麻酔科プラクティス　6　Challenge 緊急手術の麻酔

出版社： 文光堂
著者：
発行日： 2021-11-01
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784830628528
電子書籍版： 2021-11-01 （第1版第1刷）
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シリーズ第6巻は，緊急手術の麻酔に向き合う1冊．急に手術が決まった――時間がない，患者の状態が悪い，夜間や休日に頼れるスタッフがいない．逆境の中で迎える緊急手術．麻酔科医にとってはストレスもリスクも高まる．そのような中，本書が強い味方となる．「緊急度が高い（主に当日～翌朝の手術）」「患者の全身状態が悪い」「特殊な考慮を要する」など，Challengingな状況に対応．計57のシチュエーションに対し，「麻酔管理」「術前・術後管理」「トラブル対処」のポイントを整理．

目次

  • I　総　論
    　1　術前評価とインフォームドコンセント
    　［K&P］宗教的輸血拒否患者の緊急手術
    　2　迅速導入
    　3　抗血栓療法患者
    　4　血液透析患者
    　5　大量出血
    　6　トラブル発生時の対応
    　［T］緊急手術におけるノンテクニカルスキル
    　［K&P］緊急手術の麻酔に関する判例
    　［OPA］緊急手術で役立つPOCUS

    II　頭　部
    　1　脳出血
    　2　破裂脳動脈瘤

    III　頚　部
    　1　扁桃摘出術後出血
    　2　甲状腺摘出後出血
    　3　急性喉頭蓋炎・喉頭浮腫・深頚部膿瘍
    　4　気道異物

    IV　心臓大血管
    　1　胸部大動脈解離
    　2　腹部大動脈瘤破裂
    　3　冠動脈バイパス術

    V　消化器
    　1　急性腹症

    VI　四　肢
    　1　下肢急性動脈閉塞
    　2　足趾壊疽に対するamputation

    VII　筋組織
    　1　壊死性筋膜炎

    VIII　母　体
    　1　妊娠中の急性虫垂炎・胆嚢炎・卵巣茎捻転
    　2　緊急帝王切開
    　［T］死戦期帝王切開
    　3　産後出血

    IX　小　児
    　1　小児外科
    　　1）食道閉鎖
    　　2）先天性横隔膜ヘルニア
    　　3）十二指腸閉鎖・小腸閉鎖
    　　4）壊死性腸炎
    　　5）腹壁破裂・臍帯ヘルニア
    　2　心臓血管外科
    　　1）完全大血管転位
    　　2）総肺静脈還流異常
    　　3）左心低形成症候群（両側肺動脈絞扼術）
    　　4）動脈管開存（PDA）
    　　5）ファロー四徴症（BTシャント術）

    X　外　傷
    　1　多発外傷
    　［OPA］腹部コンパートメント症候群
    　［OPA］ダメージコントロール戦略
    　2　頭部外傷
    　3　脊髄損傷
    　4　大腿骨頚部・転子部骨折

    XI　臓器移植
    　1　脳死患者の臓器摘出
    　2　心臓移植・心肺同時移植
    　3　肺移植
    　4　肝移植
    　5　腎臓移植・膵臓移植


    ［T］＝Topics
    ［B］＝Basic
    ［K&P］＝Knack & Pitfalls
    ［OPA］＝One Point Advice

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。

I 総論

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II 頭部

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III 頚部

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IV 心臓大血管

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V 消化器

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VI 四肢

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30) Ryan SD, et al : Partnering with palliative care : A case report of severe pain in critical limb ischemia treated successfully with a continuous popliteal nerve catheter. Case Rep Anesthesiol 6 : 1054561, 2020
 
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32) Chen L, et al : Ultrasound-guided fascia iliaca compartment block combined with general anesthesia for amputation in an acute myocardial infarction patient after percutaneous coronary intervention : A case report. World J Clin Cases 7 : 2567-2572, 2019
 
33) Jan U, et al : 28 day post-operative persisted hypercoagulability after surgery for benign diseases : a prospective cohort study. BMC Surgery 16 : 16, 2016
 
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35) 森秀暁ほか : 急性下肢動脈閉塞の術後急性期のMNMSの予防としてCHDFが有効であった1例. 日血外会誌 6 : 657-661, 1997
 
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VII 筋組織

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VIII 母体

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IX 小児

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X 外傷

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XI 臓器移植

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