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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 37巻2号

Changes in the Respiratory Quotient during Surgery with or without Carbohydrate Loading

https://hiroshima.repo.nii.ac.jp/records/2013193
https://hiroshima.repo.nii.ac.jp/records/2013193
db652c6a-8389-4103-96a3-f9476c81b4be
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_37_83.pdf HiroshimaJMedSci_37_83.pdf (499.9 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Changes in the Respiratory Quotient during Surgery with or without Carbohydrate Loading
言語 en
作成者 Kawachi, Shoji

× Kawachi, Shoji

en Kawachi, Shoji

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Yuge, Osafumi

× Yuge, Osafumi

en Yuge, Osafumi

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Morio, Michio

× Morio, Michio

en Morio, Michio

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
主題
主題Scheme Other
主題 Energy metabolism
主題
主題Scheme Other
主題 energy expenditure
主題
主題Scheme Other
主題 respiratory quotient Carbohydrates
主題
主題Scheme Other
主題 maltose
主題
主題Scheme Other
主題 glucose Intraoperative period
主題
主題Scheme NDC
主題 490
内容記述
内容記述 Usually glucose is used as an energy source intraoperatively, and recently maltose containing fluids was introduced as intraoperative fluid supply. However, the optimal dosage and form of intraoperative carbohydrate have not yet been known. The authors compared changes in the RQ during surgery without any energy source supply, and with administration of glucose or maltose in twenty eight males and females to know the effects of carbohydrates administration on RQ during surgery and to estimate the optimal dosage and form of intraoperative carbohydrates. Patients in group 1 received no carbohydrates during the operation; in groups 2 and 3, patients were given 0.25g glucose/kg and 0.5g glucose/kg/hr respectively, and patients in groups 4 and 5 received maltose at the speed of 0.25g/kg/hr, respectively. No differences in RQ were observed before the beginning of surgery among groups. In group 1, the RQ decreased from 0.85 ± 0.08 (X ± S.D.) to 0.72 ± 0.04 at 150 min after the beginning of the operation. In groups 2 and 3 (the glucose groups) and group 4 (the maltose group), the RQ also had fallen at 150 min, from 0.86 ± 0.06 to 0.74 ± 0.06 (group 2), 0.86 ± 0.05 to 0.80 ± 0.05 (group 3), 0.86 ± 0.03 to 0.81 ± 0.03 (group 4). Group 5 was the only group in which we could not observe any significant change of RQ during surgery (0.85 ± 0.06 to 0.84 ± 0.03). Without carbohydrates administration, the RQ decreased to nearly 0.7, indicating that the main energy source of the patients changed from carbohydrates to lipids. This reduction of RQ during operation can be inhibited with administration of carbohydrates, which suggests that the administered carbohydrates were utilized as the energy source during the time of surgery, and maltose 0.5g/kg/hr is thought to be suitable for intraoperative use as an energy source.
言語 en
内容記述
内容記述タイプ Other
内容記述 This study was supported by a Research Grant from the Japanese Ministry of Education, Science and Culture (No. 61771129), and was presented at the 7th European Congress of Anesthesiologists held in Vienna, 1986.
内容記述
内容記述タイプ Other
内容記述 【Hiroshima J. Med. Sci.Vol.37, No.3, p149に掲載】 ERRATUM Page 83 In the Abstract section, 0.25g glucose/kg on line 8 should be read 0.25g glucose/kg/hr; and 0.25g/kg/hr on line 9 should be corrected to be 0.25g/kg/hr and 0.5g/kg/hr.
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
識別子タイプ PMID
関連識別子 3250554
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 83
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 37, 号 2, p. 83-87, 発行日 1988-06
旧ID 38149
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