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Studies for improvement of perioperative management for patients with chronic respiratory failure.

Research Project

Project/Area Number 11470316
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionCHIBA UNIVERSITY

Principal Investigator

NISHINO Takashi  Chiba Univ., Grad. Sch. of Med., Dept. Anesthesiol, Professor, 大学院・医学研究院, 教授 (80009703)

Co-Investigator(Kenkyū-buntansha) 井出 徹  千葉大学, 医学部, 助手 (70213022)
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥14,400,000 (Direct Cost: ¥14,400,000)
Fiscal Year 2001: ¥2,600,000 (Direct Cost: ¥2,600,000)
Fiscal Year 2000: ¥5,700,000 (Direct Cost: ¥5,700,000)
Fiscal Year 1999: ¥6,100,000 (Direct Cost: ¥6,100,000)
Keywordsperioperative management / chronic respiratory failure / respiratory load compensation / defensivfe airway reflexes / swallowing reflex / inhaled furosemide / dyspnea / 慢性呼吸器疾患 / 間質性肺炎 / 周術期呼吸管理 / 気道反射 / 気道刺激
Research Abstract

To obtain information for improvement of perioperative management of patients with chronic respiratory failure, this study focused on problems of respiratory load compensation, defensive airway reflexes, and dyspnea. The study on respiratory and behavioral compensation during chronic severe loading in an awake rat mode suggests that severe chronic ventilatory loading may induce adaptive response that compensate rapidly the disturbed acid-base balance with slow and gradual increases in ventilatory activity while matching the increase in motor activity/metabolic rate. Concerning the defensive airway reflexes, the coordination of respiration and swallowing reflex in human was investigated. This study showed that an increase in lung volume prolongs the latency of swallowing reflex elicited by bolus injection of water into the pharynx and decreases the number of swallows during continuous infusion of water. In addition, changes in lung volume modulated the timing of swallowing in reference … More to the respiratory cycle. These observations suggest that vagally-mediated reflexes may play an important role in the control of swallowing rate as well as the timing of swallowing in reference to the respiratory cycle. The most remarkable result obtained from the studies on dyspnea is that inhaled furosemide greatly improves the sensation of experimentally-induced dyspnea in humans. The mechanisms of this effect of inhaled furosemide were investigated in anesthetized rats. The results showed that inhaled furosemide sensitizes slowly-adapting receptors and desensitizes rapidly-adapting receptors. Thus, activation of pulmonary stretch receptors and inhibition of vagal irritant receptors seems to be the most plausible explanation for the improvement of dyspneic sensation following inhalation of furosemide in humans. Inhaled furosemide also suppressed the behavioral response to airway occlusion in anesthetized animals without affecting the response to somatic noxious stimulus. This animal model may be applicable to the study of dyspnea concerning its mechanism and treatment. Less

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (51 results)

All Other

All Publications (51 results)

  • [Publications] HASEGAWA R.: "Temporal changes in airway protective reflexes elicited by an endo-tracheal tube in surgical patients anaesthetized with sevoflurane"Eur J Anaesth. 16. 98-102 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Alow concentration of nitrous oxide alleviates the Intensity of dyspneic sensation produced by a combination of hypercapnia and severe elasticload"Br J Anaesth. 82. 14-19 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] IDE, T: "Contribution of peripheral chemoreception to the depression of the hypoxic ventilatory response during halothane anesthesia in cats"Anesthesiology. 90. 1084-1091 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] KIJIMA, M.: "Coordination of swallowing and phases of respiration during added respiratory loads in awake subjects"Am J Respir Crit Care Med.. 159. 1898-1902 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T: "Experimental pain augments experimental dyspnea, but not vice versa in human volunteers"Anesthesiology. 91. 1633-1638 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Physiological and pathophysiological implications of upper airway reflexes in humans"Jpn J Physiol,. 50. 3-14 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Inhaled furosemide greatly alleviates the sensation of experimentally-induced dyspnea"Am J Respir Crit Care Med. 161. 1963-1967 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] SUDO, T.: "Responses of tacheobronchial receptors to inhaled furosemide in anesthetized rats"Am J Respir Grit Care Med. 162. 971-975 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] KIJIMA, M.: "Modulation of swallowing reflex by lung volume changes"Am J Respir Crit Care Med. 162. 855-858 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] IDE, T.: "The effect of epidural anesthesia on respiratoiy distress induced by airway occlusion in isoflurane-anesthetized cats"Anesth Analg. 92. 749-754 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] TANAKA, A.: "Effects of monor surgical truma and endotracheal intubation on postoperative breathing patterns in patients anaesthetized with isoflurane or sevoflurane"Br J Anaesth. 87. 1633-1638 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NEHASHI, S.: "Inhaled furosemide inhibits behavioral response to airway occlusion in anesthetized cats"Anesthesiology. 95. 1234-1237 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] ISONO, S.: "Pathogenesis of laryngeal narrowing in patients with multiple system atrophy"J Physiol (Lond). 536.1. 237-249 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 石橋史子: "非侵襲的人工換気の新しい展開と応用-麻酔科的検討Proportional assist ventilationを用いた麻酔中の人工呼吸管理-"臨床呼吸生理. 31. 83-84 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "呼吸調節と麻酔薬"LISA. 11. 1066-1073 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "呼吸機能と麻酔"日本臨床麻酔学会誌. 19. 25-31 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 石川輝彦: "胃食道逆流症と気道反応"人工呼吸. 17. 33-37 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 田中敦子: "周術期における上気道と呼吸合併症"臨床麻酔. 23. 1856-1863 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "呼吸中枢と呼吸感覚"日本臨床麻酔学会誌. 20. 12-20 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "発生機序の基づいた呼吸困難感の治療"呼吸. 19. 471-477 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 根橋紫乃: "呼吸困難の治療法(2)-モルヒネ以外の方法-"緩和医療学. 3. 259-266 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "呼吸調節とその周辺"救急医学. 25. 1015-1021 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 西野 卓: "人工呼吸療法:最近の進歩"克誠堂出版. 223 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] HASEGAWA, R: "Temporal changes in airway protective reflexes elicited by an endotracheal tube in surgical patients anaesthetized with sevoflurane"Eur J Anaesth. 16. 98-102 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "A low concentration of nitrous oxide alleviates the intensity of dyspneic sensation produced by a combination of hypercapnia and severe elastic load"Br J Anaesth. 82. 14-19 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] IDE, T.: "Contribution of peripheral chemoreception to the depression of the hypoxic ventilatory response during halothane anesthesia in cats. KIJIMA, M., ISONO, S."Anesthesiology. 90. 1084-1091 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] KIJIMA, T: "Coordination of swallowing and phases of respiration during added respiratory loads in awake subjects"Am J Respir Crit Care Med.. 159. 1898-1902 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Experimental pain augments experimental dyspnea, but not vice versa in human volunteers"Anesthesiology. 91. 1633-1638 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Physiological and patho-physiological implications of upper airway reflexes in humans"Jpn J Physiol. 50. 3-14 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NISHINO, T.: "Inhaled furosemide greatly alleviate the sensation of experimentally-induced dyspnea"Am J Respir Crit Care Med. 161(6). 963-967 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] OKAZAKI, J.: "Usefulness of continuous oxygen insufflation into trachea for management of upper airway obstruction during anesthesia"Anesthesiology. 93. 62-68 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] SUDO, T.: "Responses of tracheobronchial receptors to inhaled furosemide in anesthetized rats"Am J Respir Crit Care Med. 162. 971-975 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] KIJIMA, M.: "Modulation of swallowing reflex by lung volume changes"Am J Respir Crit Care Med. 162(5). 1855-1868 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] IDE, T.: "The effect of epidural anesthesia on respiratory distress induced by airway occlusion in isoflurane-anesthetized cat"Anaesth Analg. 92. 749-754 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] TANAKA, A.: "Effects of minor surgical trauma and endotracheal intubation on postoperative breathing patterns in patients anaesthetized with isoflurane or sevoflurane"Br J Anaesth. 87. 706-710 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] NEHASHI, S.: "Inhaled furosemide inhibits behavioral response to airway occlusion in anesthetized cats"Anesthesiology. 95. 1234-1237 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] IDE, T.: "The effect of epidural anesthesia on respiratory distress induced by airway occlusion in isoflurane-anesthetized cats"Anesth Analg. 92. 749-754 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] TANAKA, A.: "Effects of minor surgical trauma and endotracheal intubation on postoperative breathing patterns in patients anaesthetized with isoflurane or sevoflurane"Br J Anaesth. 87. 706-710 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] NEHASHI, S.: "Inhaled furosemide inhibits behavioral response to airway occlusion in anesthetized cats"Anesthesiology. 95. 1234-1237 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] ISONO, S.: "Pathogenesis of laryngeal narrowing in patients with multiple system atrophy"J Physiol(Lond). 536.1. 237-249 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 根橋紫乃: "呼吸困難の治療法(2)-モルヒネ以外の方法-"緩和医療学. 3. 259-266 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 西野 卓: "呼吸調節とその周辺"救急医学25:1015-1021,2001. 25. 1015-1021 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] NISHINO,T.: "Physiological and pathophysiological implications of upper airway reflexes in humans."Jpn J Physiol,. 50. 3-14 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] NISHINO,T.: "Inhaled furosemide greatly alleviates the sensation of experimentally-induced dyspnea."Am J Respir Crit Care Med. 161. 1963-1967 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] SUDO,T.: "Responses of tracheobronchial receptors to inhaled furosemide in anesthetized rats."Am J Respir Crit Care Med,. 162. 971-975 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] KIJIMA,M.: "Modulation of swallowing reflex by lung volume changes."Am J Respir Crit Care Med. 162. 855-858 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 西野卓: "呼吸中枢と呼吸感覚"日本臨床麻酔学会誌. 20. 12-20 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Hasegawa R.: "Temporal changes in airway protective reflexes elicited by an endotracheal tube in surgical patients anesthetized with sevoflurane"European Journal of Anaesthesilogy. 16. 98-102 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kijima M.: "Coordination of swallowing and phases of respiration during added respiratory loads in awake subjects"American Journal of Respiratory and Critical Care Medicine. 159. 1898-1902 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nishino T.: "Upper airway reflexes and anesthesia"Critical Care International. 9. 12-16 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 西野 卓: "呼吸機能と麻酔"日本臨床麻酔学会誌. 19. 25-31 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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