| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○審査 (推奨): | □ | Peer Review
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
| ○組織 (推奨): | 1. | 徳島大学.医学部.医学科.病態情報医学講座
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| 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])
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| ○著者 (必須): | 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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| ○貢献度 (任意): |
| ○学籍番号 (推奨): |
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| 2. | 北畑 洋
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| ○学籍番号 (推奨): |
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| 3. | 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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| ○学籍番号 (推奨): |
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| 4. | 野﨑 淳平
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| ○貢献度 (任意): |
| ○学籍番号 (推奨): |
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| 5. | 大下 修造
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| ○学籍番号 (推奨): |
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| ○題名 (必須): | □ | (英) Pulmonary arterial pressure can be estimated by transesophageal pulsed Doppler echocardiography. (日)
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| ○要約 (任意): | □ | (英) We examined whether pulmonary arterial pressure can be estimated on the basis of pulmonary arterial flow velocity determined via intraoperative pulsed Doppler transesophageal echocardiography (TEE) in 20 patients undergoing cardiac surgery. Standard pulmonary artery measurements were taken as well. Measurements were taken before sternotomy, after pericardiotomy, after cardiopulmonary bypass, and after sternum closure. The variables obtained by TEE included preejection period (PEP), acceleration time (AT), right ventricular ejection time (RVET), and R-R interval (RR). Five ratios were calculated as indices of pulmonary arterial pressure--PEP/AT, PEP/RVET, AT/RVET, PEP/ square root of RR, and AT/ square root of RR--and were compared with pulmonary artery catheterization findings, i.e., systolic pulmonary arterial pressure (sPAP), log sPAP, mean PAP (mPAP), and log mPAP. Before sternotomy, PEP/AT, PEP/ square root of RR, and AT/ square root of RR showed significant correlation with all pulmonary artery catheterization values. AT/RVET showed correlation with all pulmonary artery values except log mPAP. PEP/AT showed the closest correlation with sPAP (r = 0.771) and log sPAP (r = 0.789). PEP/AT also showed close correlation with mPAP (r = 0.764) and log mPAP (r = 0.777). Significant agreement between sPAP and mPAP values calculated from a regression equation and values measured via pulmonary artery catheter was observed by plotting the differences against the mean values of the two measurements. We therefore conclude that noninvasive estimation of pulmonary arterial pressure is feasible via intraoperative TEE when sternotomy is not involved. (日)
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| ○キーワード (推奨): | 1. | (英) Adult (日) (読)
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| 2. | (英) Aged (日) (読)
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| 3. | (英) Blood Pressure Determination (日) (読)
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| 4. | (英) Echocardiography, Doppler, Pulsed (日) (読)
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| 5. | (英) Echocardiography, Transesophageal (日) (読)
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| 6. | (英) Female (日) (読)
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| 7. | (英) Humans (日) (読)
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| 8. | (英) Male (日) (読)
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| 9. | (英) Middle Aged (日) (読)
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| 10. | (英) Monitoring, Intraoperative (日) (読)
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| 11. | (英) Pulmonary Artery (日) (読)
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| 12. | (英) Regression Analysis (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Anesthesia & Analgesia (International Anesthesia Research Society(IARS))
(pISSN: 0003-2999, eISSN: 1526-7598)
| ○ISSN (任意): | □ | 0003-2999
ISSN: 0003-2999
(pISSN: 0003-2999, eISSN: 1526-7598) Title: Anesthesia and analgesiaTitle(ISO): Anesth AnalgPublisher: Lippincott Williams and Wilkins (NLM Catalog)
(Scopus)
(CrossRef)
(Scopus information is found. [need login]) | [継承] |
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| ○巻 (必須): | □ | 92
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| ○号 (必須): | □ | 6
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| ○頁 (必須): | □ | 1364 1369
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2001年 6月 初日 (平成 13年 6月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1097/00000539-200106000-00002 (→Scopusで検索)
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| ○PMID (任意): | □ | 11375806 (→Scopusで検索)
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| ○CRID (任意): |
| ○WOS (任意): | □ | 000168839100002
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| ○備考 (任意): | 1. | (英) Article.Affiliation: Department of Anesthesiology, Tokushima University School of Medicine, Kuramoto, Tokushima, Japan. kawahito@pb4.so-net.ne.jp (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Clinical Trial (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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