A COMPARATIVE STUDY OF NARCOTIC ANESTHESIA DURING VALVULAR HEART SURGERY
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概要
- 論文の詳細を見る
A retrospective study was carried out to evaluate the suitability of narcotics for valvular heart surgery. Forty patients having cardiac valvular replacement were randomly anesthetized with morphine (1,2 and 3 mg/kg) or fentanyl with low and high dose (19 and 66 μg/kg, respectively). The patients were divided into five groups according to anesthetic agent and dosage. Heart rate, direct arterial pressure and central venous pressure were always monitored serially during the procedure. Rate pressure product (RPP) was calculated to estimate the myocardial oxygen consumption. In the group given a high dose of fentanyl (HDF), circulatory stability was obtained without any change in RPP throughout the study, but in the group given a low dose of fentanyl combined with droperidol, fluctuations in hemodynamic responses were observed with reduced RPP. Serial changes in hemodynamics were apparent in groups given morphine anesthesia. It is, therefore, concluded that HDF with nitrous oxide produces minimal changes in hemodynamic responses and can be better tolerated during valvular heart surgery.
- 島根大学の論文
著者
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Kosaka Yoshihiro
Department Of Anesthesiology Shimane Medical University
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Asano Makoto
Department Of Anesthesiology Sapporo Medical College
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Kosaka Y
Department Of Anesthesiology Shimane Medical University
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Takasaki Mayumi
Department Of Anesthesiology Shimane Medical University
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Takasaki Mayumi
Department Of Anesthesiology And Intensive Care Faculty Of Medicine University Of Miyazaki
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KAWAMOTO Masashi
Division of Clinical Pathology, Nippon Medical School Hospital
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Kawamoto M
Division Of Clinical Pathology Nippon Medical School Hospital
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Kawamoto Masashi
Department Of Anesthesiology Hiroshima University
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Kawamoto Masashi
Department Of Anesthesiology And Critical Care Division Of Clinical Medical Science Graduate School
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