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著作: [安倍 吉郎]/[橋本 一郎]/Transcutaneous PCO2 Measurement at Low Temperature for Reliable and Continuous Free Flap Monitoring: Experimental and Clinical Study/[Plastic and Reconstructive Surgery. Global Open]

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EID
283570
EOID
777132
Map
0
LastModified
2015年5月11日(月) 15:45:58
Operator
松井 栄里
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橋本 一郎
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨
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著者 必須
  1. 安倍 吉郎([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.形成外科学]/[徳島大学.病院.診療科.感覚·皮膚·運動機能科.形成外科・美容外科])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. 橋本 一郎([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.形成外科学])
    役割 任意
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    学籍番号 推奨
題名 必須

(英) Transcutaneous PCO2 Measurement at Low Temperature for Reliable and Continuous Free Flap Monitoring: Experimental and Clinical Study

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(英) Measurement of transcutaneous oxygen pressure (TcPO2) and transcutaneous carbon dioxide pressure (TcPCO2) has been used for free flap monitoring. Because these values are obtained with sensor probes heated to 44°C, there is potential for low-temperature burns on skin flaps. We measured TcPO2 and TcPCO2 at 37°C in both animals and humans to determine the feasibility and safety of the procedure as a postoperative flap monitoring method. Twelve epigastric island flaps were elevated in rabbits, and TcPO2 and TcPCO2 were measured at 37°C before and after ligation of the pedicles. In addition, TcPO2 and TcPCO2 at 37°C were measured in healthy men. Subsequently, the method was applied to postoperative monitoring of free flaps in 49 clinical cases. TcPO2 and TcPCO2 values were significantly affected by the experimental flap elevation. A rapid increase in TcPCO2 was observed with both arterial and venous occlusion. In the healthy men, TcPO2 and TcPCO2 were measurable at all skin surface sites. In the clinical cases of free flap transfer, TcPO2 values remained very low for at least 72 hours. TcPCO2 values ranged from 40 to 70 mm Hg for 72 hours in more than 80% of cases. In 2 cases, TcPCO2 values increased to more than 90 mm Hg, and exploration surgery was performed. These compromised flaps were saved by reanastomosis of the veins. Continuous monitoring of TcPCO2 at 37°C can provide objective information and alert doctors and nurses to the need for checking the free flap.

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誌名 必須 Plastic and Reconstructive Surgery. Global Open(American Society of Plastic Surgeons)
(eISSN: 2169-7574)
ISSN 任意 2169-7574
ISSN: 2169-7574 (eISSN: 2169-7574)
Title: Plastic and reconstructive surgery. Global open
Title(ISO): Plast Reconstr Surg Glob Open
Publisher: Lippincott Williams and Wilkins Ltd.
 (NLM Catalog  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 1
必須 2
必須 e16 e23
都市 任意
年月日 必須 2013年 6月 7日
URL 任意
DOI 任意 10.1097/GOX.0b013e3182936cd0    (→Scopusで検索)
PMID 任意 25289213    (→Scopusで検索)
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Scopus 任意 2-s2.0-84877600143
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指導教員 推奨
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  1. (英) Article.ELocationID: 10.1097/GOX.0b013e3182936cd0

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

  3. (英) OtherID: PMC4184056