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福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.68 (2022) >

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タイトル: Temperature management for deliberate mild hypothermia during neurosurgical procedures
著者: Inoue, Satoki
学内所属: 麻酔科学講座
誌名/書名: Fukushima Journal of Medical Science
巻: 68
号: 3
開始ページ: 143
終了ページ: 151
発行日: 2022年
抄録: Deliberate mild hypothermia is safer from the point of view of adverse events and does not require a specific technique, unlike deep or moderate hypothermia. Therefore, mild hypothermia was widely used for neurosurgical procedures. Unfortunately, the neuroprotective efficacy of intraoperative mild hypothermia has not yet been proven; however, temperature management for intraoperative deliberate mild hypothermia has been improved over the past two decades. It is very important to achieve mild hypothermia before the commencement of the main surgery, and to maintain the patient's body temperature until the procedure is completed. In addition, it is also important to complete rewarming by the end of the surgery so that an accurate neurological evaluation can be made. Regarding the effects of mild hypothermia on outcomes, a large randomized controlled study reported that unfavorable outcomes did not differ between participants with or without hypothermia. Apart from these unfavorable outcomes, it is known that temperature management during deliberate intraoperative mild hypothermia has contributed to improvement of anesthesia practice. The accumulation of experience in this field is important. Clinical interest in deliberate mild hypothermia is currently low; however, anesthesiologists should be prepared for the time when it is required again in the future.
出版者: The Fukushima Society of Medical Science
出版者(異表記): 福島医学会
本文の言語: eng
このページのURI: http://ir.fmu.ac.jp/dspace/handle/123456789/1928
本文URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1928/1/FksmJMedSci_68_p143.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2022-28
PubMed番号: 36517037
関連ページ: https://doi.org/10.5387/fms.2022-28
権利情報: © 2022 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
権利情報: https://creativecommons.org/licenses/by-nc-sa/4.0/
出現コレクション:Vol.68 (2022)

このアイテムのファイル:

ファイル 記述 サイズフォーマット
FksmJMedSci_68_p143.pdf744.51 kBAdobe PDFダウンロード

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