破裂脳動脈りゅうクリッピング術における術中軽度低体温の循環動態と予後に与える影響

• 佐藤 清貴

  広南病院神経麻酔科

• 冨永 悌二

  広南病院脳神経外科

• 加藤 正人

  東北大学医学部麻酔学教室

• 橋本 保彦

  東北大学医学部麻酔学教室

書誌事項

タイトル別名

• Effect of Mild Hypothermia during Surgery for Ruptured Cerebral Aneurysms. Comparison between Propofol and Isoflurance.
• Comparison between Propofol and Isoflurance

抄録

To clarify the effect of mild hypothermia for ruptured aneurysm surgery, perioperative factors, intraoperative hemodynamic parameters and prognosis were compared between patients managed under normothermia and mild hypothermia.<br>There were no differences in age, sex, preoperative Hunt and Hess grade, location of aneurysms and duration of temporary occlucsion. Cardiac index (normothermia: mild hypothermia, 3.8±0.6: 2.9&plusmn;0.9l&bull;min-1•m-2, p<0.01) and oxygen saturation in jugular bulb (61±6.8:55±7.1%, p<0.05) were lower in mild hypothermic group. There was no difference in neurological outcome.<br>Protective effect of mild hypothermia was not confirmed in this study. Poorer systemic and cerebral circulation in hypothermic group may contribute the negative results.

収録刊行物

• 日本臨床麻酔学会誌

  日本臨床麻酔学会誌 20 (3), 174-178, 2000

  日本臨床麻酔学会

キーワード

• 破裂脳動脈瘤
• クモ膜下出血
• 軽度低体温

詳細情報

• CRID: 1390001204759250560
• NII論文ID: 130003581707
• DOI: 10.2199/jjsca.20.174
• ISSN: 13499149
• ISSN: 02854945
• ISSN: http://id.crossref.org/issn/02854945
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可