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Optimal Position of Inferior Vena Cava Cannula in Pediatric Cardiac Surgery : A Prospective, Randomized, Controlled, Double-Blind Study
http://hdl.handle.net/10191/51305
http://hdl.handle.net/10191/513052ea68d02-bbb2-40d9-be73-eae6f60aff1b
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本文 (866.6 kB)
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要旨 (794.7 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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| 公開日 | 2019-07-09 | |||||
| タイトル | ||||||
| タイトル | Optimal Position of Inferior Vena Cava Cannula in Pediatric Cardiac Surgery : A Prospective, Randomized, Controlled, Double-Blind Study | |||||
| タイトル | ||||||
| タイトル | Optimal Position of Inferior Vena Cava Cannula in Pediatric Cardiac Surgery : A Prospective, Randomized, Controlled, Double-Blind Study | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_46ec | |||||
| タイプ | thesis | |||||
| その他のタイトル | ||||||
| その他のタイトル | 小児心臓手術における下大静脈脱血カニューレの至適位置に関する研究 : 前向き無作為化二重盲検比較試験 | |||||
| 著者 |
Seino, Yutaka
× Seino, Yutaka |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 175205 | |||||
| 姓名 | 清野, 豊 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Objective: To examine the authors’ hypothesis that during the cardiopulmonary bypass (CPB) in children, the inferior vena cava cannula tip placed proximal to the right hepatic vein orifice would produce a higher venous drainage compared with that placed distally. Design: A prospective, randomized, controlled, double-blind study. Setting: Single university hospital. Participants: Thirty-two patients aged <6 years, scheduled for elective cardiac surgery using CPB for congenital heart disease. Interventions: Participants were randomized to 2 groups: the proximal group with the cannula tip placed proximally within 1 cm of the right hepatic vein orifice and the distal group with the cannula placed distally within 1 cm of the right hepatic vein orifice. Measurements and Main Results: The primary outcome of this study was the perfusion flow rate at the time of establishment of total CPB with cardioplegia. The authors initially planned to enroll 60 patients, but before reaching the target sample size, the authors terminated this study owing to patient safety, and 18 patients in the proximal group and 14 patients in the distal group finally were analyzed. No significant differences in patient characteristics were observed between the 2 groups. The mean perfusion flow rate in the proximal group was significantly greater (2.55 ± 0.27 L/min/m^2) than that in the distal group (2.37 ± 0.20 L/min/m^2, p = 0.04). Conclusion: The inferior vena cava cannula tip placed in the proximal position was clinically superior, compared with a distal placement, in producing higher perfusion flow in children. |
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| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 学位の種類: 博士（医学）. 報告番号: 甲第4558号. 学位記番号: 新大院博（医）甲第880号. 学位授与年月日: 平成31年3月25日 | |||||
| 書誌情報 | 発行日 2019-03-25 | |||||
| 出版者 | ||||||
| 出版者 | 新潟大学 | |||||
| 権利 | ||||||
| 権利情報 | 【○!C】2018 Elsevier Inc. All rights reserved. | |||||
| 著者版フラグ | ||||||
| 値 | ETD | |||||
| 学位名 | ||||||
| 学位名 | 博士（医学） | |||||
| 学位授与機関 | ||||||
| 学位授与機関名 | 新潟大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2019-03-25 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 13101甲第4558号 | |||||
| 学位記番号 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 新大院博（医）甲第880号 | |||||
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Seino, Yutaka, 2019, Optimal Position of Inferior Vena Cava Cannula in Pediatric Cardiac Surgery : A Prospective, Randomized, Controlled, Double-Blind Study: 新潟大学.
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