ID | 106368 |
著者 |
カタヤマ, トシコ
Department of Anesthesiology, Tokushima University Hospital
タダ, フミヒコ
Department of Anesthesia, Shikoku Medical Center for Children and Adults
北川, 哲也
Department of Cardiovascular Surgery, Tokushima University Hospital
徳島大学 教育研究者総覧
KAKEN研究者をさがす
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キーワード | bidirectional Glenn shunt
circulatory monitoring
central venous oxygen saturation
PediaSat oximetry catheter
near-infrared spectroscopy
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資料タイプ |
学術雑誌論文
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抄録 | A PediaSat(TM) oximetry catheter (PediaSat : Edwards Lifesciences Co., Ltd., Irvine, CA, U.S.A.), which facilitates continuous measurement of central venous oxygen saturation (ScvO2), may be useful for surgery for pediatric congenital heart disease. We used PediaSat during a bidirectional Glenn shunt. The patient was a 13-month-old boy. Under a diagnosis of left single ventricle (pulmonary atresia, right ventricular hypoplasia, atrial septal defect) and residual left aortic arch/left superior vena cava, a modified right Blalock- Taussig shunt was performed. Cyanosis deteriorated, so a bidirectional Glenn shunt was scheduled. After anesthesia induction, a 4.5 Fr double-lumen (8 cm) PediaSat was inserted through the right internal jugular vein for continuous ScvO2 monitoring. Furthermore, the probe of a near-infrared, mixed blood oxygen saturation-measuring monitor was attached to the forehead for continuous monitoring of the regional brain tissue mixed blood oxygen saturation (rSO2) (INVOS(TM) 5100C, Covidien ; Boulder, CO, U.S.A.). Blockage of the right pulmonary artery and right superior vena cava decreased the oxygen saturation, ScvO2, and rSO2, but increased the central venous pressure. Although changes in ScvO2 were parallel to those in rSO2, the former showed more marked changes. A combination of ScvO2 and rSO2 for monitoring during Glenn shunt may be safer.
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掲載誌名 |
The journal of medical investigation : JMI
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ISSN | 13431420
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cat書誌ID | AA11166929
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巻 | 60
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号 | 3-4
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開始ページ | 272
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終了ページ | 275
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並び順 | 272
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発行日 | 2013-08
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EDB ID | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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部局 |
医学系
病院
歯学系
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