徳島大学 教育・研究者情報データベース(EDB)

1. 徳島大学.医学部.医学科.病態情報医学講座
2. 徳島大学.医学部.附属病院(〜2003年9月30日/->組織[徳島大学.病院.医科診療部門])

1. 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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2. 北畑 洋

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3. (英) Kimura Hideyuki / (日) 木村 英之 / (読) きむら ひでゆき

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4. 田中 克哉([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])

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5. 大下 修造

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(英) Recurrent laryngeal nerve palsy after cardiovascular surgery

(英) Relationship to the placement of a transesophageal echocardiographic probe

(英) To examine the relationship between the incidence of recurrent laryngeal nerve palsy after cardiovascular surgery and the placement of a transesophageal echocardiographic probe. A prospective clinical study. A single-institutional study in a university hospital. One hundred sixteen patients undergoing cardiovascular surgery. All patients were assigned into one of two groups: 64 patients in whom transesophageal echocardiography (TEE) was performed and 52 patients in whom TEE was not performed during surgery. The incidence of recurrent laryngeal nerve palsy was examined and compared between the two groups. Five of 64 patients (7.8%) in whom TEE was monitored and 3 of 52 patients (5.8%) in whom TEE was not monitored were diagnosed with recurrent laryngeal nerve palsy postoperatively. There was no statistically significant difference between the incidence of recurrent laryngeal nerve palsy in patients with intraoperative TEE monitoring, and patients without it. The durations of surgery, anesthesia, and cardiopulmonary bypass were significantly longer in patients with nerve palsy than those without it. These results suggest that placement of the transesophageal echocardiographic probe is not responsible for postoperative recurrent laryngeal nerve palsy. It seems likely that surgical manipulation itself and the durations of surgery, cardiopulmonary bypass, and tracheal intubation are related to the incidence of laryngeal nerve palsy.

1. (英) Cardiopulmonary Bypass
2. (英) Cardiovascular Surgical Procedures
3. (英) Echocardiography, Transesophageal
4. (英) Female
5. (英) Humans
6. (英) Intubation, Intratracheal
7. (英) Male
8. (英) Middle Aged
9. (英) Monitoring, Intraoperative
10. (英) Prospective Studies
11. (英) Vocal Cord Paralysis

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