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White Paper : 灌流指標 (Perfusion Index)

White Paper : ( perfusion Index) Clinical Application of perfusion index PI PI PI PI PI PI

White Pa. per : 灌流指標 (Perfusion Index) Clinical Application of Perfusion Index 灌流指標の臨床応用. 要約. 臨床医は、情報に基づいた患者管理を行うために、末梢灌流や循環状態の変化を十分に認識し

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Transcription of White Paper : 灌流指標 (Perfusion Index)

1 White Paper : ( perfusion Index) Clinical Application of perfusion index PI PI PI PI PI PI

2 PI PI PI PI PI PI PI PI PI 1 White Paper : ( perfusion index )

3 940nm 1 PI Masimo SET PI SaO2 SET PI SET PI PI PI PI PI PI 2 PI SaO2 PI PI PI PI PI PI CO

4 2 White Paper : ( perfusion index ) 3 PI Masimo SET 4 PI R= ,p< R= ,p= PI R= PI Masimo SET PI 5 p= PI PI p< PI PI

5 16 Masimo SET PI 6 PI L2 3 L3 4 20 5 PI p< 5 min vs. paired t-test 20 p< 20 vs. 5 min PI 3 White Paper : ( perfusion index ) PI PI PI 7 40 L2/3 Masimo SET Radical PI 5 PI PI PI 5 p< 1 PI 1 PI PI

6 PI 1 7 4 White Paper : ( perfusion Index) PI 8 PI 101 9 Masimo SET Radical SpO2 43 58 SNAPII score 2 PI vs. , p< SpO2 vs.

7 , p< 139 16bpm vs. 133 17bpm, p< PI PI PI HCA HCA NIRS PI 1 5 43 NIRS PI 4 10 PI p= VO2 PI PI NICU

8 11 PI PI 5 White Paper : ( perfusion index ) PI PI PI PI PI PI PI PI PI Masimo SET PI PI PI

9 PI Goldman JM, Petterson MT, Kopotic RJ, Barker SJ. Masimo signal extraction pulse oximetry. J Clin Monit Comput. 2000; 16:475-483. Hales JR, Stephens FR, Fawcett AA, et al. Observations on a new non-invasive monitor of skin blood flow. Clin Exp Phamacol Physiol. 1989; 16:403-415. Matsukawa T, Kurz A, Sessler DI, Bjorksten AR, Merrifield B, Cheng C. Propofol linearly reduces the vasoconstriction and shivering thresholds. Anesthesiology. 2003; 99:A593. Hager H, Reddy D, Kurz A. perfusion index -a valuable tool to assess changes in peripheral perfusion caused by sevoflurane?

10 Anesthesiology. 2003; 99:A593. Hager H, Church S, Mandadi G, Pulley D, Kurz A. The perfusion index measured by a pulse oximeter indicates pain stimuli in anesthetized volunteers. Anesthesiology. 2004; 101:A514. Kakazu CZ, Chen BJ, Kwan WF. Masimo set technology using perfusion index is a sensitive indicator for epidural onset. Anesthesiology. 2005; 103:A576. Uemura A, Yagihara M, Miyabe M. Pulse oximeter perfusion index as a predictor for the effect of pediatric epidural block. Anesthesiology. 2006; 105:A1354. Genzel-Boroviczeny O, Strotgen J, Harris AG, Messmer K, Christ F.


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