| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Kawanoue, Naoya| Kuroda, Kosuke| Yasuda, Hiroko| Oiwa, Masahiko| Suzuki, Satoshi| Wake, Hidenori| Hosoi, Hiroki| Nishibori, Masahiro| Morimatsu, Hiroshi| |
| 発行日 | 2023-03-29 |
| 出版物タイトル | PLoS ONE |
| 巻 | 18巻 |
| 号 | 3号 |
| 出版者 | Public Library of Science |
| 開始ページ | e0283426 |
| ISSN | 1932-6203 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 Kawanoue et al. |
| 論文のバージョン | publisher |
| PubMed ID | 36989333 |
| DOI | 10.1371/journal.pone.0283426 |
| Web of Science KeyUT | 000987475800001 |
| 関連URL | isVersionOf https://doi.org/10.1371/journal.pone.0283426 |
| JaLCDOI | 10.18926/AMO/65145 |
|---|---|
| フルテキストURL | 77_2_161.pdf |
| 著者 | Yamanoi, Tomoko| Suzuki, Satoshi| Kaku, Ryuji| Morimatsu, Hiroshi| |
| 抄録 | An intraoperative double-low condition is defined as concurrent low values for bispectral index (BIS) and mean arterial pressure (MAP), and may predict perioperative outcomes. We hypothesized that prolonged double-low times might be associated with an increased incidence of postoperative delirium. We conducted a single-center retrospective observational study on patients who had been admitted to our hospital’s intensive care unit (ICU) after surgery and whose BIS and MAP data had been recorded during general anesthesia. The primary outcome was the incidence of postoperative delirium. A double-low condition was defined as BIS < 45 and MAP <75 mmHg. The total double-low time was calculated in 1-min increments and used to divide the patients into quintiles. Multiple logistic regression analyses were conducted. Among the 334 patients included in the study, the incidence of postoperative delirium was 15.6% (n=52). Multiple logistic regression analysis revealed that a prolonged double-low time, defined as a total double-low time of > 42 min (i.e., third, fourth, and fifth quintiles), was significantly associated with an increased incidence of postoperative delirium (adjusted odds ratio: 2.61, 95% confidence interval: 1.27-5.37, p=0.009). Prolonged double-low time during general anesthesia was independently associated with an increased incidence of postoperative delirium in surgical ICU patients. |
| キーワード | postoperative delirium bispectral index hypotension double-low condition general anesthesia |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-04 |
| 巻 | 77巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 161 |
| 終了ページ | 167 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37094953 |
| Web of Science KeyUT | 000982503800005 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Suzuki, Satoshi| |
| キーワード | Oxygen therapy Hyperoxemia Hypoxemia Postoperative care Surgical site infection |
| 発行日 | 2020-10-14 |
| 出版物タイトル | Journal of Intensive Care |
| 巻 | 8巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 79 |
| ISSN | 2052-0492 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s). |
| 論文のバージョン | publisher |
| PubMed ID | 33072333 |
| DOI | 10.1186/s40560-020-00498-5 |
| Web of Science KeyUT | 000577426500001 |
| 関連URL | isVersionOf https://doi.org/10.1186/s40560-020-00498-5 |
| JaLCDOI | 10.18926/AMO/54814 |
|---|---|
| フルテキストURL | 70_6_497.pdf |
| 著者 | Hikasa, Yukiko| Hayashi, Masao| Suzuki, Satoshi| Morimatsu, Hiroshi| |
| 抄録 | A 32-year-old woman, pregnant with twins, presented with a chief complaint of general fatigue. Her general condition had rapidly deteriorated since her last visit to the primary obstetrician; the patient was then referred to our hospital because of suspected fetal death. She underwent emergency cesarean section because fetal death had indeed occurred, and she was then admitted to the intensive care unit (ICU). On ICU admission, she was found to be in shock. Laboratory analysis revealed extreme hemoconcentration and a low albumin level, and initially, septic shock with obstetric complications was suspected. However, because she did not respond to conventional therapy but instead, rapidly developed severe generalized edema, systemic capillary leak syndrome (SCLS) was diagnosed. The patient remained in shock for several days until undergoing plasma exchange (PE), despite some earlier empirical treatments. She eventually recovered from profound shock status and was discharged from the ICU without sequelae. Among potentially effective treatments, PE seemed to be the most reasonable choice for the treatment of her SCLS. |
| キーワード | systemic capillary leak syndrome plasma exchange pregnancy |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 497 |
| 終了ページ | 501 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003676 |