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The development of an original monitor of the left ventricular end-diastolic volume as an index of the prediction of cardiac preload.

Research Project

Project/Area Number 26670682
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionUniversity of Fukui

Principal Investigator

Shigemi Kenji  福井大学, 医学部, 教授 (00206088)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords平均血圧 / 左心室動脈結合状態 / 拡張終期血圧 / 左心室拡張終期容量 / 等容量収縮時間 / 連続測定 / 駆出時間 / ベッドサイドモニタ / 動脈圧波形 / 心電図 / 心音図 / モニタ / 動脈血圧波形 / 最低血圧
Outline of Final Research Achievements

First of all, on the basis of the parameters of the animal experiments, mean arterial pressure, diastolic arterial pressure, pre-ejection period, and ejection time were measured to calculate the left ventricular-arterial coupling (Ees/Ea) using the daily bed side monitors of electrocardiogram, the arterial pressure waveform and phonocardiogram. Then, stroke volume was measured with transthoracic echocardiogram to estimate the left ventricular end-diastolic volume (Ved) with the four parameters under the hypothesis that unstressed volume of the left ventricle should be zero ml. Ved is an important indicator of excess or deficiency of the blood volume. Since the results showed the large variation in the calculated values, an original tool was developed, which was a personal computer with a card type A/D converter and original applications, to determine Ees/Ea as the mean values during 10 seconds with continuous measurements of the four parameters beat-by-beat at the bed side.

Report

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

    (21 results)

All 2016 2015 2014

All Journal Article (4 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (14 results) (of which Invited: 2 results) Book (3 results)

  • [Journal Article] A case of successful treatment with vasopressin for severe acute pancreatitis in a melancholic patient administrated antipsychotic agents2016

    • Author(s)
      Matsuki Y, Takakura K, Shigemi K
    • Journal Title

      Anaesth Pain & Intensive Care

      Volume: 20(1) Pages: 71-73

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] General anesthesia and intraoperative opioids do not affect postoperative delirium in femoral neck surgery2015

    • Author(s)
      Matsuki Y, Takakura K, Shigemi K
    • Journal Title

      Anaesth Pain & Intensive Care

      Volume: 19(3) Pages: 372-375

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 平均血圧、拡張期血圧、等容量収縮時間、駆出時間から算出した左心室大動脈結合状態の有用性と問題点ならびに臨床応用例2015

    • Author(s)
      高久明子、小畑友里江、浜田敏彦、三上俊介、神澤聖一、佐上祐介、安田善一、高倉 康、重見研司
    • Journal Title

      麻酔・集中治療とテクノロジー2014

      Volume: x Pages: 63-71

    • Related Report
      2015 Annual Research Report
    • Open Access
  • [Journal Article] 歯科麻酔に必要な循環制御入門2015

    • Author(s)
      重見研司
    • Journal Title

      日本歯科麻酔学科雑誌

      Volume: 43(5) Pages: 623-629

    • Related Report
      2015 Annual Research Report
  • [Presentation] Left ventricular end-systolic elastance(Ees) estimated with CAVI2016

    • Author(s)
      Kayenbe DK, Isada T, Shigemi K
    • Organizer
      Changing Practice of Anesthesia 2016 in Fukui
    • Place of Presentation
      福井大学病院(吉田郡)
    • Year and Date
      2016-01-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] 血中濃度を予想した麻酔の利点と問題点2015

    • Author(s)
      重見研司
    • Organizer
      Neuromuscular Meeting in 三重(第4回)
    • Place of Presentation
      ベイシスカ(津市)
    • Year and Date
      2015-12-19
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Evaluation of End-systolic left ventricular elastance(Ees) using Ecavi in preoperative patients2015

    • Author(s)
      Kayenbe DK, Isada T, Obata Y, Hayabuchi M, Shigemi K
    • Organizer
      日本臨床麻酔学会第35回大会
    • Place of Presentation
      パシフィコ横浜(横浜市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] 初期臨床研修医指導における麻酔支援システムの有用性2015

    • Author(s)
      松木悠佳, 長田 理, 神澤聖一, 佐上祐介 , 重見研司
    • Organizer
      日本臨床麻酔学会第35回大会
    • Place of Presentation
      パシフィコ横浜(横浜市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] End-systolic left ventricular elastance(Ees) was estimated with Ecavi2015

    • Author(s)
      Kayenbe DK, Obata Y, Hayabuchi M, Takaku A, Hamada T, Okafuji K, Shigemi K
    • Organizer
      第36回日本循環制御医学会総会
    • Place of Presentation
      ウインクあいち(名古屋市)
    • Year and Date
      2015-06-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] End-systolic left ventricular elastance(Ees) was estimated with Ecavi which is the product of Ees/Ea and CAVI2015

    • Author(s)
      Kayenbe DK, Obata Y, Hayabuchi M, Takaku A, Hamada T, Okafuji K, Shigemi K
    • Organizer
      HAKATA Cardiovascular Conference 2015
    • Place of Presentation
      九州大学(福岡市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] Noninvasive estimation of left ventricular aortic coupling in human2015

    • Author(s)
      Obata Y, Shishido T, Takaku A, Kayenbe DK, Hamada T, Okafuji K, Shigemi K
    • Organizer
      HAKATA Cardiovascular Conference 2015
    • Place of Presentation
      九州大学(福岡市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] 左心室大動脈結合状態のモニタとその臨床応用2015

    • Author(s)
      重見 研司
    • Organizer
      第92回日本生理学会大会
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2015-03-23
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Estimation of end-systolic left ventricular volume (Ved) with left ventricular arterial coupling (Ees/Ea) and stroke volume (SV)2015

    • Author(s)
      M.Hayabuchi, Y.Obata, T.Hamada, H.Shigemi, Y.Hayabuchi, M.Mizogami, K.Shigemi
    • Organizer
      IARS 2015 Annual Meeting and International Science Symposium
    • Place of Presentation
      Honolulu(USA)
    • Year and Date
      2015-03-22
    • Related Report
      2014 Research-status Report
  • [Presentation] 左心室大動脈結合状態(Ees/Ea)と1回拍出量(SV)から左心室拡張末期容量(Ved)を算出する方法2014

    • Author(s)
      早渕 光代, 小畑 友里江, 高久 明子, David K.Kayembe, 早渕 由朗, 浜田 敏彦, 松岡 達, 重見 研司
    • Organizer
      第32回日本麻酔・集中治療テクノロジー学会
    • Place of Presentation
      青蓮会館(京都市)
    • Year and Date
      2014-12-06
    • Related Report
      2014 Research-status Report
  • [Presentation] End-systolic left ventricular elastance(Ees) was estimated with Ecavi which is the product of Ees/Ea and CAVI2014

    • Author(s)
      David K.Kayembe, Y.Obata, M.Hayabuchi, A.Takaku, K.Shigemi
    • Organizer
      第32回日本麻酔・集中治療テクノロジー学会
    • Place of Presentation
      青蓮会館(京都市)
    • Year and Date
      2014-12-06
    • Related Report
      2014 Research-status Report
  • [Presentation] 健常成人のCardio-ankle vascular index(CAVI)から算出される左心室収縮末期エラスタンス(Ecavi)の検討2014

    • Author(s)
      山崎 菜々美, 小畑 友里江, 吉川 春花, 小橋 和世, 高久 明子, 重見 研司
    • Organizer
      日本臨床麻酔学会第34回大会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都)
    • Year and Date
      2014-11-01
    • Related Report
      2014 Research-status Report
  • [Presentation] Left ventricular end-systolic elastance (Ecavi) estimated with CAVI2014

    • Author(s)
      H.Yoshikawa, N.Yamasaki, K.Kobashi, A.Takaku, Y.Obata, H.Shigemi, T.Hamada, K.Okafuji, K.Shigemi
    • Organizer
      North American Artery Fourth Annual Meeting
    • Place of Presentation
      Chicago(USA)
    • Year and Date
      2014-09-06
    • Related Report
      2014 Research-status Report
  • [Presentation] Noninvasive estimation of left ventricular aortic coupling in human2014

    • Author(s)
      Y.Obata, T.Shishido, Y.Honjo, S.Fujioka, K.Takakura, K.Shigemi
    • Organizer
      International Anesthesia Research Society 2014 Annual Meeting
    • Place of Presentation
      Montreal(Canada)
    • Year and Date
      2014-05-18
    • Related Report
      2014 Research-status Report
  • [Book] 麻酔科医のための周術期の薬物使用法2015

    • Author(s)
      川真田樹人, 森田 潔, 廣田和美, 横山正尚(編集), 小畑友里江, 吉原達也, 重見研司
    • Total Pages
      544
    • Publisher
      中山書店
    • Related Report
      2015 Annual Research Report
  • [Book] 麻酔科医のための周術期の薬物使用法2015

    • Author(s)
      川真田樹人, 森田 潔, 廣田和美, 横山正尚(編集), 小畑友里江, 重見研司
    • Total Pages
      544
    • Publisher
      中山書店
    • Related Report
      2015 Annual Research Report
  • [Book] 喘息予防・管理ガイドライン20152015

    • Author(s)
      大田 健, 斎藤博久, 一ノ瀬正和(監修), 重見研司
    • Total Pages
      317
    • Publisher
      協和企画
    • Related Report
      2015 Annual Research Report

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Published: 2014-04-04   Modified: 2017-05-10  

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