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Clarification on the Effects of Carbon Monoxide and Nitric Oxide and Their Control in Hepatic Sinusoid Circulation

Research Project

Project/Area Number 11671528
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionFujita Health University

Principal Investigator

KAINUMA Motoshi  Fujita Health University, School of Medicine, Associate Professor, 医学部, 助教授 (90135335)

Co-Investigator(Kenkyū-buntansha) MIYAKE Toshiyuki  Fujita Health University, School of Medicine, Professor, 医学部, 教授 (40093075)
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2001: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2000: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1999: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordshepatic venous hemoglobin oxygen saturation / hepatic sinusoid / carbon monoxide / nitric oxide / hepatic ischemia / liver surgery / sepsis / GST-α / 肝外傷 / エンドトキシン / ケトン体比 / 肝臓 / 肝静脈 / 周術期管理 / 麻酔
Research Abstract

Carbon monoxide concentration, Shvo_2, GST-α and KBR were measured in patients with or without perioperative period, liver failure and multiple system organ failure. First, we measured them in 14 patients undergoing liver surgery. The relationship between hepatic venous GST-α and arterial GST-α was Y=0.69X + 8.12, R^2=0.23. The relationship between Shvo_2 and GST-α was Y==0.19X^2-27.3X+975, R^2=0.23. Therefore, GST-α significantly increased when Shvo_2 decreased. Next, we measured carbon monoxide concentration was measured in hepatic venous blood by gas mass spectrometer in 7 patients undergoing liver surgery. The relationship between O_2Hb and GOHb was Y=0.05X^2-0.0041X+1.30, R^2=0.014. There was no significant relationship. Therefore, we could not conclude whether we predict hepatic hepatic sinusoid circulation by measuring hepatic venous carbon monoxide concentration. Thirdly, we measured hepatic venous carbon monoxide concentration in 8 patients with acute liver disease. The relationship between O_2Hb and COHb was Y=0.03X^2-0.07X+4, R^2=0.007. There was no significant relationship. Fourthly, we measured nitric oxide concentrations in hepatic venous blood and on hepatic surface. The values were not stable. Fifthly, we measured them in patients under SIRS condition. The relationship between Shvo_2 and GST-α were weak, and carbon monoxide and nitric oxide concentrations varied widely, Thus we panned to measure them in animal models. We now construct data collection system with computers in experiments with septic animal models.

Report

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

    (16 results)

All Other

All Publications (16 results)

  • [Publications] 貝沼 関志: "肝静脈血酸素飽和度モニタリング"救急医学. 25・7. 801-807 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 貝沼 関志: "腹部内臓と周術期麻酔管理"麻酔. 50-suppl. S151-S158 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Motoshi Kainuma: "What level of hypotension can we permit ? from the standpoint of the liver"Circulation Control. 20. 56-64 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Motoshi Kainuma: "liver surgery and Swan-Ganz catheter"Intensive & Critical Care Medicine. 11. 1003-1011 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Motoshi Kainuma: "Anesthesia in patients with liver or renal disease"The Journal of Japan Society for Clinical Aneshtesia. 19. 327-333 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Motoshi Kainuma: "Hepatic venous oxygen hemoglobin saturation monitoring"Japanese Journal of Acute Medicine. 25. 801-807 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Motoshi Kainuma: "Visceral organs and periopetative anesthetic management"Japanese Journal of Anesthesiology. 50. S151-S158 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 貝沼 関志: "肝静脈血酸素飽和度モニタリング"救急医学. 25・7. 801-807 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 貝沼 関志: "腹部内臓と周術期麻酔管理"麻酔. 50・suppl. S151-S158 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 貝沼関志: "肝手術とSwan-Ganzカテーテル"集中治療. 11・10. 1003-1011 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 貝沼関志: "肝、腎障害患者の麻酔"日本臨床麻酔学会誌. 19・5. 327-333 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 貝沼 関志: "血圧低下はどこまで容認できるか-肝臓から-"循環制御. 20・1. 56-64 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 貝沼 関志: "肝手術とSwan-Ganz カテーテル"集中治療. 11・10. 1003-1011 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 貝沼 関志: "肝・腎障害患者の麻酔(最近の重要なポイント)"日本臨床麻酔学会誌. 19・5. 327-333 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 貝沼 関志: "オンライン出版企画"ICVとCCV. 24・2. 77-83 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 貝沼 関志: "麻酔・救急・集中治療 専門医のわざ"真興交易医書出版部. 157 (2000)

    • Related Report
      1999 Annual Research Report

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

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