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Searching way of more gentle emergence from general anesthesia-An approach from anesthesiology and sleep to ERAS-

Research Project

Project/Area Number 26462327
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology
Research InstitutionHirosaki University

Principal Investigator

Tetsuya KUSHIKATA  弘前大学, 医学研究科, 准教授 (80250603)

Co-Investigator(Kenkyū-buntansha) 廣田 和美  弘前大学, 医学研究科, 教授 (20238413)
丹羽 英智  弘前大学, 医学部附属病院, 講師 (20374845)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords全身麻酔 / 睡眠 / 内因性覚醒物質 / オレキシン / ノルアドレナリン / MCH / 鎮痛 / 麻酔時間 / 麻酔 / ERAS
Outline of Final Research Achievements

Recent social situation, aging society, required shortening of hospital stay, reduction of medical expense although aged patients always have potential risk for developing unpredicted complication at peri-operative period that would consume medical resources and expense. In consideration to this state of affairs, it should be expected that anesthesiology provide safety, amenity, and economic efficiency more and more. This research intended to find a basic perception for patient care based on the request mentioned above with relation to sleep science.
An endogenous wake-promoting substance, orexin, plays crucial role in general anesthesia including anesthesia duration, post anesthetic sleep disturbance, and analgesia interacting with central noradrenergic neuronal activity.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (4 results)

All 2016 2015 2014

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

  • [Journal Article] Ketamine and propofol have opposite effects on postanesthetic sleep architecture in rats: relevance to the endogenous sleep-wakefulness substances orexin and melanin-concentrating hormone2016

    • Author(s)
      Kushikata T, Sawada M, Niwa H, Kudo T, Kudo M, Tonosaki M, Hirota K.
    • Journal Title

      Journal of anesthesia

      Volume: 30 Issue: 3 Pages: 437-43

    • DOI

      10.1007/s00540-016-2161-x

    • NAID

      40020854416

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] ケタミンの麻酔・鎮痛機序におけるオレキシン作動性神経の関与は異なる。-オレキシン遺伝子改変ラット(OX/ATA3 TG rat)を用いた研究-2016

    • Author(s)
      外崎 充、櫛方哲也、丹羽英智、齋藤淳一、工藤隆司、廣田和美
    • Organizer
      日本麻酔科学会第63回学術集会
    • Place of Presentation
      福岡国際会議場(福岡県、福岡市)
    • Year and Date
      2016-05-26
    • Related Report
      2016 Research-status Report
  • [Presentation] Ketamine disturbs post anesthesia sleep in aged rat–relevance to brain Orexin contents?2015

    • Author(s)
      Tetsuya KUSHIKATA, MD, Ph. D, Izumi Miki, B Sc, Mitsuru Tonosaki , MD, Hidetomo Niwa, MD, Ph. D, Jyunichi Saito, MD, Ph. D, Kazuyoshi HIROTA, MD, Ph. D, FRCA
    • Organizer
      The 9th lnternationaI Conference on Mechanisms of Anaesthesia
    • Place of Presentation
      ボン市、ドイツ
    • Year and Date
      2015-06-17
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] オレキシン作動性神経はケタミンの鎮痛作用に関与する-Transgenic Rat(OX/ATA3 TG rat)を用いた研究-2014

    • Author(s)
      外崎充、櫛方哲也、佐々木剛範、丹羽英智、廣田和美、工藤隆司
    • Organizer
      公益社団法人日本麻酔科学会 第 61回学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-15 – 2014-05-17
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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