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Establishment of an extracorporeal lung assist controlled by electronics

Research Project

Project/Area Number 63870064
Research Category

Grant-in-Aid for Developmental Scientific Research

Allocation TypeSingle-year Grants
Research Field 麻酔学
Research InstitutionKUMAMOTO UNIVERSITY

Principal Investigator

MORIOKA T  Kumamoto University, Anesthesiology, Professor, 医学部, 教授 (30040140)

Co-Investigator(Kenkyū-buntansha) OTSU T  Kumamoto University, Anesthesiology, Instructor, 医学部附属病院, 助手 (40152178)
TAKESHITA J  Kumamoto University, Anesthesiology, Instructor, 医学部附属病院, 助手 (60171633)
OKAMOTO K  Kumamoto University, Anesthesiology, Instructor, 医学部附属病院, 講師 (60093994)
TERASAKI H  Kumamoto University, Anesthesiology, Assoc Prof, 医学部附属病院, 助教授 (30040562)
田上 正  熊本大学, 医学部, 助手 (60145323)
Project Period (FY) 1988 – 1989
Project Status Completed (Fiscal Year 1989)
Budget Amount *help
¥11,000,000 (Direct Cost: ¥11,000,000)
Fiscal Year 1989: ¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 1988: ¥7,700,000 (Direct Cost: ¥7,700,000)
KeywordsArtificial lung / Respiratory care / Gas exchange / Instrument / Electronic control / Extracorporeal circulation / Automatization / Life support system / 弁 / 電子回路 / 生命維持法
Research Abstract

Extracorporeal gas exchange with an artificial membrane lung to assist the disabled lung function, which we call ECLA, has been studied worldwide as a means of life support to overcome the limit of ventilator therapy. However, in Japan, usual heart-lung machines for open heart surgery are often used, even in prolonged bypass circulation for respiratory care. This would have been one of the reasons for poor results of clinical study in Japan. Also man-power is very crucial for the success of a prolonged bypass operation lasting several days to several weeks.
With this Grant-In-Aid for Scientific Research, we tried to make a specific bypass system by applying electronics to make the system automatic in order to save the man-power. Withdrawal of blood from the patient is automatically controlled by using the laser beam to detect the inflation of blood reservoir. Monitors for various vital and physical parameters, such as blood flow, gas flow, gas temperature, body temperature, blood gas tensions, etc. were assembled on the machine. This machine proved safe after repeated trials on animals, and then it was used on patients with severe cardiopulmonary failure. In 1989, we had 8 patients, and could save 4 of them. However, the machine still has some problems to be solved. We are devising a new type of valve to develop a simple pulsatile pump, but it has not been completed within this project term.

Report

(3 results)
  • 1989 Annual Research Report   Final Research Report Summary
  • 1988 Annual Research Report
  • Research Products

    (28 results)

All Other

All Publications (28 results)

  • [Publications] Terasaki,Hidenori: "Resuscitation by extracorporeal lung assist of a patient suffocating after inhalation of sawdust" Crit.Care Med.18. 239-240 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 李国賢: "V-AバイパスECLAにより救命しえた胎便吸引症候群による重症呼吸不全の1例" 麻酔. 39. 257-263 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 江崎公明: "呼吸不全と模型人工肺" Pahrma Medeca. 8. 37-42 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Tsuno.,Kyoji: "To-and-fro veno-venous extracorporeal lung assist for newborns with severe respiratory disterss" In tensive Care Med.15. 269-271 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 加納龍彦: "緊急心肺バイパスによるCPCR" 麻酔. 38. 932-940 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 大津哲郎: "人工肺による呼吸管理ー歴史的背景と今後の見通し" ICUとCCU. 13. 787-794 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Gille,JP: "Neonatal and adult respiratory failure" Elsevier, 267 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Terasaki, Hidenori et al: "Resuscitation by extracorporeal lung assist of a patient suffocating after inhalation of sawdust" Crit. Care Med. 18(2) 239-240, 1990.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Lee, Kook Hyun et al: "A case of severe respiratory failure due to mechonium aspiration successfully treated by a V-A bypass ECLA" Masui 39(2) 257-263, 1990.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Ezaki, Kimiaki et al: "Respiratory failure and the membrane artificial lung" Pharma Medica 8(1) 37-42, 1990.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Tsuno, Kyoji et al: "To-and-fro veno-venous extracorporeal lung assist for newborns with severe respiratory distress" Intensive Care Med 15(4) 269-271, 1989.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Kano, Tatsuhiko et al: "CPCR by emergency cardio-pulmonary bypass" Masui 38(7) 932-940, 1989.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Otsu, Tetsuro et al: "Respiratory care with the artificial lung -Historical background and prospective of the future" ICU and CCU 13(9) 787-794, 1989.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Gille, JP ed: Neonatal and adult respiratory failure. Elsevier, 267

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Morioka, Tohru et al: Present status of extracorporeal lung assist (ECLA as ECMO or extracorporeal CO_2 removal) in Japan. 149-157 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Terasaki,Hidenori: "Resuscitation by extracorporeal lung assist of a patient suffocating after inhalation of sawdust" Crit.Care Med.18. 239-240 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 李国賢: "V-AバイパスECLAにより救命しえた胎便吸引症候群による重症呼吸不全の1例" 麻酔. 39. 257-263 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 江崎公明: "呼吸不全と膜型人工肺" Pharma Medica. 8. 37-42 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] Tsuno,Kyoji: "To-and-fro veno-venous extracorporeal lung assist for newborns with severe respiratory distress" Intensive Care Med.15. 269-271 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 加納龍彦: "緊急心肺バイパスによるCPCR" 麻酔. 38. 932-940 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 大津哲郎: "人工肺による呼吸管理-歴史的背景と今後の見通し" ICUとCCU. 13. 787-794 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] Gille,JP: "Neonatal and adult respiratory failure" Elsevier, 267 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 森岡亨: 臨床医. 14(5). 70-71 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 田上正 他: 呼吸と循環. 36(9). 999-1003 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 森岡亨: 医学のあゆみ. 146(11). 797-797 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Tadashi Tanoue;et al.: Journal of Aneshesia. 2(2). 124-132 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Kouji Tsuno;et al.: Journal of Aneshesia. 2(2). 242-246 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 森岡亨 他: 救急医学. 12(12). 1721-1728 (1988)

    • Related Report
      1988 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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