| Project/Area Number |
26861911
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Clinical nursing
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| Research Institution | Nippon Medical School |
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Principal Investigator |
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| Research Collaborator |
Iwasaki Yuki 日本医科大学, 医学部, 講師 (60398865)
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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 |
¥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)
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| 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 |
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| 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.
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