心臓麻酔　臨床実践ガイド　第2版

出版社： 総合医学社
著者：
発行日： 2018-04-15
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784883786633
電子書籍版： 2018-04-15 （第2版第1刷）
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心臓外科手術の麻酔を周術期の流れに沿って９個の大項目に分類し、臨床現場で発せられるであろう、心臓外科手術の麻酔管理についての質問に、図表を交えつつ答える。心疾患患者の非心臓手術も取り上げる。

目次

  • I　術前評価と術前管理
    　Q1．術前診察と非侵襲的検査
    　Q2．心臓カテーテル検査：診断と治療手技
    　Q3．術前の心血管作動薬の管理
    　Q4．術前合併症の評価と術中管理

    II　モニタリング 　Q5．血行動態モニタリング
    　Q6．心臓血管麻酔における心電図・体温モニタリングの要点
    　Q7．経食道心エコー（TEE）【基本原理とアーチファクト】
    　Q8．経食道心エコー（TEE）【心機能評価】
    　Q9．経食道心エコー（TEE）【形態評価】
    　Q10．経食道心エコー（TEE）【先天性心疾患】
    　Q11．凝固能モニタリング
    　Q12．中枢神経のモニタリング (BIS，NIRS，MEP，SSEP)

    III　麻酔薬・薬剤
    　Q13．吸入麻酔薬
    　Q14．静脈麻酔薬
    　Q15．麻　薬
    　Q16．心臓麻酔中に使用する心血管作動薬

    IV　輸液・輸血・電解質
    　Q17．心臓手術における輸液・輸血・電解質管理

    V　心臓麻酔における臓器保護
    　Q18．心臓手術中の心筋保護
    　Q19．心臓・大動脈手術中の脳・脊髄保護
    　Q20．腎保護

    VI　人工心肺への対応と管理
    　Q21．人工心肺回路と技術
    　Q22．人工心肺の病態生理
    　Q23．人工心肺前・中・離脱時の麻酔管理

    VII　特定の心疾患に対する麻酔管理
    　Q24．オンポンプ冠動脈バイパス術の麻酔管理
    　Q25．オフポンプ冠動脈パイパス術の麻酔管理
    　Q26．大動脈弁手術の麻酔管理
    　Q27．僧帽弁手術の麻酔管理
    　Q28．急性大動脈解離手術の麻酔管理
    　Q29．胸部・胸腹部大動脈瘤手術の麻酔管理
    　Q30．先天性心疾患の麻酔管理
    　Q31．収縮性心膜炎手術の麻酔管理
    　Q32．心臓移植術の麻酔管理
    　Q33．経カテーテル大動脈弁留置術の麻酔管理
    　Q34．低侵襲心臓手術（MICS）の麻酔管理
    　Q35．ステントグラフト内挿術の麻酔管理
    　Q36．再開胸手術の麻酔管理

    VIII　補助循環とペーシング
    　Q37．大動脈内バルーンポンプ（IABP：intraaortic ballon pumping）
    　Q38．補助人工心臓（VAD）
    　Q39．心臓ペーシングと除細動
    　Q40．PCPS（percutaneous cardiopulmonary support：経皮的心肺補助装置）

    IX　術後管理
    　Q41．術後の呼吸管理
    　Q42．術後の血行動態管理
    　Q43．術後の神経学的障害と高次脳機能障害
    　Q44．鎮静（鎮痛と催眠）

    X　心疾患患者の非心臓手術
    　Q45．虚血性心疾患患者の非心臓手術の麻酔管理
    　Q46．弁膜症患者の非心臓手術の麻酔管理
    　Q47．心筋症患者の非心臓手術の麻酔管理
    　Q48．先天性心疾患患者の非心臓手術の麻酔管理

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

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[II] モニタリング

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8) Kakinohana M, Nakamura S, Fuchigami T et al:Influence of the descending thoracic aortic cross clamping on Bispectral Index value and plasma propofol concentration in humans. Anesthesiology 104:939-943, 2006
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[III] 麻酔薬・薬剤

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6) Chiari PC, Bienengraeber MW, Pagel PS et al:Isoflurane protects against myocardial infarction during early reperfusion by activation of phosphatidylinositol-3-kinase signaling transduction:evidence for anesthetic-induced postconditioning in rabbits. Anesthesiology 102:102-109, 2005
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13) 宮田裕史, 藤村泰三:プロポフォール, フェンタニル, ケタミンを用いたMIDCABの麻酔管理. 臨床麻酔 22:1568-1570, 1998
 
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[IV] 輸液・輸血・電解質

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[V] 心臓麻酔における臓器保護

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[VI] 人工心肺への対応と管理

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[VII] 特定の心疾患に対する麻酔管理

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[VIII] 補助循環とペーシング

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[IX] 術後管理

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