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Examination of respiratory status and diaphragmatic function in critically ill patients with mechanical ventilation

Research Project

Project/Area Number 20591828
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

UCHIYAMA Akinori  Osaka University, 医学部附属病院, 助教 (00324856)

Co-Investigator(Kenkyū-buntansha) FUJINO Yuji  大阪大学, 医学(系)研究科(研究院), 講師 (50252672)
HIRAO Osamu  大阪大学, 医学部附属病院, 助教 (10362617)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2008: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords周術期管理学 / 臨床 / 生理学 / 集中治療 / 人工呼吸 / 横隔膜 / 気管チューブ / 調節呼吸 / 自発呼吸テスト / 呼吸仕事量 / 腎不全 / NGAL / 鎮静薬 / 呼気抵抗 / 呼吸不全 / 人工呼吸モード
Research Abstract

Respiratory muscle function largely affects prognosis of critically ill patients received mechanical ventilation. We examined methods of assessing tension of respiratory muscle and factors related to respiratory muscle function during mechanical ventilation. Patient's level of consciousness affected tensions by voluntary efforts. It was difficult to determine the site of stimulation in ICU patients in percutaneous stimulation for phrenic nerve. Effects of sedatives and mode of mechanical ventilation on assessment of respiratory muscle function were studied. Imposed expiratory work of breathing during mechanical ventilation and the relationship between renal failure and respiratory failure were also examined. The results were considered to be useful respiratory care to preserve respiratory muscle function.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (8 results)

All 2011 2010 2009

All Journal Article (4 results) (of which Peer Reviewed: 4 results) Presentation (4 results)

  • [Journal Article] Compensating for Endotracheal Tube Resistance2010

    • Author(s)
      Akinori Uchiyama
    • Journal Title

      Anesthesia and Analgesia 110

      Pages: 640-641

    • Related Report
      2010 Final Research Report 2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A Comparison of the Effects on Respiratory Carbon Dioxide Response, Arterial Blood Pressure, and Heart Rate of Dexmedetomidine, Propofol, and Midazolam in Sevoflurane-Anesthetized Rabbits2009

    • Author(s)
      Cheng Chang, Akinori Uchiyama, Ring Ma, Takashi Mashimo, Yuji Fujino
    • Journal Title

      Anesthesia and Analgesia 109

      Pages: 84-89

    • Related Report
      2010 Final Research Report 2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] An Expiratory Assist During Spontaneous Breathing Can Compensate for Endotracheal Tube Resistance2009

    • Author(s)
      Akinori Uchiyama, Cheng Chang, Shinya Suzuki, Takashi Mashimo, Yuji Fujino
    • Journal Title

      Anesthesia and Analgesia 109

      Pages: 434-440

    • Related Report
      2010 Final Research Report 2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma neutrophil gelatinase-associated lipocalin (NGAL) in mechanically ventilated patients treated with continuous hemodiafiltration2009

    • Author(s)
      Akinori Uchiyama, Naoya Iguchi, Yuji Fujino, Takashi Mashimo
    • Journal Title

      Crit Care Med 37

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Presentation] Estimation of imposed expiratory work of breathing by endotracheal tube and ventilator during mechanical ventilation2011

    • Author(s)
      Akinori Uchiyama, Yoshida Takeshi, Hidenori Yamanaka, Takashi Mashimo, Yuji Fujino
    • Organizer
      The 11th Joint-Congress of JSICM & KSCCM
    • Place of Presentation
      Seoul、Korea
    • Year and Date
      2011-04-23
    • Related Report
      2010 Final Research Report
  • [Presentation] 急性腎障害(AKI)発症後の血漿NGAL値の検討2011

    • Author(s)
      井口直也、内山昭則、藤野裕士
    • Organizer
      第38回日本集中治療医学会
    • Place of Presentation
      横浜
    • Year and Date
      2011-02-25
    • Related Report
      2010 Annual Research Report 2010 Final Research Report
  • [Presentation] 人工呼吸中に負荷される呼気仕事量についての検討2011

    • Author(s)
      内山昭則、藤野裕士
    • Organizer
      第38回日本集中治療医学会
    • Place of Presentation
      横浜
    • Year and Date
      2011-02-23
    • Related Report
      2010 Annual Research Report 2010 Final Research Report
  • [Presentation] Plasma neutrophil gelatinase-associated lipocalin (NGAL) in mechanically ventilated patients treated with continuous hemodiafiltration2010

    • Author(s)
      Naoya Iguchi, Akinori Uchiyama, Yuji Fujino, Takashi Mashimo
    • Organizer
      Annual Congress Society of Critical Care Medicine
    • Place of Presentation
      Miami Beach, FL, USA
    • Year and Date
      2010-01-10
    • Related Report
      2010 Final Research Report 2009 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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