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Changes in blood pressure during cemented hemiarthroplasty for hip fracture in elderly patients under spinal anaesthesia
https://doi.org/10.18999/nagjms.82.4.667
https://doi.org/10.18999/nagjms.82.4.66707269183-185f-4f65-bfd8-c1851934dd27
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-11-26 | |||||
タイトル | ||||||
タイトル | Changes in blood pressure during cemented hemiarthroplasty for hip fracture in elderly patients under spinal anaesthesia | |||||
著者 |
Funahashi, Hiroto
× Funahashi, Hiroto× Iwase, Toshiki× Morita, Daigo |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | cemented bipolar hemiarthroplasty | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | spinal anaesthesia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | blood pressure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | American Society of Anaesthesiologists classification | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | elderly | |||||
抄録 | ||||||
内容記述 | Blood pressure changes around cement insertion during total hip arthroplasty have been investigated; however, there is little agreement regarding whether a similar phenomenon occurs during hemiarthroplasty in the elderly under spinal anaesthesia. Therefore, our objective was to examine blood pressure around cement insertion during hemiarthroplasty in the elderly. For this retrospective, single-centre, case series study, we identified 430 hips of patients aged >65 years who underwent cemented hemiarthroplasty under spinal anaesthesia from January 2010 to August 2018. The maximum regulation ratio (MRR) was used to express changes in blood pressure immediately after cement insertion and was calculated as follows: the greatest difference (positive or negative) during 5 min after cement insertion into the bone canal divided by systolic blood pressure just before cement insertion. The timings of vasopressor administration and blood transfusion were recorded. The median MRR was compared for each American Society of Anesthesiolo-gists (ASA) classification. The mean MRR was 4.0% (SD:10.4; range −26 to 83). MRR of patients with a >10% increase in blood pressure was significantly less than that of patients with a <10% change in blood pressure. Vasopressor was used in three patients 10 min after cement insertion into the bone canal. There was no significant difference between MRR groups and ASA classification (p = 0.182, respectively). MRR was not significantly different for each ASA classification. However, few cases showed a reduction in blood pressure immediately after cement insertion, regardless of ASA classification. | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.82.4.667 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/824.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
Nagoya Journal of Medical Science 巻 82, 号 4, p. 667-675, 発行日 2020-11 |
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著者版フラグ | ||||||
値 | publisher |