日本口腔インプラント学会誌
Online ISSN : 2187-9117
Print ISSN : 0914-6695
調査・統計
インプラント体埋入施術時における静脈内鎮静法施行管理システムの研究:投与ソフトの開発およびバイタルサインと投与量の一元管理
小森谷 亮志賀 泰昭倉本 弘樹簗瀬 武史入江 靖雄
著者情報
ジャーナル フリー

2016 年 29 巻 2 号 p. 136-144

詳細
抄録

With the aim of ensuring safe administration of intravenous sedation with midazolam (MZ), we established an intravenous sedation management system, integrating related devices by a biomedical engineering approach, and applied the system to clinical use. Regarding the dose/dosage regimen of MZ, an infusion software program was created using trustworthy expertise, relevant guidelines and so forth to calculate the clinical dosage/administration. The software not only helps prevent risk in the amount of MZ administered, but also enables the simulation of various conditions. To the Video Overlay Monitoring System (VOLMS) software, which allows the vital signs and electrocardiograms displayed on the monitor to be superimposed on intraoperative images on the display, we added a software program in intravenous sedation mode. This software program allows the total dose infused from the syringe pump, the elapsed time after the end of MZ administration, and the management time to be displayed on the VOLMS display. The system achieves seamless and unified management of the essential information in intravenous sedation that was previously separated in the syringe pump and the monitor. We used the system in clinical practice for implant placement surgery in a 67-year-old woman weighing 61.6 kg. The results showed a total dose of MZ at 5.45 mg in 73 min through the end of the administration. The range of vital sign fluctuations after induction was narrow, largely staying near the preoperative values. Thus, the system with infusion software installed proactively ensures safety in intravenous sedation. Additionally, the images and numerical data recorded in the system supply extremely detailed information for retrospective research studies.

著者関連情報
© 2016 公益社団法人日本口腔インプラント学会
前の記事
feedback
Top