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1. 超未熟児に生ずる低血圧の評価と管理assessment and management of low blood pressure in extremely preterm infants [show details]
… of poor perfusion including: Hourly or continuous BP monitoring. Clinical assessment and physical examination every two to three hours at a minimum to assess peripheral perfusion.… glycogen storage disease or disorders of gluconeogenesis). For EPT infants with adequate perfusion regardless of BP measurements,…
2. 肺移植：ドナー肺の調達と保存lung transplantation donor lung procurement and preservation [show details]
… recipient. Many factors such as temperature, perfusion volume and pressure, oxygenation, and degree of inflation may impact the likelihood of lung injury during storage or at the time of reperfusion, and also …
3. 機械的補助循環装置を装着した成人への救急医療emergency care of adults with mechanical circulatory support devices [show details]
… a continuous hum, but presence of this sound confirms that the device is operating. With newer CF pumps such as the HeartMate 3, there will be regular, intermittent interruption of the continuous hum… physical examination (including assessment of perfusion by skin temperature and capillary refill since there is often no palpable pulse,…
4. 小児における薬剤ネブライザーの使用use of medication nebulizers in children [show details]
…studies of continuous nebulization versus intermittent nebulization are uncontrolled and lack objective data (ie, pulmonary function) to support the use of one method over the other. Continuous nebulization… Some nebulizers incorporate a storage bag with a one-way valve in the mouthpiece connector.…
5. 皮膚や深部組織の褥瘡の予防prevention of pressure induced skin and soft tissue injury [show details]
… by the presence of continuous shearing forces. Technical parameters, such as bed rotation frequency and bed tilt angle, need to be better defined. Continuous rotation therapy… with poor skin perfusion (eg, peripheral artery disease, hypotension); however, every effort should be made to identify and improve the quality of skin perfusion.…

Japanese Journal

特集北海道から発信する移植医療技術 : 臓器灌流保存,機能再生プロジェクトについて

松野直徒,庄中達也,合地美香子,大谷将秀,大原みずほ,高橋裕之,小原弘道,西川祐司,古川博之
北海道外科雑誌 = The Hokkaido journal of surgery 62(2), 118-123, 2017-12
NAID 40021503188

心停止下膵島移植に向けた持続冷却灌流保存法による膵臓保存

圷尚武,野口洋文,丸山通広,大月和宣,石田健倫,齋藤友永,西郷健一,長谷川正行,青山博道,剣持敬
Organ Biology 24(2), 175-179, 2017
1型糖尿病に対する膵島移植が国内で始まったものの，依然として大きな問題はドナー不足である．その解決手段のひとつとして，心停止下ドナーのような，条件の悪いいわゆるマージナルドナーより採取された膵臓の有効な利用である．LifePort<sup>TM</sup>（LP）はOrgan Recovery Systems社により開発された臓器搬送用の持続冷却灌流装置であり，現在欧米にお …
NAID 130006035076

腎臓灌流保存装置の臨床現場への導入に関するアンケート調査報告

松野直徒,絵野沢伸,尾崎倫孝,圷尚武,日下守,深井原,岩本整,玉置透,剣持敬
Organ Biology 24(1), 70-75, 2017
… 一般に臓器保存方法は, 組織の持つ代謝を抑制して保存する簡便な単純冷却保存法と, 代謝を維持するために酸素などを補給しながら保存する持続灌流保存方法の2つの方法に大別される. …
NAID 130005520112