{"created":"2023-06-20T15:58:49.805864+00:00","id":16468,"links":{},"metadata":{"_buckets":{"deposit":"48f15075-1774-4e79-8952-6c568f9f2099"},"_deposit":{"created_by":41,"id":"16468","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"16468"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00016468","sets":["340","340:341","340:341:592"]},"author_link":["61256","61253","61248","61255","61252","61254","61257","61249","61250","61258","61251"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"15","bibliographicPageStart":"11","bibliographicVolumeNumber":"24","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Kochi Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"近年，脊椎手術において術中脊髄モニタリングが一般化してきている．当院でも，麻酔科医，\n医療工学技士の協力をえて，積極的に脊椎手術でのモニタリングを行っており，年間100 件以上の脊\n椎手術においてモニタリングを実施している．脊髄腫瘍症例や脊柱側弯症の矯正手術でのモニタリン\nグの有用性についての報告はあるが，腰椎手術におけるモニタリングの意義については意見の一致を\nみていないのが現状である．そこで，2019年6 月からの5 か月間に経験した腰椎手術症例40 例について，\nMEP とSEP の両方をモニタするmulti-modal monitoring の現状と問題点について検討したので報告\nする．コントロール波はSEP のほうが，安定して記録できる傾向にあった．手術中の変動については，\n術中にMEP は波の増強が確認されるケースが多かったが，SEP は変動が少ない傾向にあった．MEP\nとSEP を両方測定することで，お互いの短所を補完し，腰椎手術においても，安定したモニタリング\nが可能となると思われた．multi-modal monitoring はセッティングに手間を要するが，当院では手技\nを画一化し，技士2 名が対応することで，短時間での設置が可能となっていた．安全な手術のために\nは，腰椎手術のおいてもモニタリングはルーチンで行うことが望ましい．","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"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":"北岡, 謙一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"十河, 敏晴"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"内田, 理"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"後藤, 仁"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"濱, 慎悟"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"重清, 晶太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"溝渕, 周平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂本, 真一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井村, 大器"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"別府, 政則"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺川, 一紀"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-07-09"}],"displaytype":"simple","filename":"2019高知赤十字病院医学雑誌_了-05.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_6","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌2019　Vol.24-004","url":"https://redcross.repo.nii.ac.jp/record/16468/files/2019高知赤十字病院医学雑誌_了-05.pdf"},"version_id":"e6616801-248f-4681-b518-21927cd02b88"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腰椎手術","subitem_subject_scheme":"Other"},{"subitem_subject":"脊髄機能モニタリング","subitem_subject_scheme":"Other"},{"subitem_subject":"multi-modal monitoring","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":"腰椎手術におけるmulti-modal monitoringの現況","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腰椎手術におけるmulti-modal monitoringの現況"}]},"item_type_id":"10001","owner":"41","path":["340","341","592"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-07-09"},"publish_date":"2020-07-09","publish_status":"0","recid":"16468","relation_version_is_last":true,"title":["腰椎手術におけるmulti-modal monitoringの現況"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T18:22:31.415158+00:00"}