肥満患者の麻酔

出版社： 金芳堂
著者：
発行日： 2018-11-15
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784765317603
電子書籍版： 2018-11-15 （第1版第1刷）
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目次

  • １章　肥満とその病態生理
    　1　肥満の定義と患者の動向
    　2　肥満による心血管系の変化
    　3　肥満による呼吸機能の変化
    　4　肥満と閉塞性睡眠時無呼吸
    　5　腎機能の変化
    　6　消化管および代謝の変化
    　7　血液の変化
    　8　心理状態

    ２章　術前評価と管理
    　1　術前評価
    　2　心機能評価
    　3　気道の評価
    　4　術前内科管理
    　5　抗血栓療法
    　6　物品管理

    ３章　術中管理
    　1　前投薬および絶飲食
    　2　手術室セッティング，モニタリング
    　3　全身麻酔導入
    　4　薬剤投与量
    　5　術中体位
    　6　循環管理（輸液管理）
    　7　呼吸管理
    　8　体温管理
    　9　血管確保
    　10　気腹状態での変化
    　11　覚醒・抜管
    　12　DVTとPTE
    　13　区域麻酔と超音波の活用

    ４章　術後管理
    　1　術後鎮痛
    　2　合併症とその対策
    　3　肥満手術とERAS

    ５章　肥満手術

    ６章　帝王切開術

    ７章　小児

この書籍の参考文献

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本参考文献は電子書籍掲載内容を元にしております。

1章 肥満とその病態生理

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2章 術前評価と管理

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3章 術中管理

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2) Shiraishi T, et al. Gastric Fluid Volume Change After Oral Rehydration Solution Intake in Morbidly Obese and Normal Controls : A Magnetic Resonance Imaging-Based Analysis. Anesth Analg 2017 ; 124 (4) : 1174-1178.
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P.117 掲載の参考文献
1) Cullen A, et al. Perioperative management of the severely obese patient : a selective pathophysiological review. Can J Anaesth 2012 ; 59 : 974-996.
 
P.122 掲載の参考文献
1) Brodsky JB, et al. Morbid obesity and tracheal intubation. Anesth Analg 2002 ; 94 : 732-736.
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2) Nimmagadda U, et al. Preoxygenation with tidal volume and Deep breathing techniques : the impact of duration of breathing and fresh gas flow. Anes Analg 2001 ; 92 : 1337-1341.
 
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4) Heinrich S, et al. Benefits of heated and humidified high flow nasal oxygen for preoxygenation in morbidly obese patients undergoing bariatric surgery : a randomized controlled study. J Obes Bariatrics 2014 ; 1 (1) : 7.
 
5) Moore AR, et al. Awake videolaryngoscopy-assisted tracheal intubation of the morbidly obese. Anaesthesia 2012 ; 67 : 232-235.
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6) Aceto P, et al. Airway management in obese patients. Surg Obes Relat Dis 2013 ; 9 : 809-815.
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4) Ingrande J, et al. Dose adjustment of anaesthetics in the morbidly obese. Br J Anaesth 2010 ; 105 Suppl 1 : i16-23.
 
5) Pieracci FM, et al. Critical care of the bariatric patient. Crit Care Med 2006 ; 34 : 1796-1804.
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6) Cullen A, et al. Perioperative management of the severely obese patient : a selective pathophysiological review. Can J Anaesth 2012 ; 59 : 974-996.
 
7) Servin F, et al. Propofol infusion for maintenance of anesthesia in morbidly obese patients receiving nitrous oxide. A clinical and pharmacokinetic study. Anesthesiology 1993 ; 78 : 657-665.
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8) 五十嵐妙ら. 高度肥満患者にプロポフォール静脈麻酔を行い術中覚醒を来した2症例. 麻酔 2002 ; 51 : 1243-1247.
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10) Eleveld DJ, et al. A general purpose pharmacokinetic model for propofol. Anesth Analg 2014 ; 118 : 1221-1237.
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11) Ingrande J, et al. Lean Body weight scalar for the anesthetic induction dose of Propofol in morbidly obese subjects. Anesth Analg 2011 ; 113 : 57-62.
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12) Choi YK, et al. Efficacy and safety of patient controlled analgesia for morbidly obese patients following gastric bypass surgery. Obes Surg 2000 ; 10 : 154-159.
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13) Bouillon T, et al. Does size matter? Anesthesiology 1998 ; 89 : 557-560.
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14) Shibutani K, et al. Pharmacokinetic mass of fentanyl for postoperative analgesia in lean and obese patients. Br J Anaesth 2005 ; 95 : 377-383.
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15) Egan TD, et al. Remifentanyl pharmacokinetics in obese vs lean patients. Anesthesiology 1998 ; 89 : 562-573.
 
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18) Van Lancker P, et al. Ideal versus corrected body weight for dosage of sugammadex in morbidly obese patients. Anaesthesia 2011 ; 66 : 721-725.
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19) McKay RE, et al. Effect of increased body mass index and anaesthetic duration on recovery of protective airway reflexes after sevoflurane vs desflurane. Br J Anaesth 2010 ; 104 : 175-182.
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20) Bilotta F, et al. Early postoperative congnitive recovery and gas exchange patterns after balanced anesthesia with sevoflurane or desuflurane in overweight and obese patients undergoing craniotomy : a prospective randomized trial. J Neurosurg Anesthesiol 2009 ; 21 : 207-213.
 
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22) Lesson S, et al. Hypoventilation after inhaled anesthesia results in reanesthetization. Anesth Analg 2014 ; 119 : 829-835.
 
23) De Oliveira GS Jr, et al. Systemic lidocaine to improve quality of recovery after laparoscopic bariatric surgery : a randomized double-blinded placebocontrolled trial. Obes Surg 2014 ; 24 : 212-218.
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24) Kaba A, et al. Intravenous lidocaine infusion facilitates acute rehabilitation after laparoscopic colectomy. Anesthesiology 2007 ; 106 : 11-18.
PubMed
P.140 掲載の参考文献
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2) Brown BR. Anesthesia and the Obese Patient. Contemporary Anesthesia Practice Series. Philadelphia, FA Davis, 1982, p26.
 
3) Boyce JR, et al. A preliminary study of the optimal anesthesia positioning for the morbidly obese patient. Obes Surg 2003 ; 13 : 4-9.
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4) Warner MA, et al. Ulner neuropathy : incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 1994 ; 81 : 1332-1340.
PubMed
5) Yasin A, et al. Bilateral sciatic nerve palsy following a bariatic operation. Obes Surg 2007 ; 17 : 983-985.
PubMed
6) Lagandre S, et al. Predictive factors for rhabdomyolysis after bariatric surgery. Obes Srug 2006 ; 16 : 1365-1370.
PubMed
7) Bostanjian D, et al. Rhabdomyolysis of gluteal muscle leading to renal failure : a potentially fatal complication of surgery in the morbidly obese. Obes Surg 2003 ; 13 : 302-305.
PubMed
8) Garcia RM, et al. The obesity supine sudden death syndrome in the perioperative patient. Crit Care & Shock 2014 ; 4 : 82-84.
 
9) Edgcombe H, et al. Anaesthesia in the prone position. Br J Anaesth 2008 ; 100 : 165-183.
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10) Douglass J, et al. Awake intubation and awake prone positioning of a morbidly obese patient for lumbar spine surgery. Anaesthesia 2014 ; 69 : 166-169.
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11) Brodsky JB, et al. Morbid Obesity and the Prone Position : A Case Report. J Clin Anesth 2001 ; 13 : 138-140.
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P.145 掲載の参考文献
1) Donohoe CL, et al. Perioperative evaluation of the obese patient. J Clin Anesth 2011 ; 23 : 575-586.
 
2) Lemmens HJ, et al. Estimating blood volume in obese and morbidly obese patients. Obes Surg 2006 ; 16 : 773-776.
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3) Minoz JL, et al. Goal-Directed Fluid Therapy on Laparscopic Sleeve Gastrectomy in Morbidly Obese Patients. Obes Surg 2016 ; 26 : 2648-2653.
 
4) Jain AK, et al. Stroke volume ariation as a guide to fluid administration in borbidly obese patients undergoing laparoscopic bariatric surgery. Obes Surg 2010 ; 20 : 709-715.
 
5) Demirel I, et al. Efficacy of Goal-Directed Fluid Therapy via Pleth Variability Index During Laparoscopic Roux-en-Y Gastric Bypass Surgery in Morbidly Obese Patients. Obes Surg 31 July 2017 Published Online.
 
6) Poso T, et al. Morbid obesity and optimization of preoperative fluid therapy. Obes Surg 2013 ; 23 : 1799-1805.
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7) Matot I, et al. Effect of the volume of fluids administered on intraoperative oliguria in laparoscopic bariatric surgery : a randomized controlled trial. Arch Surg 2012 ; 147 : 228-234.
PubMed
8) de Menezes Ettinger JE, et al. Prevention of rhabdomyolysis in bariatric surgery. Obes Surg 2005 ; 15 : 874-879.
PubMed
9) Wool DB, et al. Intraoperative fluid replacement and postoperative creatine phosphokinase levels in laparoscopic bariatric patients. Obes Surg 2010 ; 20 : 698-701.
PubMed
10) Schuster R, et al. Intra-operative fluid volume influences postoperative nausea and vomiting after laparoscopic gastric bypass surgery. Obes Surg 2006 ; 16 : 848-851.
PubMed
P.147 掲載の参考文献
1) Brown BR. Anesthesia and the Obese Patient. Contemporary Anesthesia Practice Series. Philadelphia, FA Davis, 1982, p26
 
2) Acute Respiratory Distress Syndrome Network, Brower RG, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000 ; 342 : 1301.
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3) Pelosi P, et al. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999 ; 91:1221.
 
4) Forgiarini Junior LA, et al. Alveolar recruitment maneuver and perioperative ventilatory support in obese patients undergoing abdominal surgery. Rev Bras Ter Intensiva 2013 ; 25 : 312-318.
PubMed
5) Talab HF, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 2009 ; 109 : 1511-1516.
PubMed
6) Guenoun T, et al. Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation. Br J Anaesth 2008 ; 100 : 706-716.
 
7) De Baerdemaeker LE, et al. Comparison of volume-controlled and pressurecontrolled ventilation during laparoscopic gastric banding in morbidly obese patients. Obes Surg 2008 ; 18 : 680-685.
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P.154 掲載の参考文献
1) Pelosi P, et al. Positive end-expiratory pressure improves respiratory function in obvese but not normal subjects during anesthesia and parelysis. Anesthesiology 1999 ; 91 : 1221-1223.
 
2) Talab HF, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 2009 ; 109 : 1511-1516.
PubMed
3) Valenza F, et al. Effects of the beach chair position, positive end-expiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. Anesthesiology 2007 ; 107 : 725-732.
PubMed
4) Ezri T, et al. The endtracheal tube moves more often in obese patients under laparoscopy compared with open abdominal surgery. Anesth Analg 2003 ; 96 : 278-282.
 
5) Saranita J, et al. Elevated liver enzymes as an operative complication of gastric bypass surgery. Obes Surg 2003 ; 13 : 347-349.
 
6) Nguyen NH, et al. Effect of prolonged pneumoperitoneum on intraoperative urine outpt during laparoscopic gastric bypass. J Am Coll Surg 2002 ; 195 : 476-483.
 
7) Liaurado S, et al. Sugammadex ideal body weight dose adjusted by level of neuromuscular blockade in laparoscopic bariatric surgery. Anesthesiology 2012 ; 117 : 93-98.
 
P.158 掲載の参考文献
1) Talab HF, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 2009 ; 109 : 1511-1516.
PubMed
2) Van Lancker P, et al. Ideal versus corrected body weight for dosage of sugammadex in morbidly obese patients. Anaesthesia 2011 ; 66 : 721-725.
PubMed
3) Apfelbaum JL, et al. Practice guidelines for management of the difficult airway : an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013 ; 118 : 251-270.
PubMed
4) Difficult Airway Society Extubation Guidelines Group, et al. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia 2012 ; 67 : 318-340.
 
P.161 掲載の参考文献
1) Stein PD, et al. Obesity as a risk factor in venous thromboembolism. Am J Med 2005 ; 118 (9) : 978-980.
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2) Juhan-Vague I, et al. The insulin resistance syndrome : implications for thrombosis and cardiovascular disease. Pathophysiol Haemost Thromb 2002 ; 32 (5-6) : 269-273.
 
3) Blaszyk H, et al. Factor V Leiden and Morbid Obesity in Fatal Postoperative Pulmonary Embolism. Arch Surg 2000 ; 135 : 1410-1413.
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4) Podnos YD, et al. Complications after laparoscopic gastric bypass : a review of 3464 cases. Arch Surg 2003 ; 138 (9) : 957-961.
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5) Venous Thromboembolism Prevention Quality Standard. National Institute for Health and care Exellence (NICE), 2010. https://www.nice.org.uk/guidance/qs3
 
6) Gould MK, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed : American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012 ; 141 (2 Suppl) : e227S-277S.
 
7) American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients. Surg Obes Relat Dis 2013 ; 9 : 493-497.
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P.165 掲載の参考文献
1) Saranteas T. Limitations in Ultrasound Imaging Techniques in Anesthesia : Obesity and Muscle Atrophy? Anesth Analg 2009;109 : 993-994.
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2) Ingrande J, et al. Regional anesthesia and obesity. Curr Opin Anaesthesiol 2009 ; 22 (5) : 683-686.
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3) Beaussier M, et al. Wound infiltration with local anesthetics for postoperative analgesia. Results of a national survey about its practice in France. Ann Fr Anesth Reanim 2012 ; 31 : 120-125.
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4) Wallance DH, et al. Indirect sonographic guidance for epidural anesthesia in obese pregnant patients. Reg Anesth 1992 ; 17 : 233-236.
 
5) Hood D, et al. Anesthetic and obstetric outcome in morbidly obese parturients. Anesthesiology 1993 ; 79 : 1210-1218.
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6) Perlow JH, et al. Massive maternal obesity and perioperative cesarean morbidity. Am J obstet Gynecol 1994 ; 170 : 560-565.
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7) Jones N, et al. Post dural puncture headache in morbidly obese patients. Can J Anaesth 2006 ; 53 : 26343.
 
8) Grau T, et al. The lumbar epidural space in pregnancy : visualization by ultrasonography. Br J Anaesth 2001 ; 86 : 798-804.
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4章 術後管理

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5章 肥満手術

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6章 帝王切開術

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7章 小児

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