Clear Q&A 88 筋弛緩薬を知りつくす 改訂第2版

出版社: 克誠堂出版
著者:
発行日: 2020-09-09
分野: 臨床医学:外科  >  麻酔科学/ペイン
ISBN: 9784771905382
電子書籍版: 2020-09-09 (改訂第2版第1刷)
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大好評書“Clear Q&A 75”の改訂第2版が完成! 難解な神経生理や拮抗薬の作用特徴、そして臨床麻酔に有用なかつ信頼できる筋弛緩モニタリングのコツとポイントなどを薬理編:60問/モニター編:28問に厳選しました。第一線で活躍する麻酔科医の日々の臨床知見の幅が、さらに広がる内容を取り上げました。怒濤の88問をご堪能ください

目次

  • I 薬理編
     Q1 神経筋の化学的伝達とは、どういうこと?
     Q2 興奮収縮連関とは?
     Q3 安全域とは?
     Q4 筋弛緩薬は受容体にどのように結合するの?
     Q5 筋弛緩薬は終板の受容体以外にも作用するの?
     Q6 脱感作性ブロックやオープンチャネルブロックとは、どんなブロック?
     Q7 Respiratory sparing effectとは、どんな効果?
     Q8 末梢性筋弛緩薬は中枢神経系への作用はあるの?
     Q9 筋弛緩薬は飲んでも効くの?
     Q10 ロクロニウムの血管外漏出が起きたときには、どうしたらいいの?
     Q11 低力価の筋弛緩薬のほうが、速く効き出すのはなぜ?
     Q12 ロクロニウムの作用発現は、循環状態に影響されるの?
     Q13 プライミングテクニックと、プレキュラリゼーションとは?
     Q14 タイミングプリンシプルとは?
     Q15 麻酔導入時、マスク換気ができない場合に筋弛緩薬を投与するの?
     ほか

    II モニター編
     Q61 利き腕と逆の腕、モニターはどちらに付けるの?
     Q62 電極の貼り方は?
     Q63 なぜ、2Hz-TOF刺激が用いられるの?
     Q64 適切な神経刺激の大きさは?
     Q65 TOFウォッチのキャリブレーションとは?
     Q66 刺激の矩形波とか、パルス幅ってなに?
     Q67 刺激が出来ない場合の対処は?
     Q68 刺激されているのにTOF比が表示されないのは?
     Q69 反応値がばらつく場合の対処法は?
     Q70 Direct stimulationとは、どのような状態なの?
     Q71 Staircase phenomenonとは、どのような現象なの?
     Q72 TOF比のノーマリゼーションとは、どういう意味?
     Q73 TOFウォッチに皮膚温計が付いている理由は?
     Q75 筋弛緩薬の薬力学的評価のための測定項目は?
     ほか

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。

I 薬理編

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P.63 掲載の参考文献
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P.67 掲載の参考文献
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P.69 掲載の参考文献
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P.73 掲載の参考文献
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P.76 掲載の参考文献
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P.78 掲載の参考文献
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P.80 掲載の参考文献
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P.82 掲載の参考文献
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P.86 掲載の参考文献
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P.90 掲載の参考文献
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P.92 掲載の参考文献
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P.95 掲載の参考文献
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P.98 掲載の参考文献
1) Sorgenfrei IF, Norrid K, Larsen PB, et al. Reversal of rocuronium-induced neuromuscular block by the selective relaxant binding agent sugammadex:A dose-finding and safety study. Anesthesiology 2006;104:667-74.
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P.100 掲載の参考文献
1) Epemolu O, Bom A, Hope F, et al. Reversal of neuromuscular blockade and simultaneous increase in plasma rocuronium concentration after the intravenous infusion of the novel reversal agent Org 25969. Anesthesiology 2003;99:632-7.
P.102 掲載の参考文献
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P.105 掲載の参考文献
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5) Yoshida F, Suzuki T, Kashiwai A, et al. Correlation between cardiac output and reversibility of rocuronium-induced moderate neuromuscular block with sugammadex. Acta Anaesthesiol Scand 2012;56:83-7.
6) Suzuki T, Nameki K, Shimizu H, et al. Efficacy of rocuronium and sugammadex in a patient with dermatomyositis. Br J Anaesth 2012;108:703.
7) Cammu G, Coart D, De Graeve, et al. Reversal of rocuronium-induced neuromuscular block with sugammadex in heart failure patients:A prospective observational study. Acta Anaesthesiol Belg 2012;63:69-73.
8) Panhuizen IF, Gold SJ, Buerkle C, et al. Efficacy, safety and pharmacokinetics of sugammadex 4mg kg-1 for reversal of deep neuromuscular blockade in patients with severe renal impairment. Br J Anaesth 2015;114:777-84.
9) Czarnetzki C, Tassonyi E, Lysakowski C, et al. Efficacy of sugammadex for the reversal of moderate and deep rocuronium-induced neuromuscular block in patients pretreated with intravenous magnesium. A randomized controlled trial. Anesthesiology 2014;121:59-67.
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11) Rezonja K, Sostaric M, Vidmar G, et al. Dexamethasone produces dose-dependent inhibition of sugammadex reversal in in vitro innervated primary human muscle cells. Anesth Analg 2014;118:755-63.
12) Gulec E, Biricik E, Turktan M, et al. The effect of intravenous dexamethasone on sugammadex reversal time in children undergoing adenotonsillectomy. Anesth Analg 2016;122:1147-52.
13) Buonanno P, Laiola A, Palumbo C, et al. Dexamethasone does not inhibit sugammadex reversal after rocuronium-induced neuromuscular block. Anesth Analg 2016;122:1826-30.
P.107 掲載の参考文献
1) De Kam PJ, Grobara P, Prohn M, et al. Effects of sugammadex on activated partial thromboplastin time and prothrombin time in healthy subjects. Int J Clin Pharmacol Ther 2014;52:227-36.
2) Rahe-Meyer N, Fennema H, Schulman S, et al. Effect of reversal of neuromuscular blockade with sugammadex versus usual care on bleeding risk in a randomized study of surgical patients. Anesthesiology 2014;121:969-77.
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P.110 掲載の参考文献
1) Malinovsky JM, Decagny S, Wessel F, et al. Systematic follow-up increases incidence of anaphylaxis during adverse reactions in anesthetized patients. Acta Anaesthesiol Scand 2008;52:175-81.
2) Ho G, Clarke RC, Sadleir PHM, et al. The first case report of anaphylaxis caused by the inclusion complex of rocuronium and sugammadex. A A Case Reports 2016;7:190-2.
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P.116 掲載の参考文献
2) Yip PC, Hannam JA, Cameron AJD, et al. Incidence of residual neuromuscular blockade in a postanaesthetic care unit. Anaesth Intensive Care 2010;38:91-5.
3) Eriksson LI, Lennmarken C, Johnson A. Attenuated ventilatory response to hypoxaemia at vecuronium-induced partial neuromuscular block. Acta Anaesthesiol Scand 1992;36:710-5.
4) Eriksson LI, Sundman E, Olsson R, et al. Functional assessment of the pharynx at rest and during swallowing in partially paralyzed humans:Simultaneous videomanometry and mechanomyography of awake human volunteers. Anesthesiology 1997;87:1035-43.
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1) Broens SJL, Boon M, Martini CH, et al. Reversal of partial neuromuscular block and the ventilator response to hypoxia. Anesthesiology 2019;131:467-76.
P.122 掲載の参考文献
1) Bevan JC, Collins L, Fowler C, et al. Early and late reversal of rocuronium and vecuronium with neostigmine in adults and children. Anesth Analg 1999;89:333-9.
2) Kotake Y, Ochiai R, Suzuki T, et al. Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block. Anesth Analg 2013;117:345-51.
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P.125 掲載の参考文献
1) Kent NB, Liang SS, Phillips S, et al. Therapeutic doses of neostigmine, depolarizing neuromuscular blockade and muscle weakness in awake volunteers:A double-blind, placebo-controlled, randomised volunteer study. Anaesthesia 2018;73:1079-89.
2) Cammu G, Schepens T, De Neve N, et al. Diaphragmatic and intercostal electromyographic activity during neostigmine, sugammadex and neostigmine-sugammadex-enhanced recovery after neuromuscular blockade. A randomized controlled volunteer study. Eur J Anaesthesiol 2017;34:8-15.
P.127 掲載の参考文献
1) Vymazal T, Krecmerova M, Bicek V, et al. Feasibility of full and rapid neuromuscular blockade recovery with sugammadex in myasthenia gravis patients undergoing surgery-A series of 117 cases. Ther Clin Risk Manag 2015;11:1593-6.
2) Mouri H, Jo T, Matsui H, et al. Effect of sugammadex on postoperative myasthenic crisis in myasthenia gravis patients:Propensity score analysis of a Japanese nationwide database. Anesth Analg 2020;130:367-73.
3) Fujimoto M, Terasaki S, Nishi M, et al. Response to rocuronium and its determinants in patients with myasthesia gravis. A case-control study. Eur J Anaesthesiol 2015;32:1-9.
P.130 掲載の参考文献
1) Forbes AR, Cohen NH, Eger II EI. Pancuronium reduces halothane requirement in man. Anesth Analg 1979;58:497-9.
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P.133 掲載の参考文献
1) Cammu G, de Kam PJ, De Graeve K, et al. Repeat dosing of rocuronium 1.2mg kg-1 after reversal of neuromuscular block by sugammadex 4.0mg kg-1 in anaesthetized healthy volunteers:A modelling-based pilot study. Br J Anaesth 2010;105:487-92.
2) Iwasaki H, Sasakawa T, Takahoko K, et al. A case series of re-establishment of neuromuscular block with rocuronium after sugammadex reversal. J Anesth 2016;30:534-7.
P.135 掲載の参考文献
1) Fawcett WJ, Stone JP. Recurarization in the recovery room following the use of magnesium sulfate. Br J Anaesth 2003;91:435-8.
P.137 掲載の参考文献
1) Ono K, Nagano O, Ohata Y, et al. Neuromuscular effects of respiratory and metabolic acid-base changes in vitro with and without nondepolarizing muscle relaxants. Anesthesiology 1990;73:710-6.
P.140 掲載の参考文献
1) Lee D, Johnson DL. Effect of d-tubocurarine and anaesthesia upon cardiac output in normal and histamine-depleted dogs. Can Anaesth Soc J 1971;18:157-65.
P.145 掲載の参考文献
1) Arain SR, Kern S, Ficke DJ, et al. Variability of duration of action of neuromuscular-blocking drugs in elderly patients. Acta Anaesthesiol Scand 2005;49:312-5.
2) Naguib M, Samarkandi AH, Bakhamees HS, et al. Histamine-release haemodynamic changes produced by rocuronium, vecuronium, mivacurium, atracurium and tubocurarine. Br J Anaesth 1995;75:588-92.
P.147 掲載の参考文献
1) Heerdt PM, Malhotra JK, Pan BY, et al. Pharmacodynamics and cardiopulmonary side effects of CW002, a cysteine-reversible neuromuscular blocking drug in dogs. Anesthesiology 2010;112:9106.
2) Haerter F, Simons JC, Foerster U, et al. Comparative effectiveness of calabadion and sugammadex to reverse non-depolarizing neuromuscular-blocking agents. Anesthesiology 2015;123:1337-49.

II モニター編

P.154 掲載の参考文献
1) Claudius C, Skovgaard LT, Viby-Mogensen J. Arm-to-arm variation when evaluating neuromuscular block:An analysis of the precision and the bias and agreement between arms when using mechanomyography or acceleromyography. Br J Anaesth 2010;105:310-7.
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P.156 掲載の参考文献
1) Brull SJ, Silverman DG. Pulse width, stimulus intensity, electrode placement, and polarity during assessment of neuromuscular block. Anesthesiology 1995;83:702-9.
P.158 掲載の参考文献
1) Lee C, Katz RL. Fade of neutrally evoked compound electromyogram during neuromuscular block by d-tubocurarine. Anesth Analg 1977;56:271-5.
P.174 掲載の参考文献
1) Suzuki T, Fukano N, Kitajima O, et al. Normalization of acceleromyographic train-of-four ratio by baseline value for detecting residual neuromuscular block. Br J Anaesth 2006;96:44-7.
P.178 掲載の参考文献
1) Suzuki T, Kitajima O, Watanabe A, et al. Duration of vecuronium-induced neuromuscular block can be predicted by change of skin temperature over the thenar muscles. J Anesth 2004;18:172-6.
P.182 掲載の参考文献
1) Suzuki T, Mizutani H, Miyake E, et al. Infusion requirements and reversibility of rocuronium at the corrugator supercilii and adductor pollicis muscles. Acta Anaesthesiol Scand 2009;53:1336-40.
P.185 掲載の参考文献
1) Eikermann M, Peters J. Nerve stimulation at 0.15Hz when compared to 0.1Hz speeds the onset of action of cisatracurium and rocuronium. Acta Anaesthesiol Scand 2000;44:170-4.
2) Symington MJ, McCoy EP, Mirakhur RK, et al. Duration of stabilization of control responses affects the onset and duration of action of rocuronium but not suxamethonium. Eur J Anaesth 1996;13:377-80.
3) Cooper RA, Mirakhur RK, Elliott P, et al. Estimation of the potency of ORG 9426 using two different modes of nerve stimulation. Can J Anesth 1992;39:139-42.
P.188 掲載の参考文献
1) Viby-Mogensen J, Howardy-Hansen P, Chraemmer-Jorgensen B, et al. Posttetanic count (PTC):A new method of evaluating an intense nondepolarizing neuromuscular blockade. Anesthesiology 1981;55:458-61.
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P.190 掲載の参考文献
1) Viby-Mogensen J, Jensen NH, Engbaek J, et al. Tactile and visual evaluation of the response to trainof-four nerve stimulation. Anesthesiology 1985;63:440-3.
2) Drenck NE, Ueda N, Olsen NV, et al. Manual evaluation of residual curarization using double burst stimulation:A comparison with train-of-four. Anesthesiology 1989;70:578-81.
P.194 掲載の参考文献
1) Ali HH, Wilson RS, Savarese JJ, et al. The effect of tubocurarine on indirectly elicited train-of-four muscle response and respiratory measurements in humans. Br J Anaesth 1975;47:570-4.
2) Eriksson LI, Lennmarken C, Wyon N, et al. Attenuated ventilator response to hypoxemia at vecuronium-induced partial neuromuscular block. Acta Anaesthesiol Scand 1992;36:710-5.
3) Eriksson LI, Sundman E, Olsson R, et al. Functional assessment of the pharynx at rest and during swallowing in partially paralyzed humans. Simultaneous videomanometry and mechanomyography of awake human volunteer. Anesthesiology 1997;87:1035-43.
P.196 掲載の参考文献
1) Engbaek J, Ostergaard D, Viby-Mogensen J. Double burst stimulation (DBS):A new pattern of nerve stimulation to identify residual neuromuscular block. Br J Anaesth 1989;62:274-8.
2) Drenck NE, Ueda N, Olsen NV, et al. Manual evaluation of residual curarization using double burst stimulation:A comparison with train-of-four. Anesthesiology 1989;70:578-81.
3) Ueda N, Muteki T, Tsuda H, et al. Determining the optimal time for endotracheal intubation during onset of neuromuscular blockade. Eur J Anaesthesiol 1993;10:3-8.
P.201 掲載の参考文献
1) Fuchs-Buder T, Claudius C, Skovgaard LT, et al. Good clinical research practice in pharmacodynamics studies of neuromuscular blocking agents II:The Stockholm revision. Acta Anaesthesiol Scand 2007;51:789-808.
P.207 掲載の参考文献
1) Yamamoto S, Yamamoto Y, Kitajima O, et al. Reversal of neuromuscular block with sugammadex:A comparison of the corrugator supercilii and adductor pollicis muscles in a randomized dose-response study. Acta Anaesthesiol Scand 2015;59:892-901.
P.210 掲載の参考文献
1) Yamamoto M, Suzuki T. Neuromuscular blockade at the orbicularis oculi muscle in a patient with myasthenia gravis. J Clin Monit Comput. 2019 Nov 15. doi:10.1007/s10877-019-00422-9. Online ahead of print.

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