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Utility of the FloTrac™ Sensor for Anesthetic Management of Laparoscopic Surgery in a Patient After Pneumonectomy: A Case Report and Literature Review.
http://hdl.handle.net/10422/00012871
http://hdl.handle.net/10422/00012871d4f3e5ef-ecf4-4c3b-a550-a7c87e87f498
名前 / ファイル | ライセンス | アクション |
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AJCR.925979 (533.9 kB)
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This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-12-14 | |||||
タイトル | ||||||
タイトル | Utility of the FloTrac™ Sensor for Anesthetic Management of Laparoscopic Surgery in a Patient After Pneumonectomy: A Case Report and Literature Review. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Anesthetics, General | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Cardiac Output | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Laparoscopy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Pneumonectomy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Pneumoperitoneum | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Ventilators, Mechanical | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
AKAZAWA, Mai
× AKAZAWA, Mai× NAKANISHI, Miho× MIYAZAKI, Narumi× TAKAHASHI, Kan× KITAGAWA, Hirotoshi |
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著者別名 |
赤澤, 舞衣
× 赤澤, 舞衣× 中西, 美保× 宮崎, 成美× 高橋, 完× 北川, 裕利 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Pneumonectomy is associated with various anatomical changes and potential complications involving the respiratory and cardiovascular systems. How laparoscopic surgery affects cardiorespiratory status in postpneumonectomy patients is yet to be ascertained. Here, we describe the use of the FloTrac™ sensor for the anesthetic management of laparoscopic adrenalectomy in a postpneumonectomy patient. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Case Report: A 35-year-old woman underwent an extended hysterectomy and right pneumonectomy for retroperitoneal angiosarcoma and lung metastases, respectively. The metastasis was found in her left adrenal gland; therefore, laparoscopic adrenalectomy was scheduled. Spirometry demonstrated the following: forced vital capacity (FVC), 1.90 L (55.6% of predicted value); vital capacity, 53.6%; forced expiratory volume (FEV1), 1.38 L (47.3% of predicted value); and FEV1/FVC, 72.4%. The heart and mediastinal structures had shifted into the right hemithorax. Hugh-Jones classification was grade 2. The induction of general anesthesia was planned. The patient was orotracheally intubated and managed with the pressure control ventilation-volume guaranteed mode of ventilation, targeting an expired tidal volume of 6–7 ml/kg, without using PEEP. We evaluated cardiac output (CO), cardiac index (CI), stroke volume (SV), and stroke volume variation (SVV) using a FloTrac™ sensor. After the establishment of pneumoperitoneum, SVV increased. CO and SV decreased slightly; however, the patient’s hemodynamic status was stable. After surgery, we extubated the patient in the operating room; she demonstrated good progress and was discharged home on postoperative day 5. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Conclusions: We found changes in the values of SVV after pneumoperitoneum in a postpneumonectomy patient. The FloTrac™ sensor may be a minimally invasive and promising monitor for detecting hemodynamic changes associated with laparoscopic surgery in postpneumonectomy patients. |
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書誌情報 |
en : The American journal of case reports 巻 21, p. e925979, 発行日 2020-12-04 |
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出版者 | ||||||
出版者 | NLM (Medline) | |||||
出版者 | ||||||
出版者 | International Scientific Information, Inc. | |||||
PMID | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 33273449 | |||||
PMCID | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7722778/ | |||||
関連名称 | PMC7722778 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.12659/ajcr.925979 | |||||
関連名称 | 10.12659/AJCR.925979 | |||||
権利 | ||||||
権利情報 | © Am J Case Rep, 2020 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |