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TOTAL INTRAVENOUS ANESTHES IA FOR ORAL AND MAXILLOFACIAL SURGERY - A COMPARI SON BETWEEN NORMOTENSIVE AND HYPERTENSIVE SUBJECTS

Research Project

Project/Area Number 11672010
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionTOKYO DENTAL COLLEGE

Principal Investigator

ICHINOHE Tatsuya  TOKYO DENTAL COLLEGE, DEPARTMENT OF DENTISTRY,PROFESSOR, 歯学部, 教授 (40184626)

Co-Investigator(Kenkyū-buntansha) KANEKO Yuzuru  TOKYO DENTAL COLLEGE, DEPARTMENT OF DENTISTRY, PROFESSOR, 歯学部, 教授 (00085747)
Project Period (FY) 1999 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 2002: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 2001: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 2000: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1999: ¥1,200,000 (Direct Cost: ¥1,200,000)
KeywordsRat / Rabbit / Noxious stimulation / Hemodynamic response / Hypertension / Trigeiainal nerve
Research Abstract

In rabbits, systolic blood pressure (SBP) showedbiphagic (depressor followedby presjsor) responses following electrical stimulation of the mental nerve. Depressor response, known as the trigeminal depressor response, wasprominent after low frequency stimulations. Fentanyl inhibited depressor response, whereas clonidine, neostigmine and L-phenylisopropyladenosine inhibited pressor response. At t|ie sane time, clonidine and L-phenylisopropyladenosine produced a dose-dependent SBP reduction. In contrast, SBP mainly showed pressor responses following electrical stimulation of the mentalnerve in rats. Although fentanyl revealed no effects on SBP change, clonidine, as in the rabbit experiments, inhibited pressor response along witha dose-dependent SBP reduction.
Electrical stimulation of the mental nerve for more than 30 sec produced sustained SBP elevation.Fentanyl and clonidine may modulate these SBP responses.
These results suggest that appropriate combinations of these agents that act at different siteof the nociceptive mechanisms may result in safe and effective total intravenous anesthesi for oral and maxillofacial surgery.

Report

(5 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (15 results)

All Other

All Publications (15 results)

  • [Publications] 一戸達也: "口腔領域侵害刺激時の循環応答と各種薬剤の応答抑制効果"日本歯科麻酔学会雑誌. 27. 286-292 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 一戸達也: "ウサギ体性刺激および内臓刺激時の血圧上昇に対するプロポフォール投与下におけるクロニジンの抑制効果"循環制御. 20. 404-409 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe et al.: "Interaction of nitrous oxide and propofol to reduce hypertensive response to stimulation"Canadian Journal of Anesthesia. 47. 699-704 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 一戸達也: "歯科麻酔科領域におけるプロポフォールの応用"日本歯科麻酔学会雑誌. 30. 7-15 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 一戸達也: "口腔外科手術の麻酔におけるフェンタニルの立場"Pharmacoanesthesiology. 14. 97-99 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 一戸達也: "歯科麻酔と亜酸化窒素"Medical Gases. 4. 33-35 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe: "Inhibitory effects of various antinociceptive agents on the hemodynamic responses to noxious stimulations in the oral region"Journal of the Japanese Dental Journal of Anesthesiology. 27-3. 286-292 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe et al.: "Clonidine inhibits blood pressure I elevation mediated by electrical stimulation of the mental nerve and the gastric wall inthe rabbit under propofol anesthesia"Circulation Control. 20-4. 404-409 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe et al.: "Interaction of nitrous oxide and propofol to reduce hypertensive response to stimulation"Canadian Journal of Anesthesia. 47-7. 699-744 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe: "Clinical applications of propofol in the dental anesthesiology field"Journal of the Japanese Dental Journal of Anesthesiology. 30-1. 7-15 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsaya Ichinohe: "Fentanyl as an anesthetic supplement for oral and maxillofacial surgery"Pharmacoanesthesiology. 14-1. 97-99 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tatsuya Ichinohe: "Nitrous oxide in dental anesthesia"Medical Gases. 4-1. 33-35 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 一戸達也: "歯科麻酔科領域におけるプロポフォールの応用"日本歯科麻酔学会雑誌. 30・1. 7-15 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 一戸達也: "口腔外科手術の麻酔におけるフェンタニルの立場"Pharmacoanesthesiology. 14・1. 97-99 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 一戸達也: "歯科麻酔と亜酸化窒素"Medical Gases. 4・1. 33-35 (2002)

    • Related Report
      2002 Annual Research Report

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

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