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1. 12歳未満の小児に生じる重症喘息の急性増悪：集中治療室（ICU）でのマネージメントacute severe asthma exacerbations in children younger than 12 years intensive care unit management [show details]
…these agents are infrequently used in PICUs for status asthmaticus. However, we reserve aminophylline as an option for the child with severe status asthmaticus and impending respiratory failure who has not …
2. 成人の喘息の急性増悪：救急外来および入院病棟でのマネージメントacute exacerbations of asthma in adults emergency department and inpatient management [show details]
…bronchodilating effects, and case reports have described favorable responses in patients with refractory status asthmaticus. The mechanism by which bronchodilation is produced remains unclear; a direct relaxant effect …
3. 急性重症喘息における緊急気道マネージメントemergency airway management in acute severe asthma [show details]
…including cardiovascular collapse and barotrauma. Therefore, intubation of a patient with acute status asthmaticus should be undertaken only when judged clinically necessary. In most patients (including those …
4. 12歳未満の小児に生じる重症喘息の急性増悪：気管内挿管および人工呼吸器の使用acute severe asthma exacerbations in children younger than 12 years endotracheal intubation and mechanical ventilation [show details]
…intubation and mechanical ventilation of children with acute severe asthma exacerbation (ie, status asthmaticus) are discussed here. General intensive care unit (ICU) management, primarily pharmacotherapy …
5. 12歳未満の小児の喘息の急性増悪：救急外来でのマネージメントacute asthma exacerbations in children younger than 12 years emergency department management [show details]
…there is clinical deterioration. Intubation should be approached cautiously in patients with status asthmaticus because manipulation of the airway can cause increased airflow obstruction due to exaggerated…

Japanese Journal

気管支喘息重積発作に対する人工呼吸管理、ステロイド療法後にICU-acquired weaknessと考えられる筋力低下を呈した男児例

志村優,GO Soupei,柏木保代,河島尚志
東京医科大学雑誌 76(1), 64-69, 2018-01
NAID 40021574734

慢性呼吸不全での夜間PtcCO2 モニタリングを用いたNPPVの調整の実際

福家聡,斎藤拓志
日本呼吸ケア・リハビリテーション学会誌 27(3), 286-289, 2018
… せたところ，経皮的に測定したPtcCO2 と良好な相関を認めた．また急性変化に対するPtcCO2 の追随性も良好であった．臨床での使用経験として急性期では，喘息重積発作やCOPD増悪，肺結核後遺症患者での急性期NPPV導入について検討した．これらの症例は，呼吸不全が進行した際にはNPPVの設定変更や挿管人工呼吸管理が必要となる場合もあり，刻々と変化していく病態を把 …
NAID 130007538314