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The evaluation study of autonomic nervous activity during ambulation for patients following surgery under general anesthesia

Research Project

Project/Area Number 26861911
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Clinical nursing
Research InstitutionNippon Medical School

Principal Investigator

Hosogaya Junichi  日本医科大学, 医学部, その他 (90648180)

Research Collaborator Iwasaki Yuki  日本医科大学, 医学部, 講師 (60398865)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords早期離床 / 全身麻酔 / 自律神経活動 / 自律神経 / 離床 / 離床援助
Outline of Final Research Achievements

The positive effects of early ambulation in postoperative patients have been demonstrated. However, we often experience unexpected hypotension due to tachycardia or bradycardia, or symptoms such as dizziness in those patients. Therefore, we decided that needed to assess the effects of autonomic nerve activity during ambulation in patients who underwent general anesthesia.
We assessed circulation dynamics and autonomic nervous activity in those patients based on progressive ambulation preoperative and on postoperative days 1 and 3. Although we did not find any significant changes in circulation dynamics, parasympathetic activity decreased significantly with the postural change from the supine to the standing position on postoperative day 1, with sedation dose found to be an index prescribing the rate of change. We also found that sympathetic activity on the same day increased significantly, and that water balance in surgery was the index prescribing the rate of change for this.

Report

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

    (1 results)

All 2017

All Presentation (1 results)

  • [Presentation] 全身麻酔を受けた術後患者の離床時における自律神経活動の評価研究2017

    • Author(s)
      細萱順一
    • Organizer
      第44回日本集中治療医学会学術集会
    • Place of Presentation
      札幌プリンスホテル国際会館パミール
    • Year and Date
      2017-03-09
    • Related Report
      2016 Annual Research Report

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Published: 2014-04-04   Modified: 2018-03-22  

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