直近一年間の累計
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ID 106058
著者
曽我, 朋宏 Department of Anesthesiology, Tokushima University Hospital KAKEN研究者をさがす
川人, 伸次 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
小居, 理恵 Department of Anesthesiology, Tokushima University Hospital
角田, 奈美 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
片山, 俊子 Department of Anesthesiology, Tokushima University Hospital
若松, 成知 Department of Anesthesiology, Tokushima University Hospital KAKEN研究者をさがす
高石, 和美 Department of Dental Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
山口, 邦久 Department of Urology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
井崎, 博文 Department of Urology, Tokushima University Hospital KAKEN研究者をさがす
金山, 博臣 Department of Urology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
北畑, 洋 Department of Dental Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
大下, 修造 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
renal transplantation
circulatory monitoring
fluid management
EV1000 clinical platform
資料タイプ
学術雑誌論文
抄録
For anesthetic management during renal transplantation, it is necessary to maintain the blood flow and function of the transplanted kidney by performing massive fluid management and stabilizing blood pressure. We report anesthetic management for renal transplantation with a less-invasive circulatory monitoring system (Edwards Life Sciences Co., Ltd., Irvine, California, U.S.A.). In November 2010, renal transplantation was started in our hospital, and performed in 6 patients. In the first patient, fluid/circulatory management was conducted by connecting a standard arterial line and a standard central venous (CV) line. In the second patient, a FloTracTM system and a standard CV line were used. In the third patient, a standard arterial line and a PreSepTM CV Oximetry Catheter were used. In the fourth and fifth patients, a FloTracTM and a PreSepTM were used. In the latest patient, FloTracTM and PreSepTM were connected to an EV1000TM Clinical Platform for fluid/circulatory management. The establishment of high-visibility monitors was useful for evaluating the condition and confirming the effects. As there are marked changes in hemodynamics, the CV pressure, which has been used as a parameter of fluid management, is not reliable in renal failure patients with a high incidence of cardiovascular complications. Advances in noninvasive circulatory monitoring with dynamic indices may improve the safety of anesthetic management during renal transplantation.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
60
1-2
開始ページ
159
終了ページ
163
並び順
159
発行日
2013-02
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院
歯学系