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The study of the improvement mechanism with the pulmonary protective therapy of the acute pulmonary injury: Work of breathing analysis and microcirculation for an index

Research Project

Project/Area Number 22592022
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionTokyo Women's Medical University

Principal Investigator

NISHIYAMA Keiko  東京女子医科大学, 医学部, 准教授 (00155532)

Co-Investigator(Kenkyū-buntansha) KOMORI Makiko  東京女子医科大学, 医学部, 教授 (60178332)
TOMIZAWA Yasuko  東京女子医科大学, 医学部, 助教 (00159047)
Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2010: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords集中治療医学 / 人工呼吸器 / 呼吸仕事量 / 呼吸不全 / PEEP / PC-PSVモード / 急性肺傷害
Research Abstract

In the fundamental research, microcirculation dynamics at sepsis was studied using the rabbit ear chamber (REC). An arteriolar vascular diameter, a blood flow rate and motions of venular leukocyte were directly recorded in REC and analyzed at the early stage of the sepsis. In the clinical research, arterial blood gas, chest X-ray, CT, a physical examination, and clinical course were analyzed by changing parameters of the ventilation modes for respirator wearing patients. We evaluated the work of breathing and the synchronous characteristics to spontaneous respiration, andfound a more physiological ventilation mode with higher therapeutic gain than conventional modes.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (27 results)

All 2013 2012 2011 2010 Other

All Journal Article (18 results) (of which Peer Reviewed: 15 results) Presentation (9 results)

  • [Journal Article] ショック時の微小循環2012

    • Author(s)
      小森万希子
    • Journal Title

      麻酔

      Volume: 61

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Journal Article] Auditory evoked potential index does not correlate with observer assessment of alertness and sedation score during 0.5% bupivacaine spinal anesthesia with nitrous oxide sedation alone2012

    • Author(s)
      Ichikawa J, Taira K, Nishiyama K, Endo M, Kodaka M, Kawamata M, Komori M, Ozaki M.
    • Journal Title

      J Anesth

      Volume: 26 Pages: 400-4

    • NAID

      10030826963

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Improvement of postoperative atelectasis in response to biphasic cuirass ventilation in a patient who was receiving noninvasive positive pressure ventilation at home2012

    • Author(s)
      Nishiyama K, Sakaguchi Y, Sato T, KodakaM, Komori M
    • Journal Title

      J Jpn Soc Intensive Care Med

      Volume: 19 Pages: 247-8

    • NAID

      10030556439

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] トロンボエラストメトリー(ROTEM)における新生児の血液凝固機能2012

    • Author(s)
      市川順子,小高光晴,西山圭子,金子吾朗,星川由梨子,川真田美和子,高木耕一郎,小森万希子
    • Journal Title

      周産期新生児誌

      Volume: 48 Pages: 7-10

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 乳様突起は亜酸化窒素による中耳腔の圧の上昇を緩衝する機能を有するか2012

    • Author(s)
      市川順子, 小森万希子, 西山圭子, 小高光晴, 川真田美和子, 尾崎 眞
    • Journal Title

      麻酔

      Volume: 61 Pages: 352-7

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Improvement of postoperative atelectasis in response to biphasic cuirass ventilation in a patient who was receiving noninvasive positive pressure ventilation at home2012

    • Author(s)
      Nishiyama K
    • Journal Title

      J Jpn Soc Intensive Care Med

      Volume: 19 Pages: 247-248

    • NAID

      10030556439

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Successful right middle lobe resection after left pneumonectomy with selective lobar blockade assisted by preoperative coronal multiplanar reformation images on 64 slice multidetector computed tomography2011

    • Author(s)
      Ichikawa J, Kodaka M, Endo M, Nishiyama K, Mae M, Tomizawa Y, Komori M, Makoto O
    • Journal Title

      J Anesthe Clinic Res

      Volume: 2 Pages: 7-7

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Peri-operative management of a patient with bilateral giant bullae and pneumothorax in the context of severe pulmonary obstructive disease2011

    • Author(s)
      Endou M, Yasuhira A, Nishiyama K, KodakaM, Mae, M, Komori M.
    • Journal Title

      J Anesthe Clinic Res

      Volume: 2 Pages: 9-9

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Postoperative analgesic requirement in abstaining smokers and non-smokers2011

    • Author(s)
      Ichikawa J, Kurata J, Nishiyama K, Kodaka M, Komori M
    • Journal Title

      J Tokyo Wom Med Univ

      Volume: 81 Pages: 372-6

    • NAID

      110008672490

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Comparison between proportional-assist ventilation andpressure support ventilation as assessed by measurement of thoracic and abdominal expansibility2011

    • Author(s)
      Nishiyama K, Sato T, Tsukamoto K, Kodaka M, Komori M
    • Journal Title

      J Tokyo Wom Med Univ

      Volume: 81 Pages: 89-95

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Peri-operative management of a patient with bilateral giant bullae and pneumothorax in the context of severe pulmonary obstructive disease2011

    • Author(s)
      Endou M, Nishiyama K, et al
    • Journal Title

      J Anesthe Clinic Res

      Volume: 2 Issue: 09

    • DOI

      10.4172/2155-6148.1000162

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison between proportional-assist ventilation and pressure support ventilation as assessed by measurement of thoracic and abdominal expansibility2011

    • Author(s)
      Nishiyama K, Sato T, et al
    • Journal Title

      J Tokyo Wom Med Univ

      Volume: 81 Pages: 89-95

    • NAID

      110008462585

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Crisis in the operating room: fires, explosions and electrical accidents2010

    • Author(s)
      Nishiyama K, Komori M, Kodaka M,Tomizawa Y
    • Journal Title

      J Artif Organs

      Volume: 13 Pages: 129-33

    • NAID

      10028193144

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Experience with Epidural and Spinal Anesthesia in a Patient with Severe Bilateral Stenosis of the Internal Carotid Arteries who Underwent Resection of the Transverse Colon2010

    • Author(s)
      Hasegawa H, Nishiyama K, Miyazawa M, Tsukamoto K, Kodaka M, Komori M
    • Journal Title

      J Tokyo Wom Med Univ

      Volume: 80 Pages: 145-8

    • NAID

      110007628971

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 術前管理で知っておきたい知識2010

    • Author(s)
      西山圭子
    • Journal Title

      臨床看護

      Volume: 36 Pages: 1127-38

    • Related Report
      2012 Final Research Report 2010 Annual Research Report
  • [Journal Article] 術後管理で知っておきたい知識2010

    • Author(s)
      小森万希子
    • Journal Title

      臨床看護

      Volume: 36 Pages: 1157-71

    • Related Report
      2012 Final Research Report
  • [Journal Article] Crisis in the operating room : fires, explosions and electrical accidents2010

    • Author(s)
      Nishiyama K, Komori M, et al
    • Journal Title

      J Artif Organs

      Volume: Vol.13 Pages: 129-130

    • NAID

      10028193144

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Experience with Epidural and Spinal Anesthesia in a Patient with Severe Bilateral Stenosis of the Internal Carotid Arteries who Underwent Resection of the Transverse Colon2010

    • Author(s)
      Hasegawa H, Nishiyama K, et al.
    • Journal Title

      J Tokyo Wom Med Univ.

      Volume: Vol.180 Pages: 145-148

    • NAID

      110007628971

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 気管挿管下に Fisher&Paykel 社製 OPTFlow570 を使用した脳神経外科患者の人工呼吸早期離脱の試み2013

    • Author(s)
      西山圭子
    • Organizer
      第40回日本集中治療医学会学術集会
    • Place of Presentation
      松本
    • Year and Date
      2013-03-01
    • Related Report
      2012 Final Research Report
  • [Presentation] ショックと微小循環2012

    • Author(s)
      小森万希子
    • Organizer
      日本麻酔科学会第59回学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2012-06-09
    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Presentation] EVITA infinity の smart care Ver.2 の自発呼吸テストを使用 CPAP 時のPEEPtitration2012

    • Author(s)
      西山圭子
    • Organizer
      第39回日本集中治療医学会学術集会
    • Place of Presentation
      幕張
    • Year and Date
      2012-02-28
    • Related Report
      2012 Final Research Report
  • [Presentation] EVITA infinityのsmart care Ver.2の自発呼吸テストを使用CPAP時のPEEPtitration2012

    • Author(s)
      西山圭子
    • Organizer
      第39回日本集中治療医学会学術集会
    • Place of Presentation
      幕張メッセ(千葉県)
    • Year and Date
      2012-02-28
    • Related Report
      2011 Annual Research Report
  • [Presentation] EVITA Infinity V-500およびBabylog VN500のPC-PSVモード使用経験2012

    • Author(s)
      西山圭子
    • Organizer
      第34回日本呼吸療法医学会学術総会
    • Place of Presentation
      沖縄
    • Related Report
      2012 Annual Research Report
  • [Presentation] 当 ICU における PEEP Titrationとその効果2011

    • Author(s)
      西山圭子
    • Organizer
      第38回日本集中治療医学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2011-02-25
    • Related Report
      2012 Final Research Report
  • [Presentation] 当ICUにおけるPEEP Titrationとその効果2011

    • Author(s)
      西山圭子
    • Organizer
      第38回日本集中治療医学会学術集会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2011-02-25
    • Related Report
      2010 Annual Research Report
  • [Presentation] EVITA Infinity V-500 およびBabylog VN500 の PC-PSV モード使用経験

    • Author(s)
      西山圭子
    • Organizer
      第34回日本呼吸療法医学会学術総会 1244558KD002 20120714
    • Place of Presentation
      沖縄
    • Related Report
      2012 Final Research Report
  • [Presentation] 気管挿管下にFisher&Paykel社製OPTFlow570を使用した脳神経外科患者の人工呼吸早期離脱の試み

    • Author(s)
      西山圭子
    • Organizer
      第39回日本集中治療医学会学術集会
    • Place of Presentation
      松本
    • Related Report
      2012 Annual Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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