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Favorable anesthetics based on postoperative vascular endothelial function and finger photoplethysmogram indices

Research Project

Project/Area Number 25463140
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Surgical dentistry
Research InstitutionKagoshima University

Principal Investigator

Kohjitani Atsushi  鹿児島大学, 医歯学域歯学系, 准教授 (60304325)

Co-Investigator(Kenkyū-buntansha) 大野 幸  鹿児島大学, 医歯学域医学部・歯学部附属病院, 助教 (00535693)
遠矢 明菜  鹿児島大学, 医歯学域医学部・歯学部附属病院, 助教 (80593649)
山下 薫  鹿児島大学, 医学部・歯学部附属病院, 医員 (50762613)
Co-Investigator(Renkei-kenkyūsha) Miyata Masaaki  鹿児島大学, 医歯学域医学系, 准教授 (00347113)
Hashiguchi Teruto  鹿児島大学, 医歯学域医学系, 教授 (70250917)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Keywords血管内皮機能 / 全身麻酔 / 指尖容積脈波 / 心血管イベントリスク / プロポフォール / セボフルラン / 酸化ストレス / Reactive hyperemia index / 口腔外科手術 / 血管内皮細胞 / 一酸化窒素 / 血管充血反応 / 血管充血反応指数(RHI)
Outline of Final Research Achievements

Endothelial dysfunction is observed in several cardiovascular diseases, where endothelium-dependent vasodilation is impaired by oxidative stress. Endothelial function of the brachial artery is useful to estimate future risk of cardiovascular events. The purpose of this study is to investigate the time-course of endothelial function during the perioperative period of moderate surgery, and factors affecting recovery of endothelial function. Endothelial function was evaluated by reactive hyperemia index (RHI), which is a ratio of reactive hyperemia-stimulated vasodilation to that measured without stimulation using the EndoPAT 2000. Endothelial function was suppressed just after surgery, which took a few days returning to control levels. Recovery of endothelial function was impaired by diabetes mellitus, obesity and hyperuricemia.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (13 results)

All 2015 2014 2013

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (10 results)

  • [Journal Article] Associations between blood pressure responses to acute stress and impaired renal function and serum uric acid level2015

    • Author(s)
      Ohno S, Miyata M, Kohjitani A, Tohya A, Ohishi M, Sugiyama K
    • Journal Title

      Clin Exp Hypertens

      Volume: 37 Issue: 8 Pages: 656-660

    • DOI

      10.3109/10641963.2015.1047939

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Associations between blood pressure responses to acute stress and impaired renal function and serum uric acid level.2015

    • Author(s)
      Ohno S, Miyata M, Kohjitani A, Tohya A, Ohishi M, Sugiyama K.
    • Journal Title

      Clinical and Experimental Hypertension

      Volume: 37

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Associations between the Autonomic Nervous System and the Second Derivative of the Finger Photoplethysmogram Indices2014

    • Author(s)
      Kohjitani A, Miyata M, Iwase Y, Ohno S, Tohya A, Manabe Y, Hashiguchi T, Sugiyama K.
    • Journal Title

      Journal of Atherosclerosis and Thrombosis

      Volume: 21 Issue: 5 Pages: 501-508

    • DOI

      10.5551/jat.19877

    • NAID

      130004444730

    • ISSN
      1340-3478, 1880-3873
    • Related Report
      2014 Research-status Report 2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 手術後の血管内皮機能の回復は、糖尿病、肥満および高尿酸血症で障害される2015

    • Author(s)
      大野 幸、糀谷 淳、遠矢明菜、椙山加綱
    • Organizer
      日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      学術総合センター(東京都)
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] 高齢者の口腔外科長時間手術において、グルコース・インスリン投与による血糖値管理が術後の腎機能に及ぼす影響2014

    • Author(s)
      遠矢明菜、糀谷 淳、眞鍋庸三、大野 幸、椙山加綱.
    • Organizer
      第42回日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      日本歯科大学新潟生命歯学部(新潟)
    • Year and Date
      2014-10-12
    • Related Report
      2014 Research-status Report
  • [Presentation] 中高年者における気管挿管時の血圧反応と、術前の平均血圧、血圧変動性および腎機能との相関2014

    • Author(s)
      糀谷 淳、大野 幸、遠矢明菜、眞鍋庸三、椙山加綱.
    • Organizer
      第42回日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      日本歯科大学新潟生命歯学部(新潟)
    • Year and Date
      2014-10-11
    • Related Report
      2014 Research-status Report
  • [Presentation] 中程度侵襲手術の周術期における血管内皮機能の変化―静脈麻酔と吸入麻酔の比較―2014

    • Author(s)
      大野 幸、糀谷 淳、遠矢明菜、椙山加綱.
    • Organizer
      第42回日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      日本歯科大学新潟生命歯学部(新潟)
    • Year and Date
      2014-10-11
    • Related Report
      2014 Research-status Report
  • [Presentation] 全身麻酔導入時の循環変動と推算糸球体濾過量(eGFR)との関連について(第3報)2014

    • Author(s)
      糀谷 淳、大野 幸、遠矢明菜、眞鍋庸三、椙山加綱
    • Organizer
      第24回九州歯科麻酔シンポジウム
    • Place of Presentation
      九州歯科大学講堂、北九州
    • Related Report
      2013 Research-status Report
  • [Presentation] Endothelial function assessed by reactive hyperemia peripheral arterial tonometry (RH-PAT) during the perioperative period of propofol-remifentanil anesthesia.2013

    • Author(s)
      Ohno S, Kohjitani A, Hashiguchi T, Miyata M, Hijioka H, Matsunaga K, Nakamura N, Sugiyama K.
    • Organizer
      The 2013 Annual Meeting of the American Society of Anesthesiologists
    • Place of Presentation
      Moscone Convention Center, San Francisco, CA
    • Related Report
      2013 Research-status Report
  • [Presentation] Preoperative estimated glomerular filtration rate (eGFR) predicts hemodynamic responses to anesthesia induction in middle-aged to elderly patients.2013

    • Author(s)
      Kohjitani A, Miyata M, Yanagibashi K, Onho S, Tohya A, Sugiyama K.
    • Organizer
      The 2013 Annual Meeting of the American Society of Anesthesiologists
    • Place of Presentation
      Moscone Convention Center, San Francisco, CA
    • Related Report
      2013 Research-status Report
  • [Presentation] プロポフォール・レミフェンタニルによる全身麻酔が周術期の血管内皮機能に及ぼす影響―RH-PATによる評価―2013

    • Author(s)
      大野 幸、糀谷 淳、椙山 加綱.
    • Organizer
      日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      新横浜国際ホテル、横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] 加速度脈波パラメータ群における心拍変動解析による自律神経機能の関与について2013

    • Author(s)
      糀谷 淳、岩瀬陽子、大野 幸、遠矢明菜、眞鍋庸三、椙山加綱.
    • Organizer
      日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      新横浜国際ホテル、横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] 全身麻酔導入時の循環変動と推算糸球体濾過量(eGFR)との関連2013

    • Author(s)
      遠矢明菜、糀谷 淳、柳橋恵子、大野 幸、眞鍋庸三、椙山加綱.
    • Organizer
      日本歯科麻酔学会総会・学術集会
    • Place of Presentation
      新横浜国際ホテル、横浜
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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