Reconstruction of pre-hospital cardiopulmonary resuscitation protocol using rSO2 monitoring
| Project/Area Number |
26462753
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Emergency medicine
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| Research Institution | Department of Clinical Research, National Hospital Organization Kyoto Medical Center (2015-2016)
Kyoto University (2014) |
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Principal Investigator |
Nishiyama Kei 独立行政法人国立病院機構(京都医療センター臨床研究センター), 展開医療研究部, 研究員 (90447970)
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| Co-Investigator(Renkei-kenkyūsha) |
KOIKE Kaoru 京都大学, 医学部, 教授 (10267164)
SUZUKI Takao 京都大学, 医学部, 講師 (40328810)
SATO Norio 京都大学, 医学部, 准教授 (30409205)
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| Project Period (FY) |
2014-04-01 – 2017-03-31
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| Project Status |
Completed (Fiscal Year 2016)
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| Budget Amount *help |
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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| Keywords | 心肺蘇生法 / モニタリング / 脳保護 / 心肺蘇生 / 院外心肺停止 / 脳循環 / 予後 |
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| Outline of Final Research Achievements |
The cerebral hypoxemia ratio can be monitored noninvasively as brain local oxygen saturation (rSO 2). Since the rSO 2 value does not require a pulse wave, it has a major advantage that it can be measured even for patients without self-heartbeat.
We measured to 33 people. At the start of the measurement in the ambulance, the rSO 2 value was almost the lowest value, but the increase in the rSO 2 value could be measured by cardiopulmonary resuscitation. However, although there was no significant difference, it was suggested that the rSO 2 value tended to be higher in the cases with return of spontaneous circulation (ROSC), and it was suggested that achievement of ROSC greatly contributes to improvement of the cerebral circulation. Measurement of rSO2 value in out-patient cardiopulmonary arrest patients was shown to be useful for prognostic prediction, assessment of resuscitation quality, and investigation of resuscitation in special situations.
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Report
(4 results)
Research Products
(24 results)
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[Presentation] 低体温療法は、来院時rSO2値が41%~60%の中程度低酸素脳症の患者に有効である2016
Author(s)
西山 慶, 伊藤 賀敏, 辻村 有香, 有元 秀樹, 林田 敬, 折田 智彦, 鵜木 崇, 遠藤 智之, 安田 英人, 長尾 健, J-POP registry investigators
Organizer
第43回日本集中治療医学会学術集会
Place of Presentation
神戸
Year and Date
2016-02-13
Related Report
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[Presentation] mpact of Prehospital Advanced Care on Regional BrainOxygen Saturation at Hospital Arrival and Neurological Outcomes at 90 Days in Patients with Out-of-Hospital Cardiopulmonary Arrest2015
Author(s)
Hideto Yasuda, Kei Nishiyama, Noritoshi Ito, Hideki Arimoto, Tomohiko Orita, Murai Akira, Kazuo Okuchi, Hideaki Anan, Tsuyoshi Hatada,Shinichi Ishimatsu, Michiaki Tokura, Kazuhiro Shiga, Shigeki Kushimoto, and Shingo Hori
Organizer
2015 American Heart Association Resuscitation Science Symposium
Place of Presentation
Orland, USA
Year and Date
2015-11-07
Related Report
Int'l Joint Research
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[Presentation] 心停止の転帰予測 心原性院外心肺停止患者に対する来院時rSO2値に基づいた低体温療法の適応決定についての検討2015
Author(s)
西山 慶, 伊藤 賀敏, 辻村 有香, 有元 秀樹, 林田 敬, 折田 智彦, 鵜木 崇, 遠藤 智之, 安田 英人, 長尾 健, J-POP registry investigators
Organizer
第18回日本脳低温療法学会学術集会
Place of Presentation
高松
Year and Date
2015-07-10
Related Report
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[Presentation] Severity Assessment of Brain Damage with rSO2 Monitoring for Decisions Regarding Intensive Care After Out-of-Hospital Cardiac Arrest with Presumed Cardiac Causes2014
Author(s)
Nishiyama K, Ito N, Abe M, Unoki T, Endo T, Himeno H, Yamada N, Mizobuchi M, Mochizuki T, Kikuchi K, Hayashida K, Arimoto H, Orita T, Nagao K.
Organizer
2014 American Heart Association Resuscitation Science Symposium
Place of Presentation
Chicago, USA
Year and Date
2014-11-15 – 2014-11-16
Related Report
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[Presentation] Impact of Prehospital Advanced Care on Regional Brain Oxygen Saturation at Hospital Arrival and Neu2014
Author(s)
Yasuda H, Nishiyama K, Ito N, Arimoto H, Orita T, Murai A, Okuchi K, Anan H, Hatada T, Ishimatsu S, Tokura M, Shiga K, Kushimoto S, Hori S.
Organizer
2014 American Heart Association Resuscitation Science Symposium
Place of Presentation
Chicago, USA
Year and Date
2014-11-15 – 2014-11-16
Related Report
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