徳島大学 教育・研究者情報データベース(EDB)

1. 曽我 朋宏

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2. 川人 伸次([徳島大学.大学院医歯薬学研究部.歯学域.口腔科学部門.臨床歯学系.歯科麻酔科学])

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3. 角田 奈美([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.麻酔・疼痛治療医学]/[徳島大学.病院.診療科.脳·神経·精神科.麻酔科])

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4. 片山 俊子

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5. 若松 成知

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6. 高石 和美([徳島大学.大学院医歯薬学研究部.歯学域.口腔科学部門.臨床歯学系.歯科麻酔科学]/[徳島大学.病院.診療科.歯科口腔外科.歯科麻酔科]/[徳島大学.歯学部.歯学科.口腔疾患系臨床歯学講座.歯科麻酔科学])

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7. 山口 邦久([徳島大学.病院.診療科.外科.泌尿器科])

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8. 井崎 博文

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9. 金山 博臣

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10. 北畑 洋

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11. 大下 修造

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(英) Recent less-invasive circulatory monitoring during renal transplantation.

(英) 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 FloTrac(TM) system and a standard CV line were used. In the third patient, a standard arterial line and a PreSep(TM) CV Oximetry Catheter were used. In the fourth and fifth patients, a FloTrac(TM) and a PreSep(TM) were used. In the latest patient, FloTrac(TM) and PreSep(TM) were connected to an EV1000(TM) 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.

1. (英) Adolescent
2. (英) Adult
3. 麻酔(anesthesia)
4. (英) Cardiac Output
5. (英) Central Venous Pressure
6. (英) Humans
7. (英) Kidney Transplantation
8. (英) Middle Aged
9. (英) Monitoring, Physiologic
10. (英) Oxygen

1. (英) Article.PublicationTypeList.PublicationType: Case Reports

2. (英) Article.PublicationTypeList.PublicationType: Journal Article