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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.58 (2012) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/317
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| タイトル: | Evaluation of arterial catheter management in very preterm neonates: peripheral artery versus umbilical artery |
| その他のタイトル: | Peripheral artery versus umbilical artery |
| 著者: | Imamura, Takashi
Momoi, Nobuo
Go, Hayato
Ogasawara, Kei
Kanai, Yuji
Sato, Maki
Goto, Aya
Hosoya, Mitsuaki |
| 学内所属: | 小児科学講座
公衆衛生学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 58 |
| 号: | 1 |
| 開始ページ: | 1 |
| 終了ページ: | 8 |
| 発行日: | 2012年 |
| 抄録: | Objectives: To evaluate whether peripheral arterial catheter management is more effective than umbilical arterial management in very preterm neonates. Methods: Thirty-eight very preterm neonates born in Fukushima Medical University Hospital between October 2008 and March 2010 were evaluated. A peripheral arterial catheter was inserted in 19 neonates (peripheral group) and an umbilical arterial catheter in the remaining 19 neonates (umbilical group). Results: The median gestational ages of the peripheral and umbilical groups were 195 and 185 days, respectively (p=0.04). The systolic and diastolic blood pressure (BP) was significantly higher in the peripheral group than in the umbilical group (p=0.03 and p=0.001). There was a significant relationship between BP at cannulation and urinary output after cannulation for 24 h in the peripheral group (r_s=0.49, p=0.03); however, no such significant relationship was found in the umbilical group. Conclusions: We considered that peripheral artery catheters provide a well-functioning route for continuous BP monitoring, even in very preterm neonates. Because umbilical catheter placement might affect urinary output, we speculated that peripheral arterial catheter placement would be a more effective management strategy than umbilical arterial catheter placement in very preterm neonates. Further studies of larger populations are necessary to evaluate the effectiveness of arterial management including long-term follow-up studies. |
| 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/123456789/317 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/317/1/FksmJMedSci_58_p1.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.58.1 |
| PubMed番号: | 22790886 |
| 異版(出版者版等): | http://dx.doi.org/10.5387/fms.58.1 |
| 権利情報: | © 2012 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.58 (2012)
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