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Assessment of splanchnic oxygen transport during shock

Research Project

Project/Area Number 06671548
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

YSHIOKA Masami  Kyoto Prefectural University of Medicine, Assisstant Professor, 医学部, 助手 (10230690)

Co-Investigator(Kenkyū-buntansha) HARADA Masato  Kyoto Prefectural University of Medicine, Assisstant Professor, 医学部, 助手 (20260797)
NAKAGAWA Miho  Kyoto Prefectural University of Medicine, Assisstant Professor, 医学部, 助手 (00244583)
Project Period (FY) 1994 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1995: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1994: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsShock / Oxygen transport / Splanchnic organs / 腹部臓器
Research Abstract

Vulnerability in individual organs under ischemic stress can be assessed by critical oxygen extraction (critical O_2ER). We measured critical O_ER in the whole-body, total splanchnic organs, liver and gut using a biphasic regression model of the oxygen delivery-consumption relationship in 7 dogs subjected to hemorrhagic stress. The difference in critical O_2ER between the whole-body and total splanchnic organs was not significant, while hepatic critical O_2ER was significantly larger than that of the gut, 90% and 66%, respectively. This finding indicated that the liver functions well under ischemic conditions due to its excellent ability to extract oxygen. The anatomical character of the sinusoid and the microcirculatory improving effect of isoflurane may affect the ability of oxygen extraction of the liver. The critical threshold of hepatic venous oxygen saturation as a marker of hepatic oxygen imbalance was considered to the below 10%

Report

(3 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • Research Products

    (7 results)

All Other

All Publications (7 results)

  • [Publications] Shime N, Yoshioka M, et al.: "Oxygen transport and hemodynamics during retrograde whole-body perfusion."J Cardiothorac Vasc Anesth. 9(2). 164-167 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Matsuda T, Nakagawa M, et al.: "Two cases of bilateral diaphragmatic paralysis following pediatric closed heart surgery."J Kyoto Pref Univ Med. 104(2). 311-316 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harada M, et al.: "Changes in muscle and liver lactate concentrations during sepsis."Abstract in The Third International Shock Congress. (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shime N, Yoshioka M: "Oxygen transport and homodynamics during retrograde whole-body perfusion"J Cardiothorac Vasc Anesth. 9(2). 164-167 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harada M: "Changes in muscle and liver lactate concentrations during sepsis"Abstract in Third International Shock Congress. (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Matsuda T, Nakagawa M: "Two cases of bilateral diaphragmatic paralysis following pediatric closed heart surgery"J Kyoto Pref Univ Med. 104(2). 311-316 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 中川 美穂: "心拍出量連続測定システム(テルモ社製)及び熱希釈法を用いた肝血流測定の試み" Journal of Anesthesia. 8(suppl). A588 (1994)

    • Related Report
      1994 Annual Research Report

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Published: 1994-04-01   Modified: 2016-04-21  

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