{"created":"2023-06-19T11:21:10.598022+00:00","id":1325,"links":{},"metadata":{"_buckets":{"deposit":"d316c9c2-2a9f-4f43-a25c-47dc9ab0758f"},"_deposit":{"created_by":3,"id":"1325","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1325"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00001325","sets":["6:29:30","7","7:24"]},"author_link":["4233","4234","4235","4236","4237","4238","4239","4240"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"692","bibliographicPageStart":"687","bibliographicVolumeNumber":"51","bibliographic_titles":[{"bibliographic_title":"Acta Anaesthesiologica Scandinavica"}]}]},"item_5_description_25":{"attribute_name":"リンクURL","attribute_value_mlt":[{"subitem_description":"http://dx.doi.org/10.1111/j.1399-6576.2007.01311.x | http://dx.doi.org/10.1111/j.1399-6576.2007.01311.x","subitem_description_type":"Other"}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"The definitive version is available at www.blackwell-synergy.com\n\\nauthor","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_24":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1111/j.1399-6576.2007.01311.x","subitem_relation_type_select":"DOI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0001-5172","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"17465975"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2612"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1349"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Takahata, Osamu"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高畑, 治"},{"creatorName":"タカハタ, オサム","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"4233","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kunisawa, T"}],"nameIdentifiers":[{"nameIdentifier":"4234","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nagashima, M"}],"nameIdentifiers":[{"nameIdentifier":"4235","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Mamiya, K"}],"nameIdentifiers":[{"nameIdentifier":"4236","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sakurai, K"}],"nameIdentifiers":[{"nameIdentifier":"4237","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujita, S"}],"nameIdentifiers":[{"nameIdentifier":"4238","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fujimoto, K"}],"nameIdentifiers":[{"nameIdentifier":"4239","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Iwasaki, H"}],"nameIdentifiers":[{"nameIdentifier":"4240","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"1596.pdf","filesize":[{"value":"247.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"1596.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/1325/files/1596.pdf"},"version_id":"36112f5f-d40a-45a2-988f-bfd11f0b8273"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position","subitem_title_language":"en"}]},"item_type_id":"5","owner":"3","path":["7","24","30"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-03-11"},"publish_date":"2009-03-11","publish_status":"0","recid":"1325","relation_version_is_last":true,"title":["Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-19T11:19:35.364813+00:00"}