| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2024-11-22 |
| タイトル |
|
|
タイトル |
Anesthetic management of brachiocephalic–axillary–femoral artery bypass in a patient with aortitis syndrome |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Aortitis syndrome |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
artery bypass |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
circulatory control |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
general anesthesia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
muscle relaxation |
| 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 |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Yuri, Sato
Tetsuya, Kushikata
Miyu, Hamakake
Kento, Ogasawara
Kohei, Noto
Nana, Miura
Kazuyoshi, Hirota
|
| 著者所属 |
|
|
言語 |
en |
|
値 |
Department of Anesthesiology, Hirosaki University Graduate School of Medicine |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Aortitis syndrome causes obstructive and dilatory lesions of the aorta and its major branches, resulting in abnormal hypertension and impaired return to major organs. We present a case of brachio-axillary-femoral artery bypass in a patient with aortitis syndrome in whom anesthesia depth estimation was difficult.
Case presentation: A 66-year-old female patient with aortitis syndrome was scheduled for brachio-axillary-femoral artery bypass. She had brachiocephalic artery occlusion, left common carotid artery stenosis, left subclavian artery occlusion, and subrenal aortic to bilateral common iliac artery stenosis. Although general anesthesia was performed at a sufficient depth, she responded to intraoperative manipulation with multiple body movements. Additional muscle relaxants were administered at the time of anastomosis, and recovery of muscle relaxation on the muscle relaxation monitor was rapid. Central and peripheral systolic pressures diverged by approximately 200 mmHg, the systolic pressure in the brachiocephalic artery was controlled at around 150 mmHg to maintain regional cerebral oxygen saturation. The depth of anesthesia stabilized over time, and she was extubated the next day. She was transferred to the general ward on postoperative day 4.
Conclusion: Anesthetic depth and muscle relaxation monitor values may require unusual interpretations in patients with reduced peripheral perfusion. |
|
言語 |
en |
| 書誌情報 |
ja : 弘前医学
en : Hirosaki Medical Journal
巻 75,
号 1,
p. 39-43,
発行日 2024-10-30
|
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2434-4656 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00211444 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 出版者 |
|
|
出版者 |
弘前大学大学院医学研究科 |
|
言語 |
ja |
Hirosaki Med J 75-1_39.pdf (280 KB)
