産科麻酔ポケットマニュアル 改訂版

出版社: 羊土社
著者:
発行日: 2024-08-01
分野: 臨床医学:外科  >  麻酔科学/ペイン
ISBN: 9784758111256
電子書籍版: 2024-08-01 (第2版第1刷)
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商品紹介

産科麻酔に携わる全ての医師にお勧めの入門・実践書が10年ぶりに改訂.帝王切開や無痛分娩を行ううえで押さえておきたい基本の手技や、術前~術後までの産科管理、麻酔管理のポイントをわかりやすく解説!

目次

  • 第1章 帝王切開の麻酔管理
    §1 帝王切開の術前管理
     1.術前管理の概要
     2.緊急度の評価
     3.手術適応の確認
     4.術前評価
     5.麻酔方法の選択
     6.麻酔に関する説明と同意
     7.術前指示
    §2 帝王切開の術中管理
     1.術中管理の概要
     2.モニター装着
     3.Sign in(手術室入室時)
     4.静脈路確保
     5.抗菌薬投与
     6.母体への酸素投与
     7.低血圧の予防と対策
     8.Time out(手術開始時)
     9.児娩出前の緊急子宮弛緩
     10.児娩出後の子宮収縮薬投与
     11.児娩出後の止血確認
     12.児娩出後の母体の管理
     13.Sign out(手術終了時)
    §3 帝王切開の術後管理
     1.術後管理の概要
     2.術後疼痛対策
     3.術後悪心嘔吐(PONV)の予防と対策
     4.硬膜穿刺後頭痛(PDPH)の予防と対策
     5.術後指示の例
    §4 Single shot spinal(SSS)による帝王切開
     1.SSSによる帝王切開の概要
     2.穿刺手技(側臥位)
     3.穿刺手技(坐位)
     4.くも膜下腔に投与する薬剤の量
     5.麻酔効果の確認(レベルチェック)
     6.Rapid sequence spinal(RSS)による帝王切開
    §5 硬膜外麻酔による帝王切開
     1.硬膜外麻酔による帝王切開の概要
     2.穿刺手技
     3.麻酔管理
    §6 CSEAによる帝王切開
     1.CSEAによる帝王切開の概要
     2.穿刺手技
     3.麻酔管理
    §7 全身麻酔による帝王切開
     1.全身麻酔による帝王切開の概要
     2.準備
     3.導入
     4.維持
     5.覚醒

    第2章 妊婦の病態に応じた麻酔管理
    §1 合併症のある妊婦の麻酔管理
     1.妊娠高血圧症候群(HDP)
     2.HELLP症候群
     3.子癇
     4.妊娠糖尿病(GDM)
     5.肥満
     6.静脈血栓塞栓症(VTE)
    §2 異常分娩の麻酔管理
     1.流産・死産
     2.早産
     3.多胎妊娠
     4.胎位異常
     5.TOLAC
     6.器械分娩と子宮底圧迫法
     7.胎児機能不全(NRFS)
     8.胎児心拍数図(CTG)の読み方
     9.高度一過性徐脈
     10.臍帯脱出
     11.肩甲難産
     12.前置胎盤
     13.癒着胎盤
     14.胎盤遺残
     15.子宮内反症
     16.子宮破裂
     17.常位胎盤早期剥離
     18.羊水塞栓症
    §3 産褥出血の麻酔管理
     1.産褥出血の概要
     2.産褥出血の予防策
     3.産褥出血の診断および初期治療
     4.産科危機的出血宣言後の治療の流れ
     5.産科DICの治療
     6.産褥出血に対する輸血療法
     7.産科危機的出血に対する止血方法
     8.産褥出血に対する画像下治療(IVR)
    §4 母体救命
     1.妊産婦死亡を防ぐために
     2.産科ショック(母体急変)
     3.妊産婦の蘇生
     4.気道確保困難への対応
     5.誤嚥性肺炎への対応
     6.高位脊髄くも膜下麻酔への対応
     7.局所麻酔薬中毒への対応
     8.肺血栓塞栓症(PTE)への対応
     9.アナフィラキシーへの対応

    第3章 無痛分娩
    §1 無痛分娩の基礎
     1.痛みの生理
     2.分娩の生理
     3.分娩時痛の生理
     4.無痛分娩の方法
    §2 無痛分娩の実践
     1.脊髄幹麻酔による無痛分娩の概要
     2.硬膜外麻酔による無痛分娩(自然陣痛発来後の場合)
     3.硬膜外麻酔による無痛分娩(誘発分娩の場合)
     4.CSEAによる無痛分娩
     5.DPEによる無痛分娩
     6.突出痛への対応

    第4章 その他の麻酔
     1.妊婦の生理学的変化と麻酔への影響
     2.生殖補助医療(ART)の麻酔
     3.妊娠中の手術の麻酔
     4.EXIT(ex-utero intrapartum treatment)の麻酔

    ◆ 付録:産科麻酔で使う薬剤一覧表

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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1章 帝王切開の麻酔管理

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P.77 掲載の参考文献
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3) Liu XY, et al:Unidirectional cross-activation of GRPR by MOR1D uncouples itch and analgesia induced by opioids. Cell, 147:447-458, 2011 (PMID:22000021)
4) Horta ML, et al:Study of the prophylactic effect of droperidol, alizapride, propofol and promethazine on spinal morphine-induced pruritus. Br J Anaesth, 96:796-800, 2006 (PMID:16597655)
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3) Obara H, et al:Aqueous olanexidine versus aqueous povidone-iodine for surgical skin antisepsis on the incidence of surgical site infections after clean-contaminated surgery:a multicentre, prospective, blinded-endpoint, randomised controlled trial. Lancet Infect Dis, 20:1281-1289, 2020 (PMID:32553191)
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8) Hirabayashi Y, et al:Acid-base state of cerebrospinal fluid during pregnancy and its effect on spread of spinal anaesthesia. Br J Anaesth, 77:352-355, 1996 (PMID:8949809)
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13) Sia AT, et al:A118G single nucleotide polymorphism of human mu-opioid receptor gene influences pain perception and patient-controlled intravenous morphine consumption after intrathecal morphine for postcesarean analgesia. Anesthesiology, 109:520-526, 2008 (PMID:18719451)
14) Sultan P, et al:The Effect of Intrathecal Morphine Dose on Outcomes After Elective Cesarean Delivery:A Meta-Analysis. Anesth Analg, 123:154-164, 2016 (PMID:27089000)
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1) Vadhanan P, et al:Physiological and pharmacologic aspects of peripheral nerve blocks. J Anaesthesiol Clin Pharmacol, 31:384-393, 2015 (PMID:26330722)
2) 角倉弘行:麻酔法. 「OGS NOW3 帝王切開術-基本と応用まるごとマスター」(竹田省/編), pp.18-27, メジカルビュー社, 2010
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1) Kinsella SM, et al:Rapid sequence spinal anaesthesia for category-1 urgency caesarean section:a case series. Anaesthesia, 65:664-669, 2010 (PMID:20642523)
2) Kinsella SM, et al:Category-1 caesarean section:a survey of anaesthetic and peri-operative management in the UK. Anaesthesia, 65:362-368, 2010 (PMID:20402875)
3) Menon R:Rapid sequence spinal anaesthesia:a trainee's viewpoint. Anaesthesia, 65:1143-4;author reply 1144, 2010 (PMID:20946396)
4) East L:Rapid sequence spinal anaesthesia:another perspective. Anaesthesia, 66:226, 2011 (PMID:21320099)
5) Wagh HD:Rapid sequence spinal must be the new norm for an emergency LSCS in this Covid pandemic. Reg Anesth Pain Med, 46:191-192, 2021 (PMID:32487702)
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1) Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques:An Updated Report by the American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques and the American Society of Regional Anesthesia and Pain Medicine. Anesthesiology, 126:585-601, 2017 (PMID:28114178)
2) Siddiqui NT, et al:The effect of gowning on labor epidural catheter colonization rate:a randomized controlled trial. Reg Anesth Pain Med, 39:520-524, 2014 (PMID:25304478)
3) Ng K, et al:Spinal versus epidural anaesthesia for caesarean section. Cochrane Database Syst Rev, 2004:CD003765, 2004 (PMID:15106218)
4) Angle PJ, et al:Dural tissue trauma and cerebrospinal fluid leak after epidural needle puncture:effect of needle design, angle, and bevel orientation. Anesthesiology, 99:1376-1382, 2003 (PMID:14639152)
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A) Murata Y, et al:An optimal epidural catheter placement site for post-cesarean section analgesia with double-space technique combined spinal-epidural anesthesia:a retrospective study. JA Clin Rep, 7:3, 2021 (PMID:33398592)
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1) Lam DT, et al:Extension of epidural blockade in labour for emergency Caesarean section using 2% lidocaine with epinephrine and fentanyl, with or without alkalinisation. Anaesthesia, 56:790-794, 2001 (PMID:11493247)
2) Peterfreund RA, et al:pH adjustment of local anesthetic solutions with sodium bicarbonate:laboratory evaluation of alkalinization and precipitation. Reg Anesth, 14:265-270, 1989 (PMID:2562097)
3) Milner QJ, et al:Alkalinization of amide local anaesthetics by addition of 1% sodium bicarbonate solution. Eur J Anaesthesiol, 17:38-42, 2000 (PMID:10758442)
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1) Roofthooft E, et al:Current status of the combined spinal-epidural technique in obstetrics and surgery. Best Pract Res Clin Anaesthesiol, 37:189-198, 2023 (PMID:37321766)
2) Simmons SW, et al:Combined spinal-epidural versus spinal anaesthesia for caesarean section. Cochrane Database Syst Rev, 10:CD008100, 2019 (PMID:31600820)
3) Brownridge P:Epidural and subarachnoid analgesia for elective caesarean section. Anaesthesia, 36:70, 1981 (PMID:7468971)
4) Guasch E, et al:COVID in obstetrics:labor analgesia and cesarean section. Curr Opin Anaesthesiol, 34:62-68, 2021 (PMID:33315638)
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1) Murata Y, et al:An optimal epidural catheter placement site for post-cesarean section analgesia with double-space technique combined spinal-epidural anesthesia:a retrospective study. JA Clin Rep, 7:3, 2021 (PMID:33398592)
2) Zorrilla-Vaca A, et al:Finer gauge of cutting but not pencil-point needles correlate with lower incidence of post-dural puncture headache:a meta-regression analysis. J Anesth, 30:855-863, 2016 (PMID:27468735)
3) Pan PH, et al:Incidence and characteristics of failures in obstetric neuraxial analgesia and anesthesia:a retrospective analysis of 19,259 deliveries. Int J Obstet Anesth, 13:227-233, 2004 (PMID:15477051)
P.149 掲載の参考文献
1) Tyagi A, et al:Epidural volume extension:a review. Anaesth Intensive Care, 40:604-613, 2012 (PMID:22813487)
2) Tyagi A, et al:Clinical utility of epidural volume extension following reduced intrathecal doses:a randomized controlled trial. Braz J Anesthesiol, 71:31-37, 2021 (PMID:33712249)
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1) Hawkins JL, et al:Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology, 86:277-284, 1997 (PMID:9054245)
2) Hawkins JL, et al:Anesthesia-related maternal mortality in the United States:1979-2002. Obstet Gynecol, 117:69-74, 2011 (PMID:21173646)
3) Pandit JJ, et al:5th National Audit Project (NAP5) on accidental awareness during general anaesthesia:summary of main findings and risk factors. Br J Anaesth, 113:549-559, 2014 (PMID:25204697)
4) Palanisamy A, et al:General anesthesia for cesarean delivery at a tertiary care hospital from 2000 to 2005:a retrospective analysis and 10-year update. Int J Obstet Anesth, 20:10-16, 2011 (PMID:21036594)
5) Knox F:Rapid sequence spinal anaesthesia:are we being serious? Anaesthesia, 65:1144;author reply 1144-1144;author reply 1145, 2010 (PMID:20946398)
6) Sumikura H, et al:Rethinking general anesthesia for cesarean section. J Anesth, 30:268-273, 2016 (PMID:26585767)
7) NICE:Caesarean birth (Last updated:30 January 2024) https://www.nice.org.uk/guidance/ng192 (2024年5月閲覧)
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1) Kodali BS, et al:Airway changes during labor and delivery. Anesthesiology, 108:357-362, 2008 (PMID:18292672)
2) Bouvet L, et al:Pregnancy and Labor Epidural Effects on Gastric Emptying:A Prospective Comparative Study. Anesthesiology, 136:542-550, 2022 (PMID:35103759)
3) Sherwin M & Katz D:Using gastric ultrasound to assess gastric content in the pregnant patient. BJA Educ, 21:404-407, 2021 (PMID:34707884)
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1) McClelland SH, et al:Pre-oxygenation and apnoea in pregnancy:changes during labour and with obstetric morbidity in a computational simulation. Anaesthesia, 64:371-377, 2009 (PMID:19317700)
2) Tumukunde J, et al:Effects of propofol versus thiopental on Apgar scores in newborns and peri-operative outcomes of women undergoing emergency cesarean section:a randomized clinical trial. BMC Anesthesiol, 15:63, 2015 (PMID:25924776)
3) Magorian T, et al:Comparison of rocuronium, succinylcholine, and vecuronium for rapid-sequence induction of anesthesia in adult patients. Anesthesiology, 79:913-918, 1993 (PMID:7902034)
4) Kosinova M, et al:Rocuronium versus suxamethonium for rapid sequence induction of general anaesthesia for caesarean section:influence on neonatal outcomes. Int J Obstet Anesth, 32:4-10, 2017 (PMID:28606652)
5) Odor PM, et al:General anaesthetic and airway management practice for obstetric surgery in England:a prospective, multicentre observational study. Anaesthesia, 76:460-471, 2021 (PMID:32959372)
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A) Mushambi MC & Jaladi S:Airway management and training in obstetric anaesthesia. Curr Opin Anaesthesiol, 29:261-267, 2016 (PMID:26844863)
B) Mushambi MC, et al:Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia, 70:1286-1306, 2015 (PMID:26449292)
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2) Ngan Kee WD, et al:Maternal and neonatal effects of remifentanil at induction of general anesthesia for cesarean delivery:a randomized, double-blind, controlled trial. Anesthesiology, 104:14-20, 2006 (PMID:16394684)
3) Van de Velde M:The use of remifentanil during general anesthesia for caesarean section. Curr Opin Anaesthesiol, 29:257-260, 2016 (PMID:26963470)
4) Messina AG, et al:Anaesthetic interventions for prevention of awareness during surgery. Cochrane Database Syst Rev, 10:CD007272, 2016 (PMID:27755648)
5) Guay J, et al:Clinical pharmacokinetics of neuromuscular relaxants in pregnancy. Clin Pharmacokinet, 34:483, 1998 (PMID:9646009)

第2章 妊婦の病態に応じた麻酔管理

P.174 掲載の参考文献
1) 「妊娠高血圧症候群の診療指針2021 Best Practice Guide」(日本妊娠高血圧学会/編), メジカルビュー社, 2021
2) Seki H:Balance of antiangiogenic and angiogenic factors in the context of the etiology of preeclampsia. Acta Obstet Gynecol Scand, 93:959-964, 2014 (PMID:25139038)
3) Tranquilli AL, et al:The classification, diagnosis and management of the hypertensive disorders of pregnancy:A revised statement from the ISSHP. Pregnancy Hypertens, 4:97-104, 2014 (PMID:26104417)
4) CQ309-2:妊娠高血圧症候群と診断されたら?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.181-184, 2023
5) Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in Pregnancy. Obstet Gynecol, 122:1122-1131, 2013 (PMID:24150027)
6) Lee LO, et al:Risk of Epidural Hematoma after Neuraxial Techniques in Thrombocytopenic Parturients:A Report from the Multicenter Perioperative Outcomes Group. Anesthesiology, 126:1053-1063, 2017 (PMID:28383323)
7) ACOG Practice Bulletin No. 207:Thrombocytopenia in Pregnancy. Obstet Gynecol, 133:e181-e193, 2019 (PMID:30801473)
8) Aya AGM, et al:Spinal anesthesia-induced hypotension:a risk comparison between patients with severe preeclampsia and healthy women undergoing preterm cesarean delivery. Anesth Analg, 101:869-875, 2005 (PMID:16116006)
9) Henke VG, et al:Focused review:spinal anesthesia in severe preeclampsia. Anesth Analg, 117:686-693, 2013 (PMID:23868886)
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2) Sibai BM:Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Obstet Gynecol, 103:981-991, 2004 (PMID:15121574)
3) Sibai BM:The HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets):much ado about nothing? Am J Obstet Gynecol, 162:311-316, 1990 (PMID:2309811)
4) Sibai BM, et al:Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome). Am J Obstet Gynecol, 169:1000-1006, 1993 (PMID:8238109)
5) Martin JN Jr, et al:The spectrum of severe preeclampsia:comparative analysis by HELLP (hemolysis, elevated liver enzyme levels, and low platelet count) syndrome classification. Am J Obstet Gynecol, 180:1373-1384, 1999 (PMID:10368474)
6) Martin JN Jr, et al:Hellp syndrome and composite major maternal morbidity:importance of Mississippi classification system. J Matern Fetal Neonatal Med, 26:1201-1206, 2013 (PMID:23387811)
7) Audibert F, et al:Clinical utility of strict diagnostic criteria for the HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. Am J Obstet Gynecol, 175:460-464, 1996 (PMID:8765269)
8) CQ312:妊産褥婦にHELLP症候群・急性妊娠脂肪肝を疑ったら?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.196-198, 2023
9) 「妊娠高血圧症候群の診療指針2021 Best Practice Guide」(日本妊娠高血圧学会/編), メジカルビュー社, 2021
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1) CQ1:痙攣を認めた場合の対応は?「妊娠高血圧症候群の診療指針2021 Best Practice Guide」(日本妊娠高血圧学会/編), pp.97-99, メジカルビュー社, 2021
2) CQ309-3:妊産褥婦が子癇発作を起こしたときの対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.185-188, 2023
3) 解説15:子癇. 「妊娠高血圧症候群の診療指針2021 Best Practice Guide」(日本妊娠高血圧学会/編), pp.181-185, メジカルビュー社, 2021
4) Gestational Hypertension and Preeclampsia:ACOG Practice Bulletin, Number 222. Obstet Gynecol, 135:e237-e260, 2020 (PMID:32443079)
5) Fishel Bartal M & Sibai BM:Eclampsia in the 21st century. Am J Obstet Gynecol, 226:S1237-S1253, 2022 (PMID:32980358)
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1) 日本糖尿病・妊娠学会と日本糖尿病学会との合同委員会:妊娠中の糖代謝異常と診断基準の統一化について. 糖尿病と妊娠, 15:127-129, 2015
2) CQ005-2:妊娠糖尿病(GDM), 妊娠中の明らかな糖尿病, ならびに糖尿病(DM)合併妊婦の管理・分娩は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.23-27, 2023
3) NICE:Diabetes in pregnancy:management from preconception to the postnatal period (Last updated:16 December 2020) https://www.nice.org.uk/guidance/ng3 (2024年5月閲覧)
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3) Denison FC, et al:Care of Women with Obesity in Pregnancy:Green-top Guideline No. 72. BJOG, 126:e62-e106, 2019 (PMID:30465332)
4) Patel SD & Habib AS:Anaesthesia for the parturient with obesity. BJA Educ, 21:180-186, 2021 (PMID:33927890)
5) Obesity in Pregnancy:ACOG Practice Bulletin, Number 230. Obstet Gynecol, 137:e128-e144, 2021 (PMID:34011890)
6) Peralta F, et al:The Relationship of Body Mass Index with the Incidence of Postdural Puncture Headache in Parturients. Anesth Analg, 121:451-456, 2015 (PMID:25993388)
7) Nightingale CE, et al:Peri-operative management of the obese surgical patient 2015:Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia, 70:859-876, 2015 (PMID:25950621)
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2) Sultan AA, et al:Development and validation of risk prediction model for venous thromboembolism in postpartum women:multinational cohort study. BMJ, 355:i6253, 2016 (PMID:27919934)
3) Sugiura-Ogasawara M, et al:Endometriosis and Recurrent Pregnancy Loss as New Risk Factors for Venous Thromboembolism during Pregnancy and Post-Partum:The JECS Birth Cohort. Thromb Haemost, 119:606-617, 2019 (PMID:30722077)
4) CQ004-1:妊娠中の静脈血栓塞栓症(VTE)の予防は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.8-12, 2023
5) NICE:Venous thromboembolism in over 16s:reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (Last updated:13 August 2019) https://www.nice.org.uk/guidance/ng89 (2024年5月閲覧)
6) Bates SM, et al:VTE, thrombophilia, antithrombotic therapy, and pregnancy:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest, 141:e691S-e736S, 2012 (PMID:22315276)
7) CQ004-2:分娩後の静脈血栓塞栓症(VTE)の予防は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.13-17, 2023
8) RCOG:Reducing the Risk of Thrombosis and Embolism during Pregnancy and the Puerperium (Green-top Guideline No. 37a)(April 2015) https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/reducing-the-risk-of-thrombosis-and-embolism-during-pregnancy-and-the-puerperium-green-top-guideline-no-37a/ (2024年5月閲覧)
9) Leffert L, et al:The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants. Anesth Analg, 126:928-944, 2018 (PMID:29099429)
P.204 掲載の参考文献
1) CQ202:妊娠12週未満の流産診断時の注意点は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.115-118, 2023
2) [Clinical practice handbook for quality abortion care] (World Health Organization), 2014 (PMID:24624482)
3) REID DE, et al:Maternal afibrinogenemia associated with longstanding intrauterine fetal death. Am J Obstet Gynecol, 66:500-506, 1953 (PMID:13080344)
4) Matsumine R & Sumikura H:Analgesic treatment of vaginal delivery for late termination and intrauterine fetal demise during the second or third trimester of pregnancy. J Anesth, 27:320-321, 2013 (PMID:23179738)
P.209 掲載の参考文献
1) CQ302:切迫早産の診断と管理の注意点は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.146-150, 2023
2) Dodd JM, et al:Oral betamimetics for maintenance therapy after threatened preterm labour. Cochrane Database Syst Rev, 12:CD003927, 2012 (PMID:23235600)
3) Wood SL & Owen J:Cerclage:Shirodkar, McDonald, and Modifications. Clin Obstet Gynecol, 59:302-310, 2016 (PMID:26974218)
4) Neilson JP, et al:Betamimetics for inhibiting preterm labour. Cochrane Database Syst Rev, 2014:CD004352, 2014 (PMID:24500892)
P.213 掲載の参考文献
1) NICE:Twin and Triplet Pregnancy https://www.nice.org.uk/guidance/ng192 (2024年5月閲覧)
2) CQ701:双胎の膜性診断の時期と方法は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.345-348, 2023
3) CQ702:一絨毛膜双胎の取り扱いは?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.349-351, 2023
4) Practice Bulletin No. 169:Multifetal Gestations:Twin, Triplet, and Higher-Order Multifetal Pregnancies. Obstet Gynecol, 128:e131-e146, 2016 (PMID:27661652)
5) CQ705:双胎診断後の基本的な管理・分娩の方法は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.357-359, 2023
6) Carvalho B, et al:Vaginal twin delivery:a survey and review of location, anesthesia coverage and interventions. Int J Obstet Anesth, 17:212-216, 2008 (PMID:17881218)
7) Vaajala M, et al:The association between epidural labor analgesia and the fetal outcome and mode of delivery of the second twin:a nationwide register-based cohort study in Finland. Int J Obstet Anesth, 56:103924, 2023 (PMID:37657128)
P.218 掲載の参考文献
1) Hannah ME, et al:Planned caesarean section versus planned vaginal birth for breech presentation at term:a randomised multicentre trial. Term Breech Trial Collaborative Group. Lancet, 356:1375-1383, 2000 (PMID:11052579)
2) External Cephalic Version:ACOG Practice Bulletin, Number 221. Obstet Gynecol, 135:e203-e212, 2020 (PMID:32332415)
3) Lucovnik M, et al:Intrapartum Cesarean Section and Perinatal Outcomes after Epidural Analgesia or Remifentanil-PCA in Breech and Twin Deliveries. Medicina (Kaunas), 59:1026, 2023 (PMID:37374230)
4) Weiniger CF & Rabkin V:Neuraxial block and success of external cephalic version. BJA Educ, 20:296-297, 2020 (PMID:33456963)
5) CQ402:単胎骨盤位の取り扱いは?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.202-204, 2023
6) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
P.221 掲載の参考文献
1) Guise JM, et al:Vaginal birth after cesarean:new insights on maternal and neonatal outcomes. Obstet Gynecol, 115:1267-1278, 2010 (PMID:20502300)
2) ACOG Practice Bulletin No. 205:Vaginal Birth After Cesarean Delivery. Obstet Gynecol, 133:e110-e127, 2019 (PMID:30681543)
3) Grisaru-Granovsky S, et al:Epidural analgesia at trial of labor after cesarean (TOLAC):a significant adjunct to successful vaginal birth after cesarean (VBAC). J Perinat Med, 46:261-269, 2018 (PMID:28622143)
4) CQ403:帝王切開既往妊婦が経腟分娩(trial of labor after cesarean delivery:TOLAC)を希望した場合は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.205-207, 2023
P.225 掲載の参考文献
1) Operative Vaginal Birth:ACOG Practice Bulletin, Number 219. Obstet Gynecol, 135:e149-e159, 2020 (PMID:32217976)
2) CQ406:吸引・鉗子娩出術, 子宮底圧迫法の適応と要約, および実施時の注意点は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.213-218, 2023
3) Caughey AB, et al:Safe prevention of the primary cesarean delivery. Am J Obstet Gynecol, 210:179-193, 2014 (PMID:24565430)
4) Zipori Y, et al:The impact of extending the second stage of labor to prevent primary cesarean delivery on maternal and neonatal outcomes. Am J Obstet Gynecol, 220:191.e1-191.e7, 2019 (PMID:30616966)
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1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) 岡井崇, 他:委員会提案-胎児心拍数波形の分類に基づく分娩時胎児管理の指針(2010年版)-. 日産婦会誌, 62:2068-2073, 2010
3) CQ411:胎児心拍数陣痛図の評価法とその対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.233-237, 2023
4) Electronic fetal heart rate monitoring:research guidelines for interpretation. National Institute of Child Health and Human Development Research Planning Workshop. Am J Obstet Gynecol, 177:1385-1390, 1997 (PMID:9423739)
P.234 掲載の参考文献
1) 岡井崇:胎児心拍数モニタリング (C. 産婦人科検査法, 研修コーナー). 日産婦誌, 59:202-215, 2007
2) 松岡隆:胎児健常性 CTGの定義. 周産期医学, 53:1225-1227, 2023
P.237 掲載の参考文献
1) 岡井崇:胎児心拍数モニタリング (C. 産婦人科検査法, 研修コーナー). 日産婦誌, 59:202-215, 2007
2) CQ408:分娩経過中に正常胎児心拍数波形から突然高度徐脈(あるいは遷延一過性徐脈)を認めた場合の対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.222-224, 2023
P.241 掲載の参考文献
1) Ginosar Y, et al:Emergency Cesarean delivery for umbilical cord prolapse:the head-down, knee-chest prone position for spinal anesthesia. Can J Anaesth, 55:612-615, 2008 (PMID:18840591)
2) CQ412-2:分娩誘発を目的とした頸管熟化・拡張法の注意点は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.240-243, 2023
3) Wong L, et al:Umbilical cord prolapse:revisiting its definition and management. Am J Obstet Gynecol, 225:357-366, 2021 (PMID:34181893)
4) Leung TY, et al:Urgent cesarean delivery for fetal bradycardia. Obstet Gynecol, 114:1023-1028, 2009 (PMID:20168102)
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1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Practice Bulletin No 178:Shoulder Dystocia. Obstet Gynecol, 129:e123-e133, 2017 (PMID:28426618)
3) Beall MH, et al:Objective definition of shoulder dystocia:a prospective evaluation. Am J Obstet Gynecol, 179:934-937, 1998 (PMID:9790373)
4) Ragusa A, et al:Shoulder Dystocia:Overview and Management Strategies. [Intrapartum Ultrasonography for Labor Management-Labor, Delivery & Puerperium] (Malvasi A, ed), pp.469-488, springer, 2021
5) CQ310:巨大児(出生体重4,000g以上)が疑われる妊婦への対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.189-192, 2023
P.248 掲載の参考文献
1) Fan D, et al:Anesthetic management in cesarean delivery of women with placenta previa:a retrospective cohort study. BMC Anesthesiol, 21:247, 2021 (PMID:34666687)
2) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
3) Silver RM:Abnormal Placentation:Placenta Previa, Vasa Previa, and Placenta Accreta. Obstet Gynecol, 126:654-668, 2015 (PMID:26244528)
4) Klar M & Michels KB:Cesarean section and placental disorders in subsequent pregnancies--a meta-analysis. J Perinat Med, 42:571-583, 2014 (PMID:24566357)
5) CQ304:前置胎盤の診断・管理は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.156-159, 2023
P.253 掲載の参考文献
1) 「産科婦人科用語集・用語解説集改訂第4版」(日本産科婦人科学会/編), 2018
2) Silver RM:Abnormal Placentation:Placenta Previa, Vasa Previa, and Placenta Accreta. Obstet Gynecol, 126:654-668, 2015 (PMID:26244528)
3) Grobman WA, et al:Pregnancy outcomes for women with placenta previa in relation to the number of prior cesarean deliveries. Obstet Gynecol, 110:1249-1255, 2007 (PMID:18055717)
4) Einerson BD & Weiniger CF:Placenta accreta spectrum disorder:updates on anesthetic and surgical management strategies. Int J Obstet Anesth, 46:102975, 2021 (PMID:33784573)
5) CQ304:前置胎盤の診断・管理は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.156-159, 2023
6) Cahill AG, et al:Placenta Accreta Spectrum. Am J Obstet Gynecol, 219:B2-B16, 2018 (PMID:30471891)
7) Kingdom JC, et al:Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta:the state of play in 2020. Am J Obstet Gynecol, 223:322-329, 2020 (PMID:32007492)
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1) Chawla S & Sharma R:Retained Products of Conception (RPOC):Diagnosis, Complication & Management. J Obstet Gynaecol India, 73:374-380, 2023 (PMID:37916054)
2) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
3) Ota H, et al:Successful treatment of uterine artery pseudoaneurysm with laparoscopic temporary clamping of bilateral uterine arteries, followed by hysteroscopic surgery. J Obstet Gynaecol Res, 43:1356-1359, 2017 (PMID:28561908)
4) Perlman NC & Carusi DA:Retained placenta after vaginal delivery:risk factors and management. Int J Womens Health, 11:527-534, 2019 (PMID:31632157)
5) Kumar N, et al:Umbilical vein injection for management of retained placenta. Cochrane Database Syst Rev, 3:CD001337, 2021 (PMID:33705565)
6) Namazi G, et al:Minimally invasive management of retained products of conception and the adherent placenta. Curr Opin Obstet Gynecol, 33:311-316, 2021 (PMID:34148976)
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1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Coad SL, et al:Risks and consequences of puerperal uterine inversion in the United States, 2004 through 2013. Am J Obstet Gynecol, 217:377.e1-377.e6, 2017 (PMID:28522320)
3) Beringer RM & Patteril M:Puerperal uterine inversion and shock. Br J Anaesth, 92:439-441, 2004 (PMID:14970137)
4) 橋口幹夫:子宮内反症. 「周産期医学2021年51巻増刊号 周産期医学必修知識 第9版」(周産期医学編集委員会/編), pp.340-343, 東京医学社, 2021
P.264 掲載の参考文献
1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Vandenberghe G, et al:The International Network of Obstetric Survey Systems study of uterine rupture:a descriptive multi-country population-based study. BJOG, 126:370-381, 2019 (PMID:29727918)
3) Makino S, et al:National survey of uterine rupture in Japan:Annual report of Perinatology Committee, Japan Society of Obstetrics and Gynecology, 2018. J Obstet Gynaecol Res, 45:763-765, 2019 (PMID:30854725)
4) 牧野真太郎, 他:子宮破裂「周産期医学2021年51巻増刊号 周産期医学必修知識 第9版」(周産期医学編集委員会/編), pp.344-346, 東京医学社, 2021
5) 妊産婦死亡症例検討評価委員会, 日本産婦人科医会:母体安全への提言 (2021) https://www.jaog.or.jp/wp/wp-content/uploads/2022/06/botai_2021.pdf (2024年5月閲覧)
6) 妊産婦死亡症例検討評価委員会, 日本産婦人科医会:母体安全への提言 (2022) https://www.jaog.or.jp/wp/wp-content/uploads/2023/01/botai_2022.pdf (2024年5月閲覧)
P.268 掲載の参考文献
1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Ananth CV, et al:Severe placental abruption:clinical definition and associations with maternal complications. Am J Obstet Gynecol, 214:272.e1-272.e9, 2016 (PMID:26393335)
3) CQ308:常位胎盤早期剥離(早剥)の診断・管理は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.156-159, 2023
P.271 掲載の参考文献
1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Fitzpatrick KE, et al:Incidence, risk factors, management and outcomes of amniotic-fluid embolism:a population-based cohort and nested case-control study. BJOG, 123:100-109, 2016 (PMID:25683758)
3) Kanayama N & Tamura N:Amniotic fluid embolism:pathophysiology and new strategies for management. J Obstet Gynaecol Res, 40:1507-1517, 2014 (PMID:24888909)
4) Oda T, et al:Consumptive Coagulopathy Involving Amniotic Fluid Embolism:The Importance of Earlier Assessments for Interventions in Critical Care. Crit Care Med, 48:e1251-e1259, 2020 (PMID:33031152)
5) 須賀芳文, 角倉弘行:産科的塞栓症 周産期および妊産婦の塞栓症. 「LISA2021年別冊秋号 麻酔科医なら知っておきたい血栓症・塞栓症」(坪川恒久/編), pp.247-252, メディカル・サイエンス・インターナショナル, 2021
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1) 「産科婦人科用語集・用語解説集 改訂第4版」(日本産科婦人科学会/編), 2018
2) Menard MK, et al:Executive summary of the reVITALize initiative:standardizing obstetric data definitions. Obstet Gynecol, 124:150-153, 2014 (PMID:24901267)
3) Bienstock JL, et al:Postpartum Hemorrhage. N Engl J Med, 384:1635-1645, 2021 (PMID:33913640)
4) Say L, et al:Global causes of maternal death:a WHO systematic analysis. Lancet Glob Health, 2:e323-e333, 2014 (PMID:25103301)
5) Practice Bulletin No. 183 Summary:Postpartum Hemorrhage. Obstet Gynecol, 130:923-925, 2017 (PMID:28937566)
P.276 掲載の参考文献
1) CQ418-1:分娩後異常出血の予防ならびに対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.267-270, 2023
2) Begley CM, et al:Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev, 2:CD007412, 2019 (PMID:30754073)
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1) CQ418-1:分娩後異常出血の予防ならびに対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.267-270, 2023
2) 「産科危機的出血への対応指針2022」〔日本産科婦人科学会, 日本産婦人科医会, 日本周産期・新生児医学会, 日本麻酔科学会, 日本輸血・細胞治療学会, 日本IVR学会(五十音順)〕, 2022 https://www.jsog.or.jp/activity/pdf/shusanki_taioushishin2022.pdf (2024年4月閲覧)
P.288 掲載の参考文献
1) CQ418-2:産科危機的出血への対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.271-274, 2023
2) 「産科危機的出血への対応指針2022」〔日本産科婦人科学会, 日本産婦人科医会, 日本周産期・新生児医学会, 日本麻酔科学会, 日本輸血・細胞治療学会, 日本IVR学会(五十音順)/編〕, 2022 https://www.jsog.or.jp/activity/pdf/shusanki_taioushishin2022.pdf (2024年4月閲覧)
3) 「危機的出血への対応ガイドライン」(日本麻酔科学会, 日本輸血・細胞治療学会/編), 2007 https://anesth.or.jp/files/pdf/kikitekiGL2.pdf (2024年4月閲覧)
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3) 「産科危機的出血への対応指針2022」〔日本産科婦人科学会, 日本産婦人科医会, 日本周産期・新生児医学会, 日本麻酔科学会, 日本輸血・細胞治療学会, 日本IVR学会(五十音順)〕, 2022 https://www.jsog.or.jp/activity/pdf/shusanki_taioushishin2022.pdf (2024年4月閲覧)
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5) Vogel JP, et al:Updated WHO recommendation on intravenous tranexamic acid for the treatment of post-partum haemorrhage. Lancet Glob Health, 6:e18-e19, 2018 (PMID:29100880)
6) CQ418-1:分娩後異常出血の予防ならびに対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.267-270, 2023
7) CQ418-2:産科危機的出血への対応は?「産婦人科診療ガイドライン産科編2023」(日本産科婦人科学会, 日本産婦人科医会/編), pp.271-274, 2023
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5) Chen L, et al:Clinical evaluation of prophylactic abdominal aortic balloon occlusion in patients with placenta accreta:a systematic review and meta-analysis. BMC Pregnancy Childbirth, 19:30, 2019 (PMID:30646863)
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2) Isaacs RA, et al:A national survey of obstetric early warning systems in the United Kingdom:five years on. Anaesthesia, 69:687-692, 2014 (PMID:24801160)
3) 妊産婦死亡症例検討評価委員会, 日本産婦人科医会:母体安全への提言 2010 https://www.jaog.or.jp/wp/wp-content/uploads/2017/01/botai_2010.pdf (2024年5月閲覧)
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2) 妊産婦死亡症例検討評価委員会, 日本産婦人科医会:母体安全への提言 2022 https://www.jaog.or.jp/wp/wp-content/uploads/2023/01/botai_2022.pdf (2024年5月閲覧)
3) 妊産婦死亡症例検討評価委員会, 日本産婦人科医会:母体安全への提言 2017 https://www.jaog.or.jp/wp/wp-content/uploads/2018/09/botai_2017.pdf (2024年5月閲覧)
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2) 第5章 妊産婦の蘇生. 「JRC蘇生ガイドライン2020」(日本蘇生協議会/監), 医学書院, pp.266-277, 2020
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第3章 無痛分娩

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3) Sng BL, et al:Incidence and risk factors for epidural re-siting in parturients with breakthrough pain during labour epidural analgesia:a cohort study. Int J Obstet Anesth, 34:28-36, 2018 (PMID:29366538)

第4章 その他の麻酔

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A) Horvath B, et al:The Evolution, Current Value, and Future of the American Society of Anesthesiologists Physical Status Classification System. Anesthesiology, 135:904-919, 2021 (PMID:34491303)
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1) Committee Opinion No. 696:Nonobstetric Surgery During Pregnancy. Obstet Gynecol, 129:777-778, 2017 (PMID:28333816)
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3) Sato M, et al:Influence of maternal remifentanil concentration on fetal-to-maternal ratio in pregnant ewes. J Anesth, 31:517-522, 2017 (PMID:28275857)

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