やさしくわかるECMOの基本

出版社: 羊土社
発行日: 2018-03-01
分野: 臨床医学:一般  >  救命/救急
ISBN: 9784758118231
電子書籍版: 2018-03-01 (第1刷)
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難しく思われがちなECMO管理を,親しみやすい対話形式で基礎からやさしく解説,「患者に優しい管理」が考え方から身につきます.これからECMOを学びはじめたい医師やメディカルスタッフにおすすめの一冊!

目次

  • 監修のことば

    はじめに

    第1章 ECMOを知ろう
    Part1 ECMOのコンセプト~ECMOってどんな治療?
    (1) ECMOはつまり,生命維持装置
    (2) ECMOの管理理念
    (3) 呼吸ECMOのコンセプト:肺を休める
    (4) 心臓ECMOのコンセプト:心臓は休ませる
    (5) 合併症の少ない優しいECMOを
    Part2 ECMO管理のための基礎知識
    (1) ECMOシステムの構造
    (2) ECMOの命=脱血:カニューレは太く!短く!
    (3) シンプルだから難しいガス交換(水蒸気も計算してね!)
    (4) 回路内圧:引くは100まで,送るは400まで
    (5) 回路モニタリング:過度な圧力をモニターし,有害事象の発生を監視
    (6) ECMOのキードラッグ=抗凝固薬:ヘパリンでAPTTを40~60秒に!
    (7) 溶血の回避

    第2章 ECMOを使おう!
    Part3 心臓ECMOで繋ぐ命
    (1) 循環補助にはこう使う!
    (2) 心臓ECMOのココに注目!
    (3) 神は細部に宿る(心臓ECMO編)
    Part4 呼吸ECMOで繋ぐ命
    (1) 呼吸補助にはこう使う!
    (2) 呼吸ECMOのココに注意!(ECMO 関連の感染症・敗血症)
    (3) 神は細部に宿る(呼吸ECMO 編)
    Part5 E-CPRで繋ぐ命
    (1) E-CPRではこう使う!~ドクターヘリ症例で学ぼう
    (2) E-CPRのココに注目!
    3 神は細部に宿る(E-CPR編)

    第3章 ECMOだからできること
    Part6 Awake ECMO
    (1) 覚醒したECMO 患者の管理~心地よさを目指して
    Part7 Early Mobilization
    (1) ECMOの患者さんの日常への復帰を目指して
    (2) Post Intensive Care Syndrome:PICS
    (3) Early Mobilization
    (4) ECMOにおけるEarly Mobilization

    column ECMOを通して集中治療のアイデンティティを考える

    さいごに

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

第1章 ECMOを知ろう

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5) 「Extracorporeal Life Support : The ELSO Red Book 5th Edition」 (Brogan TV, et al, eds), Extracorporeal Life Support, pp93-103, 2017
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P.97 掲載の参考文献
1) 「Extracorporeal Life Support : The ELSO Red Book 5th Edition」 (Brogan TV, et al, eds), Extracorporeal Life Support, pp93-103, 2017

第2章 ECMOを使おう !

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1) Bein T, et al : Lower tidal volume strategy (= 3 mL/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 mL/kg) in severe ARDS : the prospective randomized Xtravent-study. Intensive Care Med, 39 : 847-856, 2013
2) Talmor D, et al : Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med, 359 : 2095-2104, 2008
3) Kim DW, et al : Impact of bloodstream infections on catheter colonization during extracorporeal membrane oxygenation. J Artif Organs, 19 : 128-133, 2016
4) Sun HY, et al : Infections occurring during extracorporeal membrane oxygenation use in adult patients. J Thorac Cardiovasc Surg, 140 : 1125-32.e2, 2010
5) Bartlett RH : Physiology of ECLS.「ECMO : Extracorporeal Cardiopulmonary Support in Critical Care (3rd ed) 」 (Van Meurs K, et al eds), pp5-27, Extracorporeal Life Support Organization, 2005
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第3章 ECMOだからできること

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