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Bed angle adjustment to prevent extrajuglar vein stagnancy and reduce bleeding during endoscopic endonasal sinus surgery
https://kindai.repo.nii.ac.jp/records/2002849
https://kindai.repo.nii.ac.jp/records/200284994fd8f01-65bf-4647-a8a3-654d3f76b3ce
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
AA0050842X-20030700-0019.pdf (286.1 KB)
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| Item type | 紀要論文 / departmental bulletin paper(1) | |||||||||||
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| 公開日 | 2025-05-16 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Bed angle adjustment to prevent extrajuglar vein stagnancy and reduce bleeding during endoscopic endonasal sinus surgery | |||||||||||
| 言語 | en | |||||||||||
| 作成者 |
Higashizawa, Tomoaki
× Higashizawa, Tomoaki
× Kumode, Osamu
× Wakita, Katsutoshi
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| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 主題 | blood loss, position, endoscopic endonasal sinus surgery (ESS), reverse Trendelenburg position | |||||||||||
| 内容記述 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Hypothesis : By placing the patient in a head-up position and adjusting the surgical bed to eliminate extrajuglar vein stagnancy, the venous pressure in the endonasal region is decreased during endoscopic endonasal sinus surgery (ESS). Method: Patients scheduled for ESS were assigned to either a fixed-position (head up, angle 5°) group (FP group, n = 22) or a variable adjustment group (VA group, n = 22), and compared for intraoperative blood loss. The VA group was placed at a bed angle at which the left extrajuglar vein collapsed during the expiratory phase under general anesthesia and mechanical ventilation with 2 cmH2O of automatic positive end-expiratory pressure (PEEP). Results : The median bed angle was 5 degrees in the VA group, the same as in the FP group. Blood loss in the VA group was significantly lower than that of the FP group (p <0.05), but there was no significant correlation between the increase of the bed angle and the decrease of the intraoperative bleeding rate in the VA group. Conclusion: Adjustment of the bed angle to prevent extrajuglar vein stagnancy was effective for decreasing intraoperative blood loss in ESS. | |||||||||||
| 言語 | en | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | The Kinki University Medical Association | |||||||||||
| 言語 | en | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | departmental bulletin paper | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | AM | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||
| 収録物識別子 | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 03866092 | |||||||||||
| 開始ページ | ||||||||||||
| 開始ページ | 19 | |||||||||||
| 終了ページ | ||||||||||||
| 終了ページ | 22 | |||||||||||
| 書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY 巻 28, 号 1, p. 19-22, 発行日 2003-07 |
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