麻酔科医のための周術期の疼痛管理

出版社： 中山書店
著者：
発行日： 2014-02-10
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784521737102
シリーズ： 新戦略に基づく麻酔・周術期医学
電子書籍版： 2014-02-10 （初版第1刷）
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麻酔科医にとって関心が高い疼痛管理について，周術期を通してさまざまな角度から取りあげた．痛みの発生のメカニズム，評価法，疼痛が及ぼす有害作用を解説するとともに，臨床に役立つマネジメントの実際や治療法を詳述． ICUなどでの疼痛対策や先進的な取り組みも紹介する．疼痛管理を「周術期」の視点からとらえ直す実践書．

目次

  • 麻酔科医のための周術期の疼痛管理

    ―目次―

    I.周術期疼痛管理の現在の動向

    II.手術に関連する痛みとは
    　1.手術侵襲による痛み
    　2.術後痛（創治癒過程の痛み）
    　3.術後遷延痛

    III.周術期の痛みを評価する
    　1.術前からの痛みの評価
    　2.術中の侵害刺激と手術侵襲の評価
    　3.術後の痛みの評価

    IV.周術期疼痛の有害作用
    　1.循環系への作用
    　2.呼吸器系への作用
    　3.内分泌・代謝系への作用
    　4.交感・副交感神経機能への作用
    　5.消化器系･泌尿器系への作用
    　6.中枢神経系への作用
    　7.免疫系への作用

    V.周術期疼痛管理の実際
    　1.心臓外科手術における周術期疼痛管理
    　2.呼吸器外科手術における周術期疼痛管理
    　3.上腹部手術における周術期疼痛管理
    　4.下腹部手術における周術期管理
    　5.整形外科手術における周術期管理
    　6.小児の周術期疼痛管理
    　7.産科における周術期疼痛管理
    　8.高齢者の周術期疼痛管理

    VI.周術期疼痛の治療法
    　1.オピオイドの全身投与
    　2.消炎鎮痛薬、COX-2抑制薬、アセトアミノフェン
    　3.その他　術後痛に有効な薬物
    　4.今後臨床応用が期待される薬物
    　5.自己調節鎮痛（PCA）とIV-PCA
    　6.硬膜外鎮痛と硬膜外PCA
    　7.脊髄くも膜下硬膜外併用麻酔と脊髄くも膜下鎮痛単独
    　8.末梢神経ブロック

    VII.病室以外での疼痛対策
    　1.ICUにおける疼痛管理
    　2.ERにおける疼痛管理
    　3.検査室における疼痛管理

    VIII.周術期管理として取り組む疼痛対策
    　1.Acute pain serviceとしての取り組み
    　2.周術期管理チームとしての取り組み
    　3.ペインクリニック外来を含めた取り組み

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1章 周術期疼痛管理の現在の動向

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2章 手術に関連する痛みとは

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3章 周術期の痛みを評価する

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4章 周術期疼痛の有害作用

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5章 周術期疼痛管理の実際

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6章 周術期疼痛の治療法

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7章 病室以外での疼痛対策

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8章 周術期管理として取り組む疼痛対策

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