THE EFFECT OF VOLUME-LOADING ON THE VENOUS RETURN MECHANISM UNDER SYMPATHETIC DENERVATION DUE TO HIGH SPINAL ANESTHESIA

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概要

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• The study was aimed at elucidating the effect of plasma expander on the functional behavior of right atria as booster pump, reservior and conduit, under sympathetic denervation due to high spinal anesthesia. Utilizing anesthetized and open-chest dogs, the changes of right atrial diameter (microsonometer), and pressure (Millar's micromanometer) and enlarged P and "a" waves (direct coupling EKG and sample hold circuit) were obtained. In hypotension due to high spinal anesthesia, the effect of plasma expander on right atrial systolic shortening (R. A. S. S.), shortening rate (R. A. S. R.), atrial filling time ratio during ventricular contraction phase (T. R. A. F.), the max. dp/dt of "a" wave and effective compliance of the total vascular beds (EC) were investigated.Following results were obtained : R. A. S. R., max. dp/dt (a), T. R. A. F. and E. C. were all decreased by high spinal anesthesia and these changes were all restored by administration of plasma expander.

• 久留米大学医学部 The Kurume Medical Journal 編集部の論文

著者

• Tsuda Hideaki

  Department Of Anesthesiology Kurume University School Of Medicine

• Ueda Naoyuki

  Department Of Preventive Medicine Faculty Of Medical Sciences Kyushu University

• Yamada Kunio

  Department Of Materials Science Tokai University

• Takagi Toshiaki

  Department Of Physics Tohoku University

• Tsutsumi Yoshitaka

  Department Of Physics Faculity Of Science Kyoto University

• MUTEKI TAKESUKE

  Department of Anesthesiology, Kurume University School of Medicine

• HOSHIKO CHIKARA

  Department of Anatomy Kurume University School of Medicine

• HOSHIKO CHIKARA

  Department of Anesthesiology, Kurume University School of Medicine

• NOMI HIROSHI

  Department of Anesthesiology, Kurume University School of Medicine

• YAMADA TOKURO

  Department of Anesthesiology, Kurume University School of Medicine

• AKAMATSU SEIICHIRO

  Department of Anesthesiology, Kurume University School of Medicine

• TOMITA EISHIRO

  Department of Anesthesiology, Kurume University School of Medicine

• ISHIBASHI YUKITAKA

  Department of Anesthesiology, Kurume University School of Medicine

• TAKAGI TOSHIAKI

  Department of Anesthesiology, Kurume University School of Medicine

• TSUTSUMI YOSHITAKA

  Department of Anesthesiology, Kurume University School of Medicine

• UEDA NAOYUKI

  Department of Anesthesiology, Kurume University School of Medicine

• YAMADA KUNIO

  Department of Anesthesiology, Kurume University School of Medicine

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