{"created":"2023-05-15T16:49:28.449048+00:00","id":26944,"links":{},"metadata":{"_buckets":{"deposit":"bbba96a9-c95e-424b-8a66-4c9e0eb4afa3"},"_deposit":{"created_by":6,"id":"26944","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"26944"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00026944","sets":["8:9"]},"author_link":["119915","119916","119920","119921","119923","119919","119922","119924","119914","119918","119917"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-10-21","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"250","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"BMC Anesthesiology"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: The main mechanism of body temperature decrease during cesarean delivery under spinal anesthesia is core-to-peripheral redistribution of body heat, attributable to vasodilation. Perfusion index (PI) obtained with a pulse oximeter helps to assess peripheral perfusion dynamics by detecting the change in peripheral vascular tone. This study aimed to examine whether preoperative toe PI could predict the decrease in core temperature induced by spinal anesthesia during cesarean delivery.\nMethods: Parturients undergoing scheduled cesarean delivery under combined spinal-epidural anesthesia from September 2019 to March 2020 were enrolled in this single-center prospective cohort study. All parturients received 0.5% hyperbaric bupivacaine (10 mg) with fentanyl (15 μg) intrathecally. A pulse oximeter probe was placed on the left second toe for continuous PI measurement. The 3 M™ Bair Hugger™ Temperature Monitoring System placed over the right temporal region was used to record core temperature over time. We evaluated the association between the maximum core temperature decrease, which is the primary outcome, and the preoperative toe PI at operating room (OR) admission using a segmented regression model (SRM) and a generalized additive model (GAM). The maximum core temperature decrease was defined as the difference between core temperature at OR admission and minimum intraoperative core temperature.\nResults: Forty-eight patients were evaluated. In the SRM, the slope for the association between the maximum core temperature decrease and the preoperative toe PI changed from 0.031 to 0.124 after PI = 2.4%. Likewise, with the GAM, there was a small core temperature decrease when preoperative toe PI was greater than 2.0 to 3.0%.\nConclusions: Low preoperative toe PI was associated with maternal core temperature decrease during cesarean delivery under spinal anesthesia. Preoperative toe PI is a simple, non-invasive, and effective tool for the early prediction of perioperative core temperature decrease during cesarean delivery.\nTrial registration: UMIN Clinical Trials Registry (registry number: UMIN000037965).","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"BMC Anesthesiology, 21, art. no. 250; 2021","subitem_description_type":"Other"}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"BioMed Central Ltd"}]},"item_2_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1186/s12871-021-01470-y","subitem_relation_type_select":"DOI"}}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© The Author(s) 2021. Open Access 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."}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1471-2253","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"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":"Kaneko, Shohei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hara, Kentaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sato, Shuntaro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakashima, Takaya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kawazoe, Yurika"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Taguchi, Miyako"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Urabe, Shigehiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakao, Akiha"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hamada, Kozue"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamaguchi, Michiko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hara, Tetsuya"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-12-21"}],"displaytype":"detail","filename":"BMCA21_250.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"BMCA21_250.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/26944/files/BMCA21_250.pdf"},"version_id":"bd3ef11b-9e27-4c75-83b9-c497fc7d5fe4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Toe perfusion index","subitem_subject_scheme":"Other"},{"subitem_subject":"Parturient","subitem_subject_scheme":"Other"},{"subitem_subject":"Cesarean delivery","subitem_subject_scheme":"Other"},{"subitem_subject":"Core temperature","subitem_subject_scheme":"Other"},{"subitem_subject":"Perioperative hypothermia","subitem_subject_scheme":"Other"},{"subitem_subject":"Spinal anesthesia","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"Association between preoperative toe perfusion index and maternal core temperature decrease during cesarean delivery under spinal anesthesia: a prospective cohort study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Association between preoperative toe perfusion index and maternal core temperature decrease during cesarean delivery under spinal anesthesia: a prospective cohort study"}]},"item_type_id":"2","owner":"6","path":["9"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-12-21"},"publish_date":"2021-12-21","publish_status":"0","recid":"26944","relation_version_is_last":true,"title":["Association between preoperative toe perfusion index and maternal core temperature decrease during cesarean delivery under spinal anesthesia: a prospective cohort study"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2023-05-15T20:05:21.829945+00:00"}