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Study of the factors that affect the quality of life in postoperative patients

Research Project

Project/Area Number 17591627
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

SHIRAKAMI Gotaro  Kyoto Univ, Graduate Sch of Med, Asc Prof, 医学研究科, 助教授 (20235740)

Co-Investigator(Kenkyū-buntansha) NISHIMURA Misako  Kyoto Univ, Graduate Sch of Med, Clin Fellow, 医学研究科, 医員 (10402900)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 2006: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2005: ¥2,800,000 (Direct Cost: ¥2,800,000)
KeywordsPostoperative patients / Quality of life / Prolonged postoperative recovery / Patient satisfaction / Postoperative unpleasant symptoms / anesthesia autoregulation / Airway motility / Anesthetics / Bispectral Index / 術後嘔気嘔吐 / Bispectral index
Research Abstract

1)Prolonged recovery after ambulatory surgery is mainly due to postoperative unpleasant symptoms (pain, postoperative nausea and vomiting (PONV), drowsiness/dizziness/fatigue) and secondly due to social/system problems. Delayed patients complained postoperative pain more frequently, and reported lower self-rated resumption of normal activity (RNA) levels and acceptability for ambulatory surgery. Patients in lower satisfaction levels reported postoperative unpleasant symptoms more frequently, and lower RNA level and acceptability. Twenty percent of patients had moderate to severe pain after ambulatory surgery. In short-stay breast cancer surgery, sevoflurane anesthesia combined with fentanyl revealed higher PONV rate and delayed postoperative recovery ; total intravenous anesthesia (TIVA) revealed lower intraoperative hemodynamic changes and inhibition in heart rate variability (HRV), lower PONV rate, and faster postoperative recovery than sevoflurane anesthesia; sevoflurane anesthesia … More combined with dexmedetomidine revealed intraoperative hypotension and bradycardia episodes more frequently, and delayed recovery without affecting severity in postoperative pain and PONV ; sevoflurane "light" anesthesia revealed faster emergence without affecting PONV frequency and HRV inhibition.
2)The automated closed-loop control system for propofol infusion using bispectral index (BIS) value as a controlled variable was developed. In TIVA, it maintained the BIS value more precisely than manual control. However, in monitored anesthesia care, control was difficult.
3)In cultured rat tracheal epithelial cells, thiopental, midazolam and dexmedetomidine did not affect ciliary motility, but high doses of ketamine and fentanyl augmented it and pentbarbital depressed it strongly. Halothane and isoflurane decreased it vigorously, but seveflurane did minimally. Isoflurane inhibited isoproterenol-induced cilio-stimulation, but did not depress increased intracellular cAMP levels. Isoflurane did not affect intracellular ATP levels. Less

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (25 results)

All 2007 2006 2005

All Journal Article (25 results)

  • [Journal Article] 術後・悪心嘔吐のハイリスク患者2007

    • Author(s)
      白神豪太郎
    • Journal Title

      LiSA 14

      Pages: 166-169

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Postoperative nausea and vomiting high risk patients (Japanese)2007

    • Author(s)
      Shirakami G
    • Journal Title

      LiSA 14

      Pages: 166-169

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 術後悪心嘔吐のハイリスク患者2007

    • Author(s)
      白神 豪太郎
    • Journal Title

      LiSA 14

      Pages: 166-169

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Differential effects of intravenous anesthetics on ciliary motility in cultured rat tracheal cells2006

    • Author(s)
      Iida H
    • Journal Title

      Can J Anesth 53

      Pages: 242-249

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Nocturnal episodic hypoxemia after ambulatory beeast cancer surgery : comparison of sevoflurane and propofol…2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 78-85

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] The effect of sevoflurane on cilliary motility in rat cultured tracheal epithelial cell : comparison with isoflurane…2006

    • Author(s)
      Matsuura S
    • Journal Title

      Anesth Analg 102

      Pages: 1703-1708

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Omission of fentanyl during sevoflurane anesthesia decreases the incidences of postoperative rausea…2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 188-195

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 日帰り麻醉に欠かせないスキル2006

    • Author(s)
      白神豪太郎
    • Journal Title

      日本臨床麻醉学会誌 26

      Pages: 474-481

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Nocturnal episodic hypoxemia after ambulatory breast cancer surgery : comparison of sevoflurane and propofol-fentanyl anesthesia2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 78-85

    • NAID

      10019167476

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] The effect of sevoflurane on ciliary motility in rat cultured tracheal epithelial cells : comparison with isoflurane and halothane2006

    • Author(s)
      Matsuura S
    • Journal Title

      Anesth Analg 102

      Pages: 1703-8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Omission of fentanyl during sevoflurane anesthesia decreases the incidences of postoperative nausea and vomiting and accelerates postanesthesia recovery in major breast cancer surgery.2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 188-95

    • NAID

      10019287248

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Essential skills for ambulatory anesthesia (Japanese)2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Jpn Soc Clin Anesth 26

      Pages: 474-481

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Nocteranal episodic hypoxemia after ambulatory breast cancer surgery : comparison of sevoflurane and propofol-fentanyl anesthesia2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 78-85

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Omission of fentanyl during sevoflurane anesthesia decreases the incidences of postoperative nausea and vomiting and accelerates postanesthesia recovery in major breast cancer surgery2006

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 20

      Pages: 188-195

    • NAID

      10019287248

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 日帰り麻酔に欠かせないスキル2006

    • Author(s)
      白神 豪太郎
    • Journal Title

      日本臨床麻酔学会誌 26

      Pages: 37-49

    • NAID

      10018308980

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Differential effects of intravenous anesthetics on ciliary motility in cultured rat tracheal epithelial cells2006

    • Author(s)
      Iida H
    • Journal Title

      Can J Anesth 53

      Pages: 236-241

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Delayed discharge and acceptability ambulatory surgery in adult outpatients receiving genenal anesthesia2005

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 19

      Pages: 93-101

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 日帰り手術の術後鎮痛とオピオイド鎮痛薬2005

    • Author(s)
      白神豪太郎
    • Journal Title

      パインクリニツク 26(sup)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 麻醉薬と気管織毛運動2005

    • Author(s)
      松浦壮吾
    • Journal Title

      Anesthesia 21 century 7

      Pages: 1257-1265

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Delayed discharge and acceptability of ambulatory surgery in adult outpatients receiving general anesthesia2005

    • Author(s)
      Shirakami G
    • Journal Title

      J Anesth 19

      Pages: 93-101

    • NAID

      10015696945

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary 2005 Annual Research Report
  • [Journal Article] Differential effects of intravenous anesthetics on ciliary motility in cultured rat tracheal epithelial cells2005

    • Author(s)
      Iida H
    • Journal Title

      Can J Anesth 53

      Pages: 242-249

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Office-based anesthesia : Choice of anesthesia and patient safety (Japanese)2005

    • Author(s)
      Shirakami G
    • Journal Title

      Geka 67

      Pages: 2-7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Opioid analgesia for ambulatory surgery (Japanese)2005

    • Author(s)
      Shirakami G
    • Journal Title

      Pain Clinic 26(Suppl)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Anesthesia and airway ciliary motility (Japanese)2005

    • Author(s)
      Matsuura S
    • Journal Title

      Anesthesia 21 Century 7

      Pages: 1257-1265

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 日帰り手術の術後鎮痛とオピオイド鎮痛薬2005

    • Author(s)
      白神 豪太郎
    • Journal Title

      ペインクリニック 26(Suppl)

    • Related Report
      2005 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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