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 |
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タイトル |
Response of Arterial Mechanical Impedance to Different Concentrations of Remifentanil during Abdominal Laparoscopic Colectomy |
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言語 |
en |
作成者 |
Sukhdorj, Elbegzaya
Nakamura, Ryuji
Saeki, Noboru
Yanabe, Kensuke
Hirano, Hiroki
Hirano, Harutoyo
Yoshizumi, Masao
Tsuji, Toshio
Kawamoto, Masashi
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
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権利情報 |
Copyright (c) 2018 Hiroshima University Medical Press |
主題 |
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主題Scheme |
Other |
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主題 |
Photoplethysmogram |
主題 |
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主題Scheme |
Other |
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主題 |
Anesthesia |
主題 |
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主題Scheme |
Other |
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主題 |
Nociceptive reflex |
主題 |
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主題Scheme |
NDC |
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主題 |
490 |
内容記述 |
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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. |
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言語 |
en |
出版者 |
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出版者 |
Hiroshima University Medical Press |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
departmental bulletin paper |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
関連情報 |
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識別子タイプ |
DOI |
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関連識別子 |
10.24811/hjms.67.3_55 |
関連情報 |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.24811/hjms.67.3_55 |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0018-2052 |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
2433-7668 |
収録物識別子 |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA00664312 |
開始ページ |
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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
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旧ID |
46494 |