ダウンロード数 : ?
ファイル
言語
英語
著者
河本 昌志
浅野 真
高崎 真弓
小坂 義弘
内容記述(抄録等)
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.
主題
narcotic anesthesia
morphine
fentanyl
掲載誌名
Shimane journal of medical science
8
1
開始ページ
36
終了ページ
44
ISSN
03865959
ISSN(Online)
24332410
発行日
1984-06-01
NCID
AA00841586
出版者別表記
Shimane Medical University
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
他の一覧
このエントリーをはてなブックマークに追加