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雑誌文献

臨床外科76巻3号

2021年03月発行

文献概要

特集 ロボット膵切除の導入ガイド—先行施設にノウハウを学ぶ 総論

ロボット支援下膵切除術の導入—麻酔科の準備

著者: 石田裕介1 永川裕一2 内野博之1

所属機関: 1東京医科大学麻酔科学分野 2東京医科大学消化器・小児外科学分野

ページ範囲:P.292 - P.296

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【ポイント】
◆気腹や逆トレンデレンブルグ体位のため血圧低下が起きやすく,場合によっては昇圧薬の持続投与も考慮する.
◆長時間になることもあるため,最適の輸液管理を心掛け,尿量の維持に努める.
◆手術を円滑に進めるために術前にカンファレンス・シミュレーションを行っておく必要がある.

参考文献

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2)Madsen MV, Staehr-Rye AK, Gätke MR, et al:Neuromuscular blockade for optimising surgical conditions during abdominal and gynaecological surgery:a systematic review. Acta Anaesthesiol Scand 59:1-16, 2015
3)Madsen MV, Gätke MR, Springborg HH, et al:Optimising abdominal space with deep neuromuscular blockade in gynaecologic laparoscopy--a randomised, blinded crossover study. Acta Anaesthesiol Scand 59:441-447, 2015
4)Martini CH, Boon M, Bevers RF, et al:Evaluation of surgical conditions during laparoscopic surgery in patients with moderate vs deep neuromuscular block. Br J Anaesth 112:498-505, 2014
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embolism by transesophageal echocardiography during laparoscopic radical prostatectomy. Urology 75:581-584, 2010
8)An R, Pang Q-Y, Liu H-L:Association of intra-operative hypotension with acute kidney injury, myocardial injury and mortality in non-cardiac surgery:a meta-analysis. Int J Clin Pract 73:e13394, 2019
9)Radinovic K, Denic LM, Milan Z, et al:Impact of intraoperative blood pressure, blood pressure fluctuation, and pulse pressure on postoperative delirium in elderly patients with hip fracture:a prospective cohort study. Injury 50:1558-1564, 2020
10)Chin JH, Lee EH, Hwang GS, et al:Prediction of fluid responsiveness using dynamic preload indices in patients undergoing robot-assisted surgery with pneumoperitoneum in the Trendelenburg position. Anaesth Intensive Care 41:515-522, 2013
11)Kelkar KV:Post-operative pulmonary complications after non-cardiothoracic surgery. Indian J Anaesth 59:599-605, 2015
12)Breivik H:Postoperative pain management:why is it difficult to show that it improves outcome? Eur J Anaesthesiol 15:748-751, 1998
13)Carr DB, Goudas LC:Acute pain. Lancet 353:2051-2058, 1999
14)Joshi GP, Ogunnaike BO:Consequences of inadequate postoperative pain relief and chronic persistent postoperative pain. Anesthesiol Clin North Am 23:21-36, 2005
15)Kehlet H:Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78:606-617, 1997

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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