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- W2322254556 abstract "胸部下行・胸腹部大動脈瘤手術時の脊髄虚血モニターとして運動誘発電位（MEP）が推奨されている．手術中に大動脈を遮断しMEP振幅の変化を見ることで，再建すべき分節血管の存在を判断することもできる．しかしMEPは偽陽性が多く，その影響因子として麻酔薬，体温，部分体外循環，年齢，術前脳・脊髄機能障害，記録部位，手術時間，肥満などがあげられる．この中で重要なものは麻酔薬，体温，部分体外循環である．麻酔薬の代謝を考慮し投与量を調節することで，偽陽性の頻度を減少させることができる可能性がある．今後はいまだ定まっていないMEP診断基準が制定され，容易にモニタリングできるマニュアルが作成されることが望まれる．" @default.
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- W2322254556 date "2014-01-01" @default.
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- W2322254556 title "Circumstances and Problems of Motor Evoked Potential Monitoring during Descending Thoracic and Thoracoabdominal Aortic Surgery" @default.
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- W2322254556 doi "https://doi.org/10.2199/jjsca.34.868" @default.
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