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New therapeutic strategy for perioperative oxidative stress and postoperative complication

Research Project

Project/Area Number 26462371
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology
Research InstitutionOsaka City University

Principal Investigator

TSUCHIYA MASAHIKO  大阪市立大学, 大学院医学研究科, 准教授 (80253350)

Co-Investigator(Kenkyū-buntansha) 佐藤 英介  鈴鹿医療科学大学, 薬学部, 教授 (60211942)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords活性酸素 / 酸化ストレス / 手術侵襲 / 術後合併症 / 過酸化脂質 / 局所麻酔薬 / 神経ブロック / 低分子デキストラン / 周術期管理 / 術後早期回復 / 術後回復 / 区域麻酔法 / 麻酔管理 / 超音波エコー / DNA損傷
Outline of Final Research Achievements

Recently, the safety of surgery has greatly improved. However, poor postoperative recovery sometimes developed in some patients. Thus, new therapeutic strategy for improved postoperative recovery is required. We have studied this issue from the standpoint of both basic and clinical aspects. We have found that surgical patient received great oxidative stress during surgery. Preoperative blood hydroperoxides level in surgical patients could be a good predictor of their risk of postoperative complication. We have found that local anesthetics have strong antioxidant activity, and could control surgical oxidative stress in clinical use. We have also found that the addition of low molecular weight dextran to local anesthetics safely improved its potency.

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

    (12 results)

All 2018 2017 2016 2015 2014

All Journal Article (7 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 7 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (4 results) (of which Invited: 2 results) Book (1 results)

  • [Journal Article] Large volume of low concentration of local anesthetic dissolved with low-molecular weight dextran as adjuvant for ultrasound-guided posterior quadratus lumborum block (QLB2) greatly enhances and extends analgesic effects2018

    • Author(s)
      Masahiko Tsuchiya, Koh Mizutani, Wasa Ueda
    • Journal Title

      Minerva anestesiologica

      Volume: - Issue: 7

    • DOI

      10.23736/s0375-9393.18.12653-8

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Regional Anesthesia: Advantages of Combined Use with General Anesthesia and Useful Tips for Improving Nerve Block Technique with Ultrasound Technology2017

    • Author(s)
      Masahiko Tsuchiya
    • Journal Title

      Current Topics in Anesthesiology

      Volume: n.a. Pages: 25-50

    • DOI

      10.5772/66573

    • ISBN
      9789535129172, 9789535129189
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Levobupivacaine - dextran mixture for transversus abdominis plane block and rectus sheath block in patients undergoing laparoscopic colectomy: a randomised controlled trial.2016

    • Author(s)
      Hamada T, Tsuchiya M, Mizutani K, Takahashi R, Muguruma K, Maeda K, Ueda W, Nishikawa K.
    • Journal Title

      Anaesthesia

      Volume: 71 Issue: 4 Pages: 411-416

    • DOI

      10.1111/anae.13408

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial artery catheterization.2016

    • Author(s)
      Tsuchiya M, Mizutani K, Funai Y, Nakamoto T.
    • Journal Title

      J Clin Monit Comput

      Volume: 30 Issue: 1 Pages: 101-106

    • DOI

      10.1007/s10877-015-9692-9

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Illustration of O2 and CO2 recirculation to interpret respiratory and circulatory physiology2015

    • Author(s)
      Mizutani K, Suwa K, Tsuchya M
    • Journal Title

      Journal of Clinical Anesthesia

      Volume: 印刷中 Issue: 4 Pages: 363-365

    • DOI

      10.1016/j.jclinane.2015.03.014

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] In-line positioning of ultrasound images using wireless remote display system with tablet computer facilitates ultrasound-guided radial artery catheterization2015

    • Author(s)
      Tsuchiya M, Mizutani K, Funai Y, Nakamoto T
    • Journal Title

      Journal of Clinical monitoring and Computing

      Volume: 印刷中

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Preoperative hydroperoxide concentrations are associated with a risk of postoperative complications after cardiac surgery.2014

    • Author(s)
      Suehiro K, Tanaka K, Matsuura T, Funao T, Yamada T, Mori T, Tsuchiya M, Nishikawa K
    • Journal Title

      Anaesthesia and Intensive Care

      Volume: 42 Pages: 487-494

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] 明日からの麻酔に役立つ活性酸素の知識2017

    • Author(s)
      土屋正彦
    • Organizer
      麻酔科学会関西支部症例検討会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 麻酔科医と泌尿器科医が共に幸せになるために 特別提言2016

    • Author(s)
      土屋正彦
    • Organizer
      第30回日本泌尿器内視鏡学会総会
    • Place of Presentation
      大阪グランフロント(大阪府大阪市)
    • Year and Date
      2016-11-19
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 術前に経皮的大動脈弁拡張術を行った重症大動脈狭窄症を合併した非心臓手術の2症例2016

    • Author(s)
      山田德洪、辻川翔吾、末廣浩一、土屋正彦、西川精宣
    • Organizer
      第43回日本集中治療医学会学術集会
    • Place of Presentation
      神戸国際展示場(兵庫県神戸市)
    • Year and Date
      2016-02-12
    • Related Report
      2015 Research-status Report
  • [Presentation] 人工骨頭置換中にショックに陥った慢性腎不全患者の一症例2015

    • Author(s)
      沼本安耶也加、矢部充英、三河美佳、上杉敦子、土屋正彦、西川精宣
    • Organizer
      日本麻酔科学会第61回関西支部学術集会
    • Place of Presentation
      大阪国際会議場(大阪府大阪市)
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Book] Regional Anesthesia: Advantages of Combined Use with General Anesthesia and Useful Tips for Improving Nerve Block Technique with Ultrasound Technology2017

    • Author(s)
      Masahiko Tsuchiya
    • Total Pages
      144
    • Publisher
      InTech, Croatia
    • ISBN
      9789535129172
    • Related Report
      2017 Annual Research Report

URL: 

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

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