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Plasma ropivacaine concentration after TAP block in a patient with cardiac and renal failure
http://hdl.handle.net/10091/00022530
http://hdl.handle.net/10091/000225308a79fbb8-c42c-41ba-a444-fe10c48d6379
| 名前 / ファイル | ライセンス | アクション |
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15H02562_17.pdf (174.3 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||
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| 公開日 | 2021-02-16 | |||||||||||||||
| タイトル | ||||||||||||||||
| タイトル | Plasma ropivacaine concentration after TAP block in a patient with cardiac and renal failure | |||||||||||||||
| 言語 | ||||||||||||||||
| 言語 | eng | |||||||||||||||
| DOI | ||||||||||||||||
| 関連識別子 | https://doi.org/10.2147/LRA.S173877 | |||||||||||||||
| 関連名称 | 10.2147/LRA.S173877 | |||||||||||||||
| キーワード | ||||||||||||||||
| 主題 | transversus abdominis plane block, plasma concentration of ropivacaine, cardiac failure, renal dysfunction, central nervous toxicity | |||||||||||||||
| 資源タイプ | ||||||||||||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||
| タイプ | journal article | |||||||||||||||
| 著者 |
Ishida, Takashi
× Ishida, Takashi
× Tanaka, Satoshi
× Sakamoto, Akiyuki
× Hirabayashi, Takanobu
× Kawamata, Mikito
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| 信州大学研究者総覧へのリンク | ||||||||||||||||
| 氏名 | Ishida, Takashi | |||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.WCTabVym.html | |||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||
| 氏名 | Tanaka, Satoshi | |||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.ZNDUuUkh.html | |||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||
| 氏名 | Hirabayashi, Takanobu | |||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.ZeDNPpym.html | |||||||||||||||
| 信州大学研究者総覧へのリンク | ||||||||||||||||
| 氏名 | Kawamata, Mikito | |||||||||||||||
| URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.HUcpuNkh.html | |||||||||||||||
| 出版者 | ||||||||||||||||
| 出版者 | DOVE MEDICAL PRESS LTD | |||||||||||||||
| 引用 | ||||||||||||||||
| 内容記述 | LOCAL AND REGIONAL ANESTHESIA.11:57-60(2018) | |||||||||||||||
| 書誌情報 |
LOCAL AND REGIONAL ANESTHESIA 巻 11, p. 57-60, 発行日 2018-09-21 |
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| 抄録 | ||||||||||||||||
| 内容記述 | We report a successful ultrasound-guided transversus abdominis plane (TAP) block as an analgesic option for minor abdominal surgery in a 66-year-old patient with cardiac, respiratory, and renal dysfunction caused by primary systemic amyloidosis. Bilateral TAP blocks with 120 mg (1.8 mg/kg) of ropivacaine provided sufficient intra- and postoperative analgesia for insertion of a continuous ambulatory peritoneal dialysis catheter. However, the plasma concentration of ropivacaine reached a maximum of 2.5 mu g/mL at 15 minutes after the TAP block, a concentration that was potentially neurotoxic. Although apparent signs of local anesthetic systemic toxicity (LAST) such as convulsion or changes in an electrocardiogram were not observed, the patient became drowsy after the TAP block, which might be one of the mild symptoms of LAST. A TAP block by itself can thus be an anesthetic option for patients undergoing minor abdominal surgery. However, cardiac and renal dysfunction might influence the pharmacokinetics of a local anesthetic used, and attention should he paid to the possibility of LAST even with a low dose of a local anesthetic for patients with cardiac and renal failure. | |||||||||||||||
| 資源タイプ（コンテンツの種類） | ||||||||||||||||
| ISSN | ||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||
| 収録物識別子 | 1178-7112 | |||||||||||||||
| PubMed | ||||||||||||||||
| 識別子タイプ | PMID | |||||||||||||||
| 関連識別子 | https://www.ncbi.nlm.nih.gov/pubmed/30288098 | |||||||||||||||
| 関連名称 | 30288098 | |||||||||||||||
| 権利 | ||||||||||||||||
| 権利情報 | © 2018 Ishida et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution © Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php) | |||||||||||||||
| 出版タイプ | ||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||
| WoS | ||||||||||||||||
| URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000446513000001 | |||||||||||||||
