周術期管理に役立つPoint of Care超音波

出版社： 克誠堂出版
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発行日： 2023-06-01
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784771905801
電子書籍版： 2023-06-01 （第1版第1刷）
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総合診療では、近年POCUSが有用な診断ツールとして注目されている。本ツールを多くの麻酔科医や周術期医療に携わる方々が習得し日常診療に活かせることを目指した。第I章では超音波検査に必要な基礎知識として、超音波の基礎知識と機器の使い方、アーチファクトの基本理解を深める。第II章では基本スキルとして、FOCUS、肺エコー、気道エコーなどの各種診断技術を習得する。第III章では術前・術中・術後評価を具体症例を通して学ぶ。

目次

  • 第I章　超音波検査に必要な基礎知識
    　1 超音波の基礎と機器の扱い方
    　2 理解すべき基本的なアーチファクト　《動画付き》

    第II章　基本スキル
    　1 FOCUS　《動画付き》
    　2 肺エコー　《動画付き》
    　3 DVT エコー　《動画付き》
    　4 腹部エコー　《動画付き》
    　5 気道エコー　《動画付き》
    　6 胃エコー　《動画付き》
    　7 横隔膜エコー　《動画付き》
    　8 眼球エコー
    　9 ショック、外傷、心停止におけるPOCUS《動画付き》　

    第III章　ケースシリーズ
    　A 術前評価
    　　ケース Pre1 ショック・低血圧の術前評価
    　　ケース Pre2 息切れと酸素化不良の評価
    　　ケース Pre3 術前麻酔科外来でのPOCUS の活用
    　　ケース Pre4—1 　術前絶食が守られていない疑いのある症例　《動画付き》
    　　ケース Pre4—2 　全前置胎盤の警告出血による緊急帝王切開症例
    　　ケース Pre5 臥床患者の麻酔直前深部静脈血栓（DVT）の評価
    　　ケース Pre6 新生児の胃内容確認　《動画付き》
    　B 術中・麻酔中評価
    　　ケース Int1 中心静脈穿刺後の酸素化不良
    　　ケース Int2 体位変換後の酸素化不良：気管チューブのトラブル　《動画付き》
    　　ケース Int3 突然の低血圧の評価
    　　ケース Int4 体幹神経ブロック後の気胸の評価
    　　ケース Int5 膀胱エコーと尿道カテーテル
    　C 術後・麻酔後評価
    　　ケース Post1 手術終了後の低血圧：腹腔内出血の除外
    　　ケース Post2 抜管後の酸素化不良原因は呼吸か循環か
    　　ケース Post3 神経ブロック後の酸素化不良：横隔神経麻痺の診断　《動画付き》
    　　ケース Post4 術後心停止におけるPOCUS の活用　《動画付き》

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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。

第I章 超音波検査に必要な基礎知識

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第II章 基本スキル

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第III章 ケースシリーズ

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