麻酔科プラクティス 1 産科麻酔 All in One

出版社: 文光堂
著者:
発行日: 2020-07-03
分野: 臨床医学:外科  >  麻酔科学/ペイン
ISBN: 9784830628474
電子書籍版: 2020-07-03 (第1版第1刷)
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〈麻酔科プラクティス〉シリーズ第1巻は,医療現場のニーズの高さから「産科麻酔」を徹底解説.広く・深い産科麻酔領域全体から今,本当に必要な知識を厳選し,最前線で臨床に従事する麻酔科医がレクチャー.また,教科書的な解説のみならず,最新のトピックスなども豊富に掲載されている.さらには,各分野のエキスパートが自身の経験より教える「臨床で役立つ知恵-Clinical Pears-」も満載.本書一冊で,産科麻酔領域の本当に必要な知識・技術を的確に身につけることができる.

目次

  • I 母児の生理と薬理
     1 母体の妊娠中,産直後の生理学的変化
     2 子宮胎盤循環,母体から胎児への薬物移行
     3 胎児の生理と薬理

    II 妊娠・分娩と産科的管理
     1 正常妊娠の経過
      [B]MFICU,LDR,産科病棟手術室
     2 妊娠中の胎児の評価
     3 分娩経過
      1)正常経腟分娩
      2)よく起こる分娩異常,器械分娩,誘発・促進分娩
      [T]経会陰超音波による分娩管理
     4 分娩中の胎児の評価
      [T]災害と周産期医療

    III 麻酔薬の胎児・新生児への影響
     1 全身麻酔薬の発達脳への影響

    IV 妊娠中の麻酔
     1 妊娠関連手術の麻酔
      1)頚管縫縮術とは
      2)子宮内容除去術,異所性妊娠
     2 妊娠中の非産科手術
     3 胎児治療の麻酔

    V 経腟分娩の麻酔
     1 分娩時の痛み
      [T]母体安全と麻酔科医
     2 無痛分娩の準備
      [T]無痛分娩事故をうけた無痛分娩の安全性向上のための対応
          ―JALA:発足に至るまでの経過とその活動内容―
     3 硬膜外麻酔,脊髄くも膜下麻酔
      1)方法
      2)利点,副作用と合併症
      [K&P]無痛分娩の分娩管理
      [OPA]人工妊娠中絶と子宮内胎児死亡の分娩
      [OPA]TOLACの無痛分娩
      [OPA]双胎の無痛分娩
     4 全身投与薬

    VI 帝王切開術の麻酔
     1 帝王切開術の麻酔
      1)帝王切開の適応と緊急度
      2)術前評価
      3)脊髄くも膜下麻酔,硬膜外麻酔
      [OPA]neuraxial anesthesiaのultrasonography
      4)全身麻酔
      [OPA]Ex-utero intrapartum treatmen
      5)無痛分娩からの移行
      6)子宮収縮薬
      [B]硫酸マグネシウム,リトドリン塩酸塩,副腎皮質ステロイド
      7)超緊急帝王切開術
      [T]産科麻酔領域のシミュレーション
     2 術後鎮痛
      1)急性痛,慢性痛
      2)硬膜外,脊髄くも膜下投与
      3)全身投与
      4)神経ブロック

    VII 産科的合併症を持つ母体の管理と麻酔
     1 妊娠高血圧症候群,HELLP 症候群
     2 前置胎盤,癒着胎盤
     3 常位胎盤早期剝離

    VIII 麻酔関連の合併症
     1 困難気道,誤嚥
     2 硬膜穿刺後頭痛
     3 神経障害

    IX 非産科的合併症を持つ母体の管理と麻酔
     1 心大血管疾患
      [T]妊婦における検査や治療による放射線被ばく
     2 妊娠中の血栓性疾患と止血凝固障害
      [T]液粘弾性検査
     3 肥満
     4 内分泌疾患
      [T]母体における薬剤治療
     5 自己免疫疾患
     6 脳神経疾患
     7 精神疾患
      [T]妊産婦のメンタルヘルス

    X 母体の急変
     1 母体急変の原因と蘇生法
      [OPA]ABCD sonography母体編
      [T]母体急変におけるMedical Resource Management
     2 産科出血
      1)産科出血総論
      2)輸血,凝固因子・抗線溶製剤
      3)産科医による止血
      4)Interventional radiology
      5)羊水塞栓症
      6)弛緩出血,産道裂傷,子宮内反,子宮破裂,胎盤遺残
      [T]母体救急における産科的Sonography
     3 周産期心筋症
     4 急性感染症
     5 急性妊娠脂肪肝
     6 産科病棟におけるRapid Response System
      [T]日本母体救命システム普及協議会(J-CIMELS)

    XI 新生児
     1 新生児蘇生法
     2 さまざまな状況で生まれてきた新生児の予後

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。

I 母児の生理と薬理

P.7 掲載の参考文献
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11) 木坂義憲 : 持続腰部硬膜外麻酔分娩におけるブピバカインの母児血中濃度, 胎盤移行ならびにタンパク結合率に関する研究. 麻と蘇生 24 : 321-334, 1988
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II 妊娠・分娩と産科的管理

P.30 掲載の参考文献
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厚生労働省資料および厚生労働省医政局地域医療計画課資料「周産期母子医療センター整備の現状等について」
P.40 掲載の参考文献
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11) Kalache KD, et al : Transperineal ultrasound imaging in prolonged second stage of labor with occipitoanterior presenting fetuses : how well does the 'angle of progression' predict the mode of delivery? Ultrasound Obstet Gynecol 33 : 326-330, 2009
12) 武谷雄二ほか : I 産科学の基礎, 2. 分娩の生理. プリンシプル産科婦人科学 第3版, 産科編 : 145-146, 2014
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14) 竹田省ほか : 骨盤誘導軸に基づく児頭下降度の評価法. 分娩と麻 100 : 45-49, 2018
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2) 厚生労働省医政局地域医療計画課長通知 : 「災害医療コーディネーター活動要領」および「災害時小児周産期リエゾン活動要領」について, 医政地発0208 第2号, https://www.mhlw.go.jp/content/12601000/000504399.pdf, 2019

III 麻酔薬の胎児・新生児への影響

P.79 掲載の参考文献
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14) Song ZM, et al : alpha2a adrenoceptors regulate phosphorylation of microtubule-associated protein-2 in cultured cortical neurons. Neuroscience 123 : 405-418, 2004
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IV 妊娠中の麻酔

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V 経腟分娩の麻酔

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VI 帝王切開術の麻酔

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VII 産科的合併症を持つ母体の管理と麻酔

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VIII 麻酔関連の合併症

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IX 非産科的合併症を持つ母体の管理と麻酔

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X 母体の急変

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XI 新生児

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