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1. 術後の成人患者に行う輸液療法の概要overview of postoperative fluid therapy in adults [show details]
… replacement fluids (including blood) are administered through peripheral intravenous lines. For rapid fluid infusion, large bore (ie, 16 gauge and larger) peripheral intravenous… in spite of adequate fluid resuscitation, further evaluation is warranted. Estimates of central blood volume, including central venous pressure, the change in central venous pressure,…
2. 術後に生じる電解質異常の概要overview of postoperative electrolyte abnormalities [show details]
… or potassium phosphate) is typically diluted in 250 mL of fluid and infused at a rate of 4 or 5 mmol/hour through a central or peripheral venous catheter. As an example, 30 mmol sodium phosphate may be …
3. 術中の輸液マネージメントintraoperative fluid management [show details]
… hour . Mixed venous oxygen saturation – Measurements intended to track global oxygen (O₂) delivery have limited utility to guide fluid therapy . These include measurements of mixed venous O₂ saturation …
4. Overview of the treatment of hyponatremia in adultsoverview of the treatment of hyponatremia in adults [show details]
… administered via a peripheral vein; we use 3 percent saline (rather than normal saline) in patients with and without suspected hypovolemia.… Placement of a central venous catheter before administering hypertonic saline is not necessary,…
5. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチevaluation of and initial approach to the adult patient with undifferentiated hypotension and shock [show details]
…inferior vena cava [IVC] on imaging) or fluid overload (eg, no peripheral edema or distended neck veins, normal central venous pressure [CVP] [8 to 12 mmHg] and mixed venous oxyhemoglobin saturation [SvO₂] …

Japanese Journal

高リスク胃全摘症例における術後早期経腸栄養の効果

岸本浩史,笹原孝太郎,小田切範晃,吉福清二郎,大森隼人
日本外科系連合学会誌 40(2), 211-216, 2015
… を行ってきたので，その臨床的意義を明らかにすることを目的とした．対象と方法：胃全摘術を行った201例を対象とし，拡大手術，術前化学療法，PS不良，年齢80歳以上の54例に術後早期経腸栄養を行い，末梢静脈輸液のみを行った147例と術後合併症につき比較した．結果：両群の背景因子が異なるため比較は困難であるが術後合併症発生率には差を認めなかった．術前化学療法症例に限ると，術後早期経腸栄養を行った …
NAID 130005148910