Study on the facilitation factors of postoperative functional health status recovery

为了促进麻醉和围手术期管理方法的发展，我们对术后功能健康状态恢复的促进因素进行了临床调查。我们发现，局部麻醉可以改善术后疼痛和其他不良事件，如果选择合适的患者，电休克治疗可以在门诊环境中进行，并且许多日本医院对门诊麻醉后恢复标准的规划不足。为了减少麻醉相关不良反应，促进麻醉后恢复，我们以听觉诱发反应值（aepEX）作为镇静指标，构建了镇静水平自动控制系统的数学模型，并通过模拟验证了其效果。

To contribute the development of anesthesia and perioperative management methods, we performed clinical investigations concerning facilitation factors of postoperative functional health status recovery. We founded that addition of regional anesthesia could ameliorate postoperative pain and other adverse events, electroconvulsive therapy could be done at ambulatory settings if appropriate patients were selected, and that planning of recovery criteria after ambulatory anesthesia was inadequate in many Japanese hospitals. To contribute postanesthesia recovery facilitation through the reduction of anesthetics-related untoward effects, we constructed mathematical models of automatic control system of sedation level using auditory evoked response value (aepEX) as a sedation index and confirmed the efficacy with simulations.