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Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position
https://asahikawa-med.repo.nii.ac.jp/records/1325
https://asahikawa-med.repo.nii.ac.jp/records/132564a7e6fb-60f8-42c7-9a88-aa1b90b555bd
| 名前 / ファイル | ライセンス | アクション |
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1596.pdf (247.2 kB)
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| Item type | 学術雑誌論文 / Journal Article_02(1) | |||||||||||||||||||||||
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| 公開日 | 2009-03-11 | |||||||||||||||||||||||
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| タイトル | Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
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| 資源タイプ | journal article | |||||||||||||||||||||||
| 著者 |
高畑, 治
× 高畑, 治
× Kunisawa, T
× Nagashima, M
× Mamiya, K
× Sakurai, K
× Fujita, S
× Fujimoto, K
× Iwasaki, H
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| 著者 ローマ字 | ||||||||||||||||||||||||
| Takahata, Osamu | ||||||||||||||||||||||||
| 書誌情報 |
Acta Anaesthesiologica Scandinavica 巻 51, 号 6, p. 687-692, 発行日 2007-07-01 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||
| 収録物識別子 | 0001-5172 | |||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||
| 関連識別子 | 10.1111/j.1399-6576.2007.01311.x | |||||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||||
| 内容記述 | http://dx.doi.org/10.1111/j.1399-6576.2007.01311.x | http://dx.doi.org/10.1111/j.1399-6576.2007.01311.x | |||||||||||||||||||||||
| 抄録 | ||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||
| 内容記述 | Background: There is a possibility that physiological changes in respiratory mechanics caused by aging lead to deterioration of pulmonary gas exchanges and an increase in (A-a)D_<O2> and to a difference between Pa_<CO2> and PET_<CO2> (P(a-ET)_<CO2>) during laparoscopy in the Trendelenburg-lithotomy position (TLP). Methods: The subjects were 51 gynecological patients. Pressure-controlled ventilation was used to maintain PET_<CO2> measured by the side stream method within the range of 4 to 4.67 kPa. During laparoscopy with CO_2 insufflation in the TLP, tidal volume was increased to keep PET_<CO2> within ± 20% of the preinsufflation value. Subjects were divided into three groups by age: a young group (Y: < 45 y.o.), a middle age group (45 y.o. ≤ < 64 y.o.) and an elderly group (E: ≥ 65 y.o.). Results: Before pneumoperitoneum (PPN), significant differences were found between the Y and the E groups in Pa_<O2>, (A-a)D_<O2>, Pa_<CO2> and P(a-ET)_<CO2>. In all groups, peak inspiratory pressure (PIP) and Pa_<CO2> were increased progressively during PPN in the TLP. P(a-ET)_<CO2> increased gradually after starting CO_2 insufflation in the TLP only in the E group. Conclusions: Increase in P(a-ET)_<CO2> was seen during PPN in the TLP in the elderly group. With CO_2 insufflation in the TLP, the setting of mechanical ventilation based on the value of PET_<CO2> measured by the side stream method should be determined with caution in elderly patients. | |||||||||||||||||||||||
| 注記 | ||||||||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||||||||
| 注記 | The definitive version is available at www.blackwell-synergy.com \nauthor |
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| 内容記述タイプ | Other | |||||||||||||||||||||||
| 資源タイプ | text | |||||||||||||||||||||||
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| 出版タイプ | AM | |||||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||||
| 内容記述 | application/pdf | |||||||||||||||||||||||
| ID(XooNIps) | ||||||||||||||||||||||||
| 17465975 | ||||||||||||||||||||||||
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| ダウンロード数(XooNIps) | ||||||||||||||||||||||||
| 1349 | ||||||||||||||||||||||||
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高畑, 治, Kunisawa, T, Nagashima, M, Mamiya, K, Sakurai, K, Fujita, S, Fujimoto, K, Iwasaki, H, n.d., Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position: 687–692 p.
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