循環制御
Print ISSN : 0389-1844
症例
食道癌根治術々後管理における動脈圧波形解析法の有用性について-一回拍出量変化を中心に-
笠置 益弘山口 敬介竹内 和世岩沼 佳見梶山 美明鶴丸 昌彦釘宮 豊城稲田 英一
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2011 年 32 巻 1 号 p. 26-31

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The aim of this study was to assess the usefulness of an arterial pressure-based cardiac output(APCO) monitoring system in the postperative management of patients undergoing esophagectomy. The FloTrac monitor(Edwards Lifescience) was used in three extubated patients who underwent radical operation for transthoracic esophagectomy with three field lympho node resection. Stroke volume variation, calculated for each respiratory cycle and displayed on the Vigileo monitor, could predict intravascular hypovolemia. It is suggested that the Vigileo monitor with FloTrac is an accurate predictor of intravascular hypovolemia and is a useful indicator for assessing the appropriateness and timing of applying fluid for improving circulatory stability during the postperative period of esophagectomy under spontaneous respiration.

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© 2011 日本循環制御医学会
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