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Transition in eye gaze as a predictor of emergence from general anesthesia in children and adults : a prospective observational study
https://tokushima-u.repo.nii.ac.jp/records/2010705
https://tokushima-u.repo.nii.ac.jp/records/20107050598d321-2033-497e-ab02-028e32c81099
| 名前 / ファイル | ライセンス | アクション |
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bmca_22_320.pdf (1.21 MB)
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| 公開日 | 2023-01-19 | |||||||||||||||||||||||||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1186/s12871-022-01867-3 | |||||||||||||||||||||||||||||||||||||||||||||||
| 関連名称 | 10.1186/s12871-022-01867-3 | |||||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||||||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||||||||||||||||||||||
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| タイトル | Transition in eye gaze as a predictor of emergence from general anesthesia in children and adults : a prospective observational study | |||||||||||||||||||||||||||||||||||||||||||||||
| 著者 |
木下, 倫子
× 木下, 倫子
WEKO
453
× 酒井, 陽子
WEKO
656
× カトメ, キミコ
× マツモト, トモミ
× サクライ, シズカ
× ジンノウチ, ユカ
× 田中, 克哉
WEKO
1645
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| 抄録 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 内容記述 | Background: It is useful to monitor eye movements during general anesthesia, but few studies have examined neurological finding of the eyes during emergence from general anesthesia maintained with short-acting opioids and volatile anesthetics. Methods: Thirty children aged 1–6 years and 30 adults aged 20–79 years were enrolled. Patients received general anesthesia maintained with sevoflurane and remifentanil. The timing of three physical-behavioral responses—eye-gaze transition (the cycle from conjugate to disconjugate and back to conjugate), resumption of somatic movement (limbs or body), and resumption of respiration—were recorded until spontaneous awakening. The primary outcome measure was the timing of the physical-behavioral responses. Secondary outcome measures were the incidence of eye-gaze transition, and the bispectral index, concentration of end-tidal sevoflurane, and heart rate at the timing of eye-gaze transition. Results: Eye-gaze transition was evident in 29 children (96.7%; 95% confidence interval, 82.8–99.9). After the end of surgery, eye-gaze transition was observed significantly earlier than resumption of somatic movement or respiration (472 [standard deviation 219] s, 723 [235] s, and 754 [232] s, respectively; p < 0.001). In adults, 3 cases (10%; 95% CI, 0.2–26.5) showed eye-gaze transition during emergence from anesthesia. The incidence of eye-gaze transition was significantly lower in adults than in children (p < 0.001). Conclusion: In children, eye-gaze transition was observed significantly earlier than other physical-behavioral responses during emergence from general anesthesia and seemed to reflect emergence from anesthesia. In contrast, observation of eye gaze was not a useful indicator of emergence from anesthesia in adults. |
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| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Eye gaze | |||||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | Emergence | |||||||||||||||||||||||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||||||||||||||||||||||
| 主題 | General anesthesia | |||||||||||||||||||||||||||||||||||||||||||||||
| 書誌情報 |
en : BMC Anesthesiology 巻 22, p. 320, 発行日 2022-10-17 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||||||||||||||||||||||||||
| 収録物識別子 | 14712253 | |||||||||||||||||||||||||||||||||||||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||||||||||||||||||||||||||||||||||||
| 収録物識別子 | AA12034694 | |||||||||||||||||||||||||||||||||||||||||||||||
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| 出版者 | BioMed Central | |||||||||||||||||||||||||||||||||||||||||||||||
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| 出版者 | Springer Nature | |||||||||||||||||||||||||||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||||||||||||||||||||||||||
| 権利情報 | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |||||||||||||||||||||||||||||||||||||||||||||||
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| 識別子 | 393660 | |||||||||||||||||||||||||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||||||||||||||||||||||||
