| Item type |
*学術雑誌論文 / Journal Article(1) |
| 公開日 |
2021-12-15 |
| タイトル |
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タイトル |
Simultaneous Anesthetic Depth Monitoring Using Noxious Stimulation Response Index and Bispectral Index: A Preliminary Report of a Prospective Observational Study in Clinical Settings(en) |
| 言語 |
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言語 |
eng |
| キーワード |
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主題 |
SmartPilot View, effect-site concentration, pharmacokinetic/pharmacodynamic simulation, bispectral index monitor, electroencephalogram |
| 資源タイプ |
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資源タイプ |
journal article |
| ID登録 |
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|
ID登録 |
10.14994/tohojmed.2021-010 |
|
ID登録タイプ |
JaLC |
| 著者 |
Uzawa, Masashi
| en |
Uzawa, Masashi
Department of Anesthesiology (Sakura), Toho University School of Medicine
|
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Koda, Kenichiro
| en |
Koda, Kenichiro
Department of Anesthesiology (Sakura), Toho University School of Medicine
|
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Kimura, Haruka
| en |
Kimura, Haruka
Department of Anesthesiology (Sakura), Toho University School of Medicine
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Kimura, Rie
| en |
Kimura, Rie
Department of Anesthesiology (Sakura), Toho University School of Medicine
|
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Sato, Kanako
| en |
Sato, Kanako
Department of Anesthesiology (Sakura), Toho University School of Medicine
|
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Kitamura, Takayuki
| en |
Kitamura, Takayuki
Department of Anesthesiology (Sakura), Toho University School of Medicine
|
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| 内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
Original Article |
| 内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
Introduction: Anesthetic depth monitors, such as the bispectral index (BIS) monitor, are based on the analyses of electroencephalogram. SmartPilot View, another type of anesthetic depth monitor, calculates the effect-site concentration of anesthetics based on pharmacokinetic/pharmacodynamic simulations, computes the pharmacodynamic interaction between hypnotics and opioids, and displays the noxious stimulation response index (NSRI). NSRI is, thus, completely different from BIS as an anesthetic depth index. This study aimed to elucidate the predictability of BIS from NSRI. Methods: We recorded the BIS values when the NSRI values ranged from 0 to 20, 21 to 50, 50 to 70, 71 to 90, and 91 to 100 in patients under desflurane/opioid anesthesia (group D, n = 20) and those under propofol/opioid anesthesia (group P, n = 20). We examined the predictability of BIS from NSRI using linear regression analysis. Results: In both groups, linear regression analysis demonstrated the difficulty in the prediction of BIS from NSRI. Many patients in both groups showed a BIS value of 60 or less when the NSRI values ranged from 71 to 100 and a BIS value of less than 40 when the NSRI values ranged from 0 to 20. Conclusions: It is difficult to predict BIS from NSRI, and the observed discrepancies between NSRI and BIS suggest that simultaneous monitoring of NSRI and BIS might have clinical utility in guiding appropriate anesthetic depth. |
| 書誌情報 |
ja : Toho Journal of Medicine
en : Toho Journal of Medicine
巻 7,
号 4,
p. 116-125,
発行日 2021-12-01
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| 出版者 |
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出版者 |
The Medical Society of Toho University |
| ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
21891990 |
| 著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| レコードID |
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内容記述 |
TD07001739 |
| 資源タイプ(ローカル) |
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内容記述タイプ |
Other |
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内容記述 |
TOHO University Scholarly Publication |
| 出版地 |
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内容記述 |
Tokyo |
td07001739.pdf (202.4 KB)
