control |
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| Volume | 26 |
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| Number | 2 |
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| Page | 148-151 |
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| Year/Month | 2005/6 |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Beating coronary artery bypass graft in combination with right-heart bypass (RHB) has been reported to be a safer procedure, particularly in patients at a high risk for neurological complications. This retrospective study investigated whether beating coronary bypass with RHB is less minimally-invasive as off-pump coronary artery bypass graft (CABG) than on-pump CABG at the postoperative period. We included 41 patients (on-pump group 18, off-pump group 18, RHB group 5), who underwent CABG at Osaka Rosai Hospital between 2002 and 2004. We excluded the cases with heart valve disease, renal failure, and hepatic insufficiency. In both the RHB group and the off-pump group, patients could be extubated earlier after operation than the on-pump group patients. Postoperative 24h bleeding and catecholamine (dopamine, dobutamine) doses were less in both the RHB and off-pump groups than the on-pump group. Postoperative management of beating CABG in combination with RHB may be less minimally-invasive, as off- pump CABG group, than the on-pump CABG group. |
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| Practice | Basic medicine |
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| Keywords | Right-heart bypass, Off-pump CABG, Postoperative management |
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