<原著>大量fentanyl-酸素麻酔およびdiazepam-morphine麻酔による開心術中の血漿catecholamine濃度

概要

論文の詳細を見る
Plasma catecholamine concentrations were measured in 19 patients undergoing open heart surgery under anesthesia with high-dose-fentanyl-oxygen (n=10) or diazepam-morphine-N_2O (n=9). In both groups of patients, epinephrine concentrations were unchanged until cardiopulmonary bypass. But 30 minutes after cardiopulmonary bypass, the concentration of plasma epinephrine increased by about 20 percent. Plasma norepinephrine concentration was gradually increased in both anesthesia groups, but significant increase of plasma norepinephrine concentration was observed after the initiation of cardiopulmonary bypass only in high-dose-fentanyl anesthesia group. Our data indicate that both high-dose-fentanyl anesthesia and morphine anesthesia are considerably stable from the view point of plasma catecholamine concentrations, but that high-dose-fentanyl anesthesia does not produce a "stress free" condition as has mentioned before.
近畿大学の論文
1986-03-25