{"created":"2023-05-15T09:06:35.080392+00:00","id":13352,"links":{},"metadata":{"_buckets":{"deposit":"7649e44d-0850-4fce-b926-2c408e6b7298"},"_deposit":{"created_by":14,"id":"13352","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"13352"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00013352","sets":["1875:1885:2006"]},"author_link":["20472","20473","20474","20475","20476","20477","20478","20479","20480","20481"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"19","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"術後回復の促進に向けたenhanced recovery after surgery（ERAS）の概念が提唱され、本邦でも急速に普及している。この中で術前の炭水化物負荷が推奨されているが、これまで特に手術当日の飲水は麻酔導入時の危険性などから禁止されていた。2012年に日本麻酔科学会が麻酔2時間前までであれば清澄水の摂取が可能であるとのガイドラインを発表したことをうけて、当院でも手術当日に飲水を許可し、問題となる事象がなかったことから炭水化物含有飲料であるアルジネードウォーターを飲用させる経口補水療法（oral rehydration therapy：以下ORT）を導入した。2013年5月から2014年12月までに当科で実施した待機的全身麻酔手術症例は478例で、このうち麻酔担当医と主治医が妥当と判断した307例に手術当日のORT を行った。指示した飲用量に対して実際に飲用した量の割合は約88％で、75％の症例で全量摂取が可能であった。嘔吐など麻酔導入時に支障となった事象はなく、ORT が誘因となった術後合併症は認めなかった。以上の結果から手術当日のORT は安全に実施可能であると考えられた。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立室蘭総合病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0289-2774","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"奥谷, 浩一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 賢一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 慶太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"内山, 素伸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宇野, 智子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渋谷, 均"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浅野, 由美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平岡, 彩子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"早坂, ゆかり"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川畑, 盟子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n0289277440119.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n0289277440119.pdf","url":"https://sapmed.repo.nii.ac.jp/record/13352/files/n0289277440119.pdf"},"version_id":"ad2bc9ea-cb28-4796-8af1-745c0473b69f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"経口補水療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"蛋白含有飲料","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"術前絶飲食時間","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当科における炭水化物含有飲料を用いた術前経口補水療法の導入成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当科における炭水化物含有飲料を用いた術前経口補水療法の導入成績","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["2006"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2015-11-20"},"publish_date":"2015-11-20","publish_status":"0","recid":"13352","relation_version_is_last":true,"title":["当科における炭水化物含有飲料を用いた術前経口補水療法の導入成績"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:09:51.881938+00:00"}