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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 67巻3号

Response of Arterial Mechanical Impedance to Different Concentrations of Remifentanil during Abdominal Laparoscopic Colectomy

https://hiroshima.repo.nii.ac.jp/records/2013748
https://hiroshima.repo.nii.ac.jp/records/2013748
c6595235-efec-4017-aa0b-8d56b2ee814e
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_67_55.pdf HiroshimaJMedSci_67_55.pdf (351.8 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 Response of Arterial Mechanical Impedance to Different Concentrations of Remifentanil during Abdominal Laparoscopic Colectomy
言語 en
作成者 Sukhdorj, Elbegzaya

× Sukhdorj, Elbegzaya

en Sukhdorj, Elbegzaya

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Nakamura, Ryuji

× Nakamura, Ryuji

en Nakamura, Ryuji

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Saeki, Noboru

× Saeki, Noboru

en Saeki, Noboru

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Yanabe, Kensuke

× Yanabe, Kensuke

en Yanabe, Kensuke

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Hirano, Hiroki

× Hirano, Hiroki

en Hirano, Hiroki

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Hirano, Harutoyo

× Hirano, Harutoyo

en Hirano, Harutoyo

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Yoshizumi, Masao

× Yoshizumi, Masao

en Yoshizumi, Masao

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Tsuji, Toshio

× Tsuji, Toshio

en Tsuji, Toshio

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Kawamoto, Masashi

× Kawamoto, Masashi

en Kawamoto, Masashi

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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
権利情報
権利情報 Copyright (c) 2018 Hiroshima University Medical Press
主題
主題Scheme Other
主題 Photoplethysmogram
主題
主題Scheme Other
主題 Anesthesia
主題
主題Scheme Other
主題 Nociceptive reflex
主題
主題Scheme NDC
主題 490
内容記述
内容記述 A specific and reliable method for monitoring analgesia during general anesthesia is urgently required. Previously, we introduced a method that indicates arterial mechanical properties for estimating arterial wall stiffness (K). However, whether the response of K actually indicates changes in remifentanil target concentrations under continuous surgical stress, is unclear. Thus, we aimed to evaluate how K responds to different remifentanil target concentrations. This prospective study enrolled 30 patients who underwent laparoscopic colectomy. The patients received 3 different effect-site concentrations (2, 4, and 6 ng/ml) of remifentanil 3 times during the study period. The K values at 4-ng/ml administration were used as control values (Kcontrol). K values at 6-ng/ml administration (K6ng) and those at 2-ng/ml administration (K2ng) were normalized by dividing them by the control values. The results showed that K responded to the changes in remifentanil concentration, significantly decreasing at 6-ng/ml remifentanil effect-site concentration and increasing at 2-ng/ml concentration. The stress response at low analgesia was higher than that at high analgesia, and, as predicted, normalized K2ng was significantly greater than normalized K6ng. In conclusion, we found that K is a sensitive stress response monitor and dynamically responds to changes in remifentanil concentration in invasive stimulation during laparoscopic colectomy.
言語 en
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 DOI
関連識別子 10.24811/hjms.67.3_55
関連情報
識別子タイプ DOI
関連識別子 https://doi.org/10.24811/hjms.67.3_55
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 ISSN
収録物識別子 2433-7668
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 55
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 67, 号 3, p. 55-61, 発行日 2018-09
旧ID 46494
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