こだわる！　神経ブロック　上肢

出版社： 中外医学社
著者：
発行日： 2023-06-05
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784498056169
電子書籍版： 2023-06-05 （1版1刷）
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上肢の超音波ガイド下末梢神経ブロックに関するあらゆる臨床上の疑問について答える1冊！

目次

  • CHAPTER 1　解剖，歴史，腕神経叢ブロック 各アプローチ解説

    SECTION 1●腕神経叢の臨床解剖
    1．腕神経叢を構成する神経
    2．理解するポイント
    3．末梢枝以外の分枝
    4．末梢枝の支配領域
    5．腕神経叢が通過するスペース

    SECTION 2●腕神経叢ブロックの歴史
    1．局所麻酔手術の幕開け
    2．ドイツ人外科医による新しい腕神経叢ブロックの発明
    3．腕神経叢ブロック腋窩法
    4．手技の実際：腕神経叢ブロック腋窩法
    5．腕神経叢ブロック鎖骨上血管周囲ブロック
    6．Kulenkampff法の実際
    7．超音波ガイド下腕神経叢ブロックの普及
    8．これからの課題と展望

    SECTION 3●斜角筋間アプローチ
    1．総説
    2．効果範囲
    3．適応
    4．合併症
    5．体位
    6．体表のランドマーク
    7．穿刺時の写真
    8．超音波解剖
    9．描出のポイント
    10．穿刺のポイント
    11．薬液投与のポイント
    12．カテーテル挿入のポイント
    13．特に把握しておくべき合併症
    14．文献考察

    SECTION 4●上神経幹ブロック
    1．総説
    2．効果範囲
    3．適応
    4．合併症
    5．体位
    6．体表のランドマーク
    7．穿刺時の写真
    8．超音波解剖
    9．描出のポイント
    10．穿刺のポイント
    11．薬液投与のポイント
    12．カテーテル挿入のポイント
    13．文献考察

    SECTION 5●鎖骨上アプローチ
    1．総説
    2．効果範囲
    3．適応
    4．合併症
    5．体位
    6．体表のランドマーク
    7．穿刺時の写真
    8．超音波解剖
    9．描出のポイント
    10．穿刺のポイント
    11．薬液投与のポイント
    12．カテーテル挿入のポイント
    13．文献考察

    SECTION 6●肩甲上神経ブロック
    1．総説
    2．効果範囲
    3．適応
    4．合併症
    5．体位
    【前方アプローチ】
    6．体表のランドマーク
    7．穿刺時の写真
    8．超音波解剖
    【上方アプローチ】
    9．体表のランドマーク
    10．穿刺時の写真
    11．超音波画像
    12．描出のポイント
    13．穿刺のポイント
    14．薬液投与のポイント
    15．カテーテル挿入のポイント
    16．文献考察

    SECTION 7●鎖骨下アプローチ
    1．総説
    2．効果範囲
    3．適応
    4．合併症
    5．体位
    6．体表のランドマーク
    【近位アプローチ】
    7．穿刺時の写真
    8．超音波解剖
    【遠位アプローチ】
    9．穿刺時の写真
    10．超音波画像
    11．描出のポイント
    12．穿刺のポイント
    13．薬液投与のポイント
    14．カテーテル挿入のポイント
    15．文献考察

    SECTION 8●腋窩アプローチ
    1．総説
    2．適応
    3．合併症
    4．体位
    5．体表のランドマーク
    6．穿刺時の写真
    7．超音波解剖
    8．描出のポイント
    9．穿刺のポイント
    10．薬液投与のポイント
    11．文献考察

    SECTION 9●末梢でのアプローチ
    1．総説
    2．適応
    3．合併症
    4．体位
    5．描出のポイント
    6．穿刺のポイント
    7．薬液投与のポイント
    【正中神経】
    8．解剖とブロックのポイント
    9．穿刺時の写真
    10．超音波解剖
    【尺骨神経】
    11．解剖とブロックのポイント
    12．穿刺時の写真
    13．超音波解剖
    【橈骨神経】
    14．解剖とブロックのポイント
    15．穿刺時の写真
    16．超音波解剖
    17．文献考察

    CHAPTER 2　上肢手術 術式の解説

    SECTION 1●鎖骨骨折
    1．疾患情報
    2．手術適応
    3．手術法
    4．体位
    5．骨折・手術による合併症
    6．術後痛の程度
    7．必要となる麻酔

    SECTION 2●上腕骨骨折
    【上腕骨近位部骨折】
    1．概要
    2．手術適応
    3．手術法
    4．体位
    5．骨折・手術による合併症
    【上腕骨骨幹部骨折】
    6．概要
    7．手術適応
    8．手術法
    9．体位
    10．骨折・手術による合併症
    【上腕骨遠位部骨折】
    11．概要
    12．手術適応
    13．手術法
    14．体位
    15．骨折・手術による合併症
    16．術後痛の程度
    17．必要となる麻酔

    SECTION 3●橈骨遠位端骨折
    1．疾患情報
    2．術前の確認事項
    3．手術適応
    4．手術アプローチ
    5．手術体位
    6．骨折・手術による合併症
    7．術後痛の程度
    8．必要となる麻酔

    CHAPTER 3　Clinical Questionsに応える

    SECTION 1●ターニケット関連痛と腕神経叢ブロック
    CQ1-1　ターニケットに起因する痛みについて詳しく知りたい
    CQ1-2　腕神経叢ブロックだけでターニケットペインを抑えられるのか知りたい
    CQ1-3　上腕内側の皮膚知覚とターニケットの関連について知りたい
    CQ1-4　より中枢に近い部位でブロックしたほうが有利なのか知りたい

    SECTION 2●合併症〈新田麻子〉
    CQ2-1　局所麻酔薬中毒について，その症状や治療法を知りたい
    CQ2-2　抗血栓薬が投与されている患者へのブロックの適応は？
    CQ2-3　術後神経障害の現状や，予防策・発生時の対策を知りたい

    SECTION 3●神経刺激器の使い方
    CQ3　神経刺激器は付加価値をもたらすか

    SECTION 4●小児のブロック
    CQ4　小児でもブロックをやっていいのか知りたい

    SECTION 5●外傷患者への腕神経叢ブロック
    CQ5-1　外傷患者に腕神経叢ブロックをやってよいのか知りたい
    CQ5-2　呼吸機能低下をきたした外傷患者の腕神経叢ブロックについて知りたい
    CQ5-3　外傷患者に併存する神経障害について知りたい
    CQ5-4 （外傷に伴う）ニューロパチーを有する患者の腕神経叢ブロックについて知りたい
    CQ5-5 （外傷に伴う）感染性疾患を有する患者への腕神経叢ブロックについて知りたい
    CQ5-6 （外傷に伴う）コンパートメント症候群を有する患者への腕神経叢ブロックについて知りたい
    CQ5-7v（外傷に伴って）機能がすでに廃絶してしまった場合の腕神経叢ブロックについて知りたい

    SECTION 6●腕神経叢ブロック単独（覚醒下・鎮静下）の上肢手術
    CQ6-1　腕神経叢ブロックだけで手術はできるのか知りたい
    CQ6-2　鎮静下手術における適切な鎮静の基準について知りたい
    CQ6-3　覚醒下・軽度鎮静下で肩の手術はできるのか知りたい
    CQ6-4 （軽度）鎮静下に腕神経叢ブロック主体で手術を行う場合の注意点を知りたい
    CQ6-5　運動機能を温存する上肢区域麻酔の技法について知りたい

    SECTION 7●リバウンドペイン
    CQ7　リバウンドペインとはなにか？　いつ，どのように対処すべきか？

    SECTION 8●両側上肢手術に対する神経ブロック
    CQ8　両側上肢手術に対する神経ブロックの際の問題点や対応法について知りたい

    SECTION 9●各アプローチ 使い分けポイント
    CQ9　腕神経叢ブロック各アプローチを使い分けたい

    SECTION 10●運動機能を温存するポイント
    CQ10　術後（または術中）の上肢機能を温存するためのブロック方法はありますか？

    CHAPTER 4　Cadaverで確認する

    SECTION 1●腕神経叢のマクロ解剖とミクロ解剖
    1．腕神経叢各アプローチの薬液は，どのくらい広がるの？
    2.「ミクロ解剖」という視点

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。

CHAPTER1 解剖, 歴史, 腕神経叢ブロック 各アプローチ解説

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4) 臼井要介, 鈴木重哉. monitored hand surgery (MHS). In : 森本康裕, 編. レベルアップ超音波ガイド下末梢神経ブロック. 東京 : メディカル・サイエンス・インターナショナル社 ; 2021. p.85-91.
 

CHAPTER2 上肢手術 術式の解説

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10) Gerbershagen HJ, Aduckathil S, van Wijck AJ, et al. Pain intensity on the first day after surgery : a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013 ; 118 : 934-44.
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CHAPTER3 Clinical Questionsに応える

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CHAPTER4 Cadaverで確認する

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