| Item type |
文献 / Documents(1) |
| 公開日 |
2021-11-29 |
| アクセス権 |
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|
アクセス権 |
open access |
| 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 |
journal article |
| 出版社版DOI |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.2176/nmc.oa.2020-0275 |
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|
言語 |
ja |
|
|
関連名称 |
10.2176/nmc.oa.2020-0275 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Risk Factor for Additional Intravenous Medication during Transforaminal Full-endoscopic Lumbar Discectomy under Local Anesthesia |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
Risk Factor for Additional Intravenous Medication during TELD |
|
言語 |
en |
| 著者 |
ヤマヤ, セイジ
手束, 文威
杉浦, 宏祐
竹内, 誠
眞鍋, 裕昭
森本, 雅俊
山下, 一太
髙田, 洋一郎
酒井, 紀典
前田, 徹
西良, 浩一
|
| 抄録 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Transforaminal full-endoscopic lumbar discectomy (TELD) can be performed under local anesthesia. However, there have been no reports on risk factors for a change in vital signs or the need for additional medications to maintain adequate analgesia during this procedure. The purpose of this study was to identify risk factors for additional intravenous medication during TELD under local anesthesia. The following factors were retrospectively evaluated in 113 consecutive patients who underwent TELD under local anesthesia at our institution: demographic characteristics, radiological features at the intervertebral disc level, distance between the superior articular process and the exiting nerve root, height of the intervertebral disc, height of the bulging disc, height of the intervertebral foramen, and distance from the insertion site to the spinous process on magnetic resonance imaging (MRI) and computed tomography (CT) scans of the lumbar spine. Logistic regression analysis was performed to determine factors associated with the need for additional drugs. In all, 23 cases (20.4%) required additional intraoperative medications because of hypertension, hypotension, bradycardia, or pain. Logistic regression analysis revealed that age (partial regression coefficient 0.05, p = 0.02) and bulging disc height (partial regression coefficient −0.7, p = 0.003) influenced the need for additional drugs. There were significant associations of need for additional intravenous medication with older age (>62 years) and a smaller bulging disc height (<8.2 mm). Patients with these factors require close monitoring for changes in vital signs or increasing pain when performing TELD under local anesthesia and may need additional intravenous medication. |
|
言語 |
en |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
transforaminal full-endoscopic lumbar discectomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
lumbar disc herniation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
minimally invasive spine surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
local anesthesia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
complications |
| 書誌情報 |
en : Neurologia Medico-Chirurgica
巻 61,
号 3,
p. 236-242,
発行日 2021-01-28
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
04708105 |
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13498029 |
| 収録物ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00358613 |
| 出版者 |
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|
出版者 |
The Japan Neurosurgical Society |
|
言語 |
en |
| 権利情報 |
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|
言語 |
en |
|
権利情報 |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License. |
| EID |
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|
識別子 |
373732 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
nmc_61_3_236.pdf (519 KB)
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