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Role of Adhesion molecule in respiratory failure after surgery for dissecing thoracic aortic aneurysms or coronary artery bypass graft surgery

Research Project

Project/Area Number 06454438
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Anesthesiology/Resuscitation studies
Research InstitutionHokkaido University

Principal Investigator

MAYUMI Takahisa  Hokkaido University School of Medicine, Department of Anesthesiology Associate professor, 医学部, 助教授 (90231604)

Co-Investigator(Kenkyū-buntansha) UEDE Tosimitsu  Hokkaido University, Institute of Immunological Science, Professor, 免疫科学研究所, 教授 (00160185)
奥山 淳  北海道大学, 医学部・附属病院, 助手 (50271680)
大場 淳一  北海道大学, 医学部・附属病院, 助手 (60240636)
Project Period (FY) 1994 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥5,600,000 (Direct Cost: ¥5,600,000)
Fiscal Year 1995: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1994: ¥4,300,000 (Direct Cost: ¥4,300,000)
KeywordsAdhesion Molecule / Respiratory Failure / Dissecing Thoracic Aortic Aneurysm / Coronary Artery Bypass Graft / Cardiopulmonary Bypass / Volatile Anesthetics / 再灌流障害 / 人工心肺 / BAL / 細灌流障害
Research Abstract

1) We investigated 14 postoperative patients with reconstruction of aortic arch and/or descending aorta in our intensive Care Unit. Patient consisted of 5 males and 9 females with mean age of 61 years old. Highly qualified patient care could achieve good outcome after emergency surgery for acute dissecting thoracic aortic aneurysm. Plasma levels of Tumor Necrosis Factor in the patients with postoperative respiratory failure were not significantly different to those of normal respiratory function. On the other hand, alveolar concentartions of Tumor Necrosis Factor in the patients with postoperative respiratory failure were significantly higher than those of normal respiartory function. Also neutr ophilic LFA-1 was detected in the patients with postoperative respiratory failure.
2) Judged from the arterial concentration of anesthetics, washin and washouot of enflurane is more rapid than those of isoflurane and sevoflurane in 0.5 and 1 MAC group, respectively. Same MAC of isoflurane and sevoflurane showed almost same rate of washin and washout.
3) 0.5 MAC of isoflurane or sevoflurane and 1 MAC of isoflurane used for CABG did not aggravate the renal function on the patients with impaired renal function. These concentrations of isoflurane and sevoflurane could be selected as a safe and reliable anethetic agents for open cardiac surgery in the patients with impaired renal function.
4) LFA-1 treatment as well as ICAM-1 treatment resulted in improvement in postischemic cardiacfunction, myocardial tissue edema and myocardial energy status. Theses results suggest that LFA/ICAM-1 dependent neutrophil-endothelial cell interaction plays a critical role in myocardial injury following global ischemia.

Report

(3 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • Research Products

    (22 results)

All Other

All Publications (22 results)

  • [Publications] Yokota S, Mayumi T, Ishikawa T, Yamamura T, Kemmotsu O: "Changes in myocardial ischemic area by anesthesia-Thermographic determination" Circu Cont. 13. 389-394 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Otsuka H, Kemmotsu O, Sugimoto H, Mayumi T, Nakata F, Inomata N, Ishihara T: "Effects of alpha human atrial natriuretic peptide on cardiac performance and hormonal responses in anesthetized beagles,and on action potential and contractile force in guinea-pig papillary muscles" Circ Cont. 16. 68-76 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yokota S, Ishikawa T, Enya T, Takigawa C, Mayumi T, Kemmotsu O: "The effects of dopamine and nitroglycerin on the size of myocardial ischemic area in dogs under isoflurane anesthesia-A thermographic study-" Circ Cont. 17. 390-397 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harasawa K, Kemmotsu O, Mayumi T, Kawano Y: "Comparison of tympanic,esophageal and blood temperatures during mild hypothermic cardiopulmonary bypass:A study using an infrared emission detection tympanic thermometer" J Clin Monit. 13. 19-24 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harasawa K, Mayumi T, Ohta Y, Sakamoto H, Okamura A, Kemmotsu O: "Cardiopulmonary bypass produces non-uniform pressure diffences between femoral and radial arteries" Circ Cont. 18. 235-241 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shi L, Mayumi T, Komura Y, Oba J: "Postoperative intensive management of patients after emergency surgery for ruptured or acute dissecing thoracic aortic aneurysms" Cic Cont. 18. 398-401 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H, Mayumi T, Kemmotsu O, Wakisaka H, Ohno T: "Comparizon of cerebral regional saturation with sevoflurane and propofol based anesthesia during cardiac surgery with cardiopulmonary bypass.Monduzzi Editore" International Proceeding Division,Bologna. (In press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H, Mayumi T, Kemmotsu O, Wakisaka H, Ohno T: "Anesthetic methods do not affect postoperative cardiac function and graft patency in patients for coronary artery bypass surgery." Monduzzi Editore,Internatinal Proceeding Division,Bologna. (In press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Tamiya Y., Yamamoto N., Uede T.: "Protective effect of monoclonal antibodies against LFA-1 and ICAM-1 on myocardial reperfusion injury following global iscemia in rat heart." Immunopharmacology. (In Press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Mayumi T, Sakamoto H, Kemmotsu O, Ohno T: "Endocrine responses to mild hypothermic cardiopulmonary bypass-Effects of 0.5MAC and 1MAC of isoflurane,enflurane and sevoflurane through oxygenator system." (In submission).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H, Mayumi T, Kemmotsu O, Wakisaka H, Ohni T: "Sevoflurane anesthesia for coronary artery bypass graft surgery do not aggravate renal tubular function in patients with renal dysfunction." (In submission).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yokota S,Mayumi T,Ishikawa T,Yamamura T,kemmotsu O: "Changes in myocardial ischemic area by anesthesia-Thermographic" Circu Cont. 13. 389-394 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Otsuka H,Kemmotsu O,Sugimoto H,Mayumi T,Nakata F,Inomata N,Ishihara T: "Effects of alpha human atrial natriuretic peptide on cardiac performance and hormonal responses in anesthetized beagles, and on action potential and contractile force in guinea-pig papillary." Circ Cont. 16. 68-76 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yokota S,Ishikawa T,Enya T,Takigawa C,Mayumi T,Kemmotsu O: "The effects of dopamine and nitroglycerin on the size of myocardial ischemic area in dogs under isoflurane anesthesia-A thermographic study-" Circ Cont. 17. 390-397 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harasawa K,Kemmotsu O,Mayumi T,Kawano Y: "Comparison of tympanic, esophageal and blood temperatures during mild hypothermic cardiopulmonary bypass : A study using an infrared emission detection tympanic thermometer." J Clin Monit. 13. 19-24 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Harasawa K,Mayumi T,Ohta Y,Sakamoto H,Okamura A,Kemmotsu O: "Cardiopulmonary bypass produces non-uniform pressure diffences between femoral and radial arteries." Circ Cont. 18. 235-241 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shi L,Mayumi T,Komura Y,Oba J: "Postoperative Intensive management of patients after emergency surgery for ruptured or acute dissecing thoracic aortic aneurysms." Cic Cont. 18. 398-401 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H,Mayumi T,Kemmotsu O,Wakisaka H,Ohno T: "Comparizon of cerebral regional saturation with sevoflurane and propofol based anesthesia during cardiac surgery with cardiopulmonary bypass." Monduzzi Editore, Internatinal Proceeding Division, Bologna. (In press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H,Mayumi T,Kemmotsu O,Wakisaka H,Ohno T: "Anesthetic methods do not affect postoperative cardiac function and graft patency in patients for coronary artery bypass surgery." Monduzzi Editore, Internatinal Proceeding Division, Bologna. (In press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Tamiya Y., Yamamoto N., Uede T: "Protective effect of monoclonal antibodies against LFA-1 and ICAM-1 on myocardial reperfusion injury following global iscemia in rat heart." Immunopharmacology.(In Press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Mayumi T,Sakamoto H,Kemmotsu O,Ohno T: "Endocrine responses to mild hypothermic cardiopulmonary bypass-Effects of 0.5MAC and 1MAC of isoflurane, enflurane and sevoflurane through oxygenator system." (In submission).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Sakamoto H,Mayumi T,Kemmotsu O,Wakisaka H,Ohni T: "Sevoflurane anesthesia for coronary artery bypass graft surgery do not aggravate renal tubular function in patients with renal dysfunction." (In submission).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary

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Published: 1994-04-01   Modified: 2016-04-21  

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