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		<h1 class="catchCopy">みるみる納得！呼吸管理の極意を伝授!!</h1>
		

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					著：滝澤　始（帝京大学医学部附属溝口病院第四内科教授）
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				<ul class="property"><li class="disc">B5判・200頁・2色刷</li><li class="disc">ISBN&nbsp;978-4-8306-1729-4</li><li class="disc">2009年9月17日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">若手スタッフの多くが頭を悩ませるレスピレータ管理．その流れを的確にとらえつつ，状況に応じた適切な設定とその重要ポイントをしっかりマスターできるのが本書．現場感覚にあふれた著者の実践指南．<br>臨床の現場で遭遇することの多い典型的な20の症例をシミュレーションしながら，レスピレータの開始から離脱まで，そしてその基本から応用まで，ぐんぐんステップアップできるように編集．状況に応じた適切なレスピレータ設定と経時的な対策のポイントががひと目でわかり，困った時にもすぐに役立つ．各々の設定の特徴や使い方をくまなく理解できる解説（HINT）が満載．各症例で必ず押さえておきたいところをキーワードで解説．さらに，きっと疑問に思うところをQ&amp;Aでふんだんに盛り込んでいるので，悩みどころをすっきり解決．また，ワンポイントアドバイスでちょっとしたコツも押さえてレベルアップできる．<br>初期研修医をはじめ，レスピレーター管理の経験が浅い医師や医療従事者におすすめ．また，すべてのME・看護師にも呼吸管理の入門書としてうってつけの1冊．<br>☆図版36点，表組29点，イラスト11点</section><section class="indexes">序章　レスピレータに親しむために<br>第1章　初期設定はこうする<br>　1　CMVとSIMVを使う<br>　　脳出血で救急搬送された75歳男性の例から学ぼう<br>　2　PEEPを理解しよう<br>　　誤嚥性肺炎の80歳男性の例から学ぼう<br>　3　PEEPを使いこなす<br>　　敗血症の75歳女性の例から学ぼう<br>　4　ARDS症例にPEEPとPSを使う<br>　　敗血症の80歳男性から学ぼう<br>　5　肺保護療法を実践する<br>　　重症肺炎の70歳男性から学ぼう<br>　6　急性増悪例からアラームの設定と対応法を学ぶ<br>　　特発性肺線維症の72歳男性から学ぼう<br>　7　喘息重積発作例からI：E，EIP，最大気道内圧を学ぶ<br>　　喘息重積発作の42歳男性から学ぼう<br>　8　NPPVを使う<br>　　COPDの急性増悪の72歳男性からNPPVを学ぼう<br>　9　COPDでのレスピレータ管理を学ぶ<br>　　80歳のCOPD急性増悪例での気管挿管下レスピレータ管理を学ぶ<br>　10　NPPVから気管切開下IPPVへ<br>　　筋萎縮性側索硬化症の呼吸不全例から神経筋疾患での呼吸管理を学ぼう<br>第2章　レスピレータ中の管理<br>　11　VAPを理解し，対処する<br>　　脳出血で救急搬送された75歳男性から人工呼吸器関連肺炎について学ぼう<br>　12　低酸素血症へのアプローチとして伏臥位換気を理解する<br>　　誤嚥性肺炎の80歳男性の例から学ぼう<br>　13　レスピレータ管理中の肺理学療法を知ろう<br>　　敗血症から発症したARDSの75歳女性の例から学ぼう<br>　14　レスピレータ中の栄養管理を進める<br>　　敗血症から発症したARDSの75歳女性の例から学ぼう<br>　15　圧規定換気（従圧式換気pressure controlled ventilation, PCV）を使う<br>　　肺炎からARDSになった78歳男性から学ぼう<br>第3章　レスピレータからの離脱（ウィーニング）<br>　16　on-off法でウィーニングする<br>　　脳出血で救急搬送された75歳男性から学ぶ<br>　17　SIMVでウィーニングする<br>　　誤嚥性肺炎の80歳男性の例から学ぼう<br>　18　PSVでウィーニングする<br>　　肺炎からARDSになった78歳男性から学ぼう<br>　19　ウィーニング困難例にどう対処する？<br>　　76歳のCOPD急性増悪例での気管挿管下レスピレータ管理から学ぶ<br>　20　ウィーニング中断例の長期戦略を立て直す<br>　　76歳のCOPD急性増悪例での気管挿管下レスピレータ管理から学ぶ<br>第4章　知っておきたい呼吸生理ミニ知識<br>略語表<br>索引</section></article>
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