麻酔からの美しい覚醒と抜管

出版社: 克誠堂出版
著者:
発行日: 2021-05-10
分野: 臨床医学:外科  >  麻酔科学/ペイン
ISBN: 9784771905450
電子書籍版: 2021-05-10 (第1版第1刷)
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若手麻酔科医が理解しにくい覚醒・抜管を実践的に論じた書。鎮静、鎮痛、筋弛緩、呼吸管理、循環管理、気道デバイスの6つのテーマについて解説し、覚醒・抜管の際に注意が必要な18のケースシナリオを紹介する。

目次

  • 第I章 麻酔の3要素+αを検証する
     第1節 鎮痛
     第2節 鎮静
     第3節 筋弛緩
     第4節 気道管理デバイス

    第II章 呼吸・循環動態を保つ
     第1節 呼吸
     第2節 循環

    第III章 覚醒・抜管が問題となる場面におけるストラテジー
     1.頸椎後方固定術
     2.胸腔鏡補助下気管支形成術
     3.小児の覚醒時興奮(agitation)
     4.小児の扁桃摘出・アデノイド切除術
     5.腹腔鏡下鼠経ヘルニア手術
     6.長時間の頭頸部拡大術
     7.臓器障害を合併した患者
     8.甲状腺全摘術
     9.長時間手術の頭低位によるロボット支援下手術
     10.コントロール不要の気管支喘息を合併した患者
     11.虚血性心疾患を合併した患者
     12.アルツハイマー型認知症の高齢患者
     13.知的障害を伴った成人患者
     14.呼吸状態の悪い患者の上部消化管手術
     15.BMI52の高度肥満患者
     16.強い動揺歯のある患者
     17.解剖学的困難気道のある患者
     18.覚醒遅延の患者

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第I章 麻酔の3要素 + αを検証する

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第II章 呼吸・循環動態を保つ

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第III章 覚醒・抜管が問題となる場面におけるストラテジー

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