{"created":"2024-11-22T05:10:52.268330+00:00","id":2000653,"links":{},"metadata":{"_buckets":{"deposit":"3dd1f3c3-e0bb-4a8c-a738-23e4e8c82957"},"_deposit":{"created_by":11,"id":"2000653","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000653"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:02000653","sets":["557:561:1731912205403"]},"author_link":[],"item_3_biblio_info_8":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-10-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"43","bibliographicPageStart":"39","bibliographicVolumeNumber":"75","bibliographic_titles":[{"bibliographic_title":"弘前医学","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hirosaki Medical Journal","bibliographic_titleLang":"en"}]}]},"item_3_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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.\nCase 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.\nConclusion: Anesthetic depth and muscle relaxation monitor values may require unusual interpretations in patients with reduced peripheral perfusion.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_35":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"弘前大学大学院医学研究科","subitem_publisher_language":"ja"}]},"item_3_source_id_11":{"attribute_name":"item_3_source_id_11","attribute_value_mlt":[{"subitem_source_identifier":"AN00211444","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_9":{"attribute_name":"item_3_source_id_9","attribute_value_mlt":[{"subitem_source_identifier":"2434-4656","subitem_source_identifier_type":"EISSN"}]},"item_3_text_4":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Anesthesiology, Hirosaki University Graduate School of Medicine"}]},"item_3_version_type_18":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Yuri, Sato","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Tetsuya, Kushikata","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Miyu, Hamakake","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kento, Ogasawara","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kohei, Noto","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nana, Miura","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kazuyoshi, Hirota","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-11-22"}],"filename":"Hirosaki Med J 75-1_39.pdf","filesize":[{"value":"280 KB"}],"format":"application/pdf","url":{"objectType":"fulltext","url":"https://hirosaki.repo.nii.ac.jp/record/2000653/files/Hirosaki Med J 75-1_39.pdf"},"version_id":"285fb756-875e-42b9-9de4-0065c6e103a7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Aortitis syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"artery bypass","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"circulatory control","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"general anesthesia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"muscle relaxation","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Anesthetic management of brachiocephalic–axillary–femoral artery bypass in a patient with aortitis syndrome","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Anesthetic management of brachiocephalic–axillary–femoral artery bypass in a patient with aortitis syndrome","subitem_title_language":"en"}]},"item_type_id":"3","owner":"11","path":["1731912205403"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-11-22"},"publish_date":"2024-11-22","publish_status":"0","recid":"2000653","relation_version_is_last":true,"title":["Anesthetic management of brachiocephalic–axillary–femoral artery bypass in a patient with aortitis syndrome"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2024-11-29T01:46:23.161907+00:00"}