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1. 成人の胸部外傷患者に行う麻酔anesthesia for thoracic trauma in adults [show details]
… penetrating thoracic trauma can cause major injuries including myocardial or vascular injury (eg, aorta, pulmonary vessels), cardiac tamponade, tracheobronchial injury, pulmonary contusion,… and lung compliance, decreases the movement of flail segments, and increases PaO₂. In a systematic review, epidural analgesia improved outcomes including pain relief and pulmonary function…
2. 成人における貫通性胸部外傷の初期評価およびマネージメントinitial evaluation and management of penetrating thoracic trauma in adults [show details]
… injuries sustained by adults with penetrating thoracic trauma. Blunt thoracic trauma, thoracic trauma in children,… ventilation. Lungs – Lung injuries from penetrating trauma may include pneumothorax, pulmonary contusion, hemothorax, pulmonary laceration, or a combination thereof. Pneumothorax occurs in the great majority … hemorrhagic shock, depending upon whether blood can escape the pericardial space. Due to the poor compliance of the pericardium, the acute accumulation of as little as 50 mL of blood can cause tamponade.…
3. 開胸肺切除術で行う麻酔anesthesia for open pulmonary resection [show details]
… postoperative acute kidney injury, pulmonary complications, and mortality after open pulmonary resection . Abnormalities in hemostasis may be a contraindication to thoracic epidural or intrathecal pain management …
4. 胸部大動脈および近位腹部大動脈の心エコー評価echocardiographic evaluation of the thoracic and proximal abdominal aorta [show details]
… Limited data are available to compare echocardiography and CT evaluation of thoracic aortic dilation and thoracic aneurysm.… usually demonstrates the left pulmonary artery as it crosses under the ascending aorta. Inspecting the bifurcation of the pulmonary artery in its long-axis (in… the late diastolic posterior motion of the aorta is exaggerated with atrial systole, reduced LV compliance is suspected. Aortic root motion tends to be flat in restrictive diastolic states, reflecting …
5. 胸壁疾患とそれによる機能の低下chest wall diseases and restrictive physiology [show details]
… affect the compliance of the chest wall and pulmonary function. This section will focus on the chest wall effects of obesity and ascites. Obesity is associated with restrictive physiology on pulmonary function… CT imaging is also helpful for identifying additional thoracic injuries in patients with rib fractures (flail chest), such as pulmonary contusions and associated pleural effusion.…