CPPV

出典: meddic

continuous positive pressure ventilation
持続的陽圧換気法


英文文献

  • Contralateral Metachronous Hernia Following Negative Laparoscopic Evaluation for Contralateral Patent Processus Vaginalis: A Meta-analysis.
  • Zhong H1, Wang F.Author information 1Department of Pediatric Surgery, Ningbo Women and Children's Hospital , Ningbo, Zhejiang, China .AbstractAbstract Objective: To conduct a meta-analysis of contralateral metachronous inguinal hernia (CMIH) that originated from negative laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) in children who presented with a unilateral inguinal hernia and to determine the incidence of and factors associated with such a CMIH. Materials and Methods: A PubMed search was performed for all studies concerning laparoscopic repair or evaluation of inguinal hernia in children. The search strategy was as follows: (laparoscop* OR coelioscop* OR peritoneoscop* OR laparoendoscop* OR minilaparoscop*) AND ("inguinal hernia" OR "metachronous hernia") AND child*. Inclusion criteria included unilateral inguinal hernia in children, negative laparoscopic evaluation of CPPV, without history of contralateral inguinal surgery previously, and clearly reporting CMIH development or not. Editorials, letters, review articles, case reports, animal studies, and duplicate patient series were excluded. Results: Twenty-three studies comprising 6091 children with negative CPPV fulfilled the inclusion criteria and were included in the final analysis, of whom 80 (1.31%) subsequently presented with a CMIH. Subgroup analysis showed that CMIH incidence was lower through an umbilical approach than via an inguinal one (0.85% versus 1.78%, P=.009). As for the transinguinal approach, there was a CMIH incidence of 0.78% and 2.05%, respectively, for laparoscopy with a small angle (30° and 70°), whereas there was no CMIH development for that with a large angle (110°, 120°, and flexible). A high pneumoperitoneum pressure (>10 mm Hg, >12 mm Hg, and >14 mm Hg) was usually associated with a slightly higher CMIH incidence than a low one (≤10 mm Hg, ≤12 mm Hg, and ≤14 mm Hg), all without significant difference. CMIH incidence was slightly lower for using a broad CPPV definition than for using a narrow one (0.64% versus 1.35%, P=.183). Conclusions: CMIH following negative laparoscopic evaluation for CPPV was a rare but possible phenomenon. Choosing the transumbilical approach, transinguinal laparoscopy with a large angle, low-pressure pneumoperitoneum, and broad CPPV definition would probably reduce the occurrence of such CMIHs.
  • Journal of laparoendoscopic & advanced surgical techniques. Part A.J Laparoendosc Adv Surg Tech A.2014 Feb;24(2):111-6. doi: 10.1089/lap.2013.0429. Epub 2013 Nov 1.
  • Abstract Objective: To conduct a meta-analysis of contralateral metachronous inguinal hernia (CMIH) that originated from negative laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) in children who presented with a unilateral inguinal hernia and to determine the incidence of
  • PMID 24180355
  • Laparoscopic herniotomy in children: prospective assessment of tertiary center experience in a developing country.
  • Shehata SM1, El Attar AA, Attia MA, Hassan AM.Author information 1Department of Pediatric Surgery, Tanta University Hospital, 12th El-Motawakel Street, Flat No.1, Tanta El-Gidida, Tanta, 31111, Egypt. sherifshehata2001@yahoo.comAbstractPURPOSE: We aimed to assess prospectively the feasibility and outcome of laparoscopic herniotomy (LH) in children in a tertiary center with limited resources.
  • Hernia : the journal of hernias and abdominal wall surgery.Hernia.2013 Apr;17(2):229-34. doi: 10.1007/s10029-012-1031-1. Epub 2012 Dec 27.
  • PURPOSE: We aimed to assess prospectively the feasibility and outcome of laparoscopic herniotomy (LH) in children in a tertiary center with limited resources.METHODS: Fifty-six children with unilateral pediatric inguinal hernia (PIH) were treated for an 18-month period. All cases were subjected to L
  • PMID 23269403
  • Simple maneuvers to reduce the incidence of false-negative findings for contralateral patent processus vaginalis during laparoscopic hernia repair in children: a comparative study between 2 cohorts.
  • Tam YH1, Wong YS, Chan KW, Pang KK, Tsui SY, Mou JW, Sihoe JD, Lee KH.Author information 1Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, Prince of Wales Hospital, Shatin, NT, The Chinese University of Hong Kong, Hong Kong, China. pyhtam@surgery.cuhk.edu.hkAbstractBACKGROUND: Transumbilical or transinguinal laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) is commonly performed during laparoscopic or open hernia repair in children but may occasionally give false-negative findings.
  • Journal of pediatric surgery.J Pediatr Surg.2013 Apr;48(4):826-9. doi: 10.1016/j.jpedsurg.2012.07.043.
  • BACKGROUND: Transumbilical or transinguinal laparoscopic evaluation for contralateral patent processus vaginalis (CPPV) is commonly performed during laparoscopic or open hernia repair in children but may occasionally give false-negative findings.METHODS: A retrospective study was conducted to compar
  • PMID 23583141

和文文献

  • 術前超音波対側検索による小児片側鼠径ヘルニア術後対側発症予防効果
  • 秦 信輔,奈良 啓悟,野村 元成,大島 令子,前田 栄,賀川 義規
  • 日本小児外科学会雑誌 44(5), 667-671, 2008-08-20
  • … patent processus vaginalis (CPPV))の検索およびCPPV陽性例における対側同時手術により小児片側鼠径ヘルニア術後の対側発症率が低下したか否か検討した.【対象と方法】1998年8月より2002年12月に経験した348例の片側鼠径ヘルニアのうち術前超音波検査にて74例(21.3%)がCPPV陽性と診断され両側手術を受けた.残る274例(男児128例,女児146例)のCPPV陰性である片側手術症例 …
  • NAID 110006863493
  • 人工呼吸器の作動原理と作動様式Q&A (特集 知らなきゃできない!人工呼吸器Q&A)
  • 術後気管支瘻に対するHFJVを併用した左右肺独立換気法の経験
  • 成田 久仁夫,今泉 宗久,上田 裕一,岩波 洋
  • 日本呼吸器外科学会雑誌 17(7), 729-734, 2003-11-15
  • 症例は58歳男性.突然の喀血を主訴に来院.緊急内視鏡検査により右B^1からの持続性出血を確認し,経内視鏡的止血操作及び気管支動脈塞栓術を行ったが止血出来ず,右上葉切除術を施行した.術後第2病日に気管支断端瘻の合併を確認したが,全身状態も不良であったことから再手術は施行せず,左片側肺のIPPVを開始した.しかし,広範な吸引性肺炎と右中下葉無気肺の発生により,呼吸状態は急速に悪化した.右無気肺の再膨張 …
  • NAID 110001270101

関連リンク

IPPV (間欠的陽圧換気)とCPPV (持続的陽圧換気)の波形 設定した回数だけ間欠的に吸気時に気道内を陽圧にし、IPPVは呼気時に圧を大気開放、CPPVは呼気時に一定の陽圧(PEEP)をかける。 IMV (間欠的強制換気) 人工呼吸器の ...
調節換気様式(モード) ≪IPPV (間欠的陽圧換気)≫ 設定した回数だけ間欠的に吸気時に気道内を陽圧にする。呼気時は、圧を大気開放する。 ≪CPPV (持続的陽圧換気)≫ 吸気時はIPPPV同様、気道内陽圧。呼気時は、大気に開放 ...

関連画像

 Patent Processus Vaginalis (CPPV Program in Pharmacovigilance (CPPVWWE '13 EIW Armageddon CPPV Promo Poster Chariot de transport CPPV pour profilés Bachmann CPPV 200 K Prop. valve amplifier  EIW Night Of Champions CPPV Promo Poster


★リンクテーブル★
国試過去問102G040
リンク元人工呼吸」「持続的陽圧換気
関連記事CP」「CPP

102G040」

  [★]

  • 自発呼吸を残さない人工呼吸はどれか。2つ選べ。
[正答]


※国試ナビ4※ 102G039]←[国試_102]→[102G041

人工呼吸」

  [★]

artificial respiration, artificial ventilation

概念

  • 1. 人工的に呼吸を行わせること。このため、伝統的なmouth to mouthからバックアンドバルブマスク、あるいは人工呼吸器を用いて行う。
  • 2. 一次救命処置の中における処置 → 人工呼吸#一次救命処置

人工呼吸適応

SAN.422
  • 肺活量 < 10ml/kg, PaO2 < 55 mmHg(50%以上の酸素投与下), 呼吸回数 > 35/min, 努力呼吸, 吸引圧 < -25cmH2O

人工呼吸のモード

送気制御パターンによる分類

  • 量規定換気 volume controlled ventilation VCV
  • 圧規定換気 [[]] PCV

換気モード

人工呼吸を補助するモード

  • 呼気終末陽圧 positive end-inspiratory pressure
  • 吸気プラトー → 吸気ガス不均等分布の改善 EID

人工呼吸の合併症

  • 1. 血圧低下(静脈還流の低下、心機能低下)
  • 2. 圧外傷(気胸・縦隔腫瘍)
  • 3. 酸素中毒による無気肺、肺浮腫
  • 4. 気管潰瘍、穿孔、狭窄
  • 5. 尿量減少(ADH増加、心拍出量減少)
  • 6. 脳圧亢進(PEEPによる静脈還流↓)
  • 7. 消化管出血(ストレス)
  • 8. 精神的苦痛(気管挿入)
  • 9. 感染(人工呼吸器関連肺炎)

一次救命処置

ISBN 978-4892695667 p.100
  • 口腔内の異物を除去
  • 脈拍があり、呼吸がない場合の人工呼吸:成人では10/分、小児では12-20回/分のペースで息を吹き込む。
  • 小児の場合、呼吸数が10/分未満の場合、人工呼吸が考慮される。

BLS

  • 1秒かけて息を吹き込む。
  • 1人法の場合は30回の胸骨圧迫の後に2回人工呼吸を行う。
  • 2人法の場合も原則同様。ただし、幼小児の場合のみ15回の胸骨圧迫の後に2回人工呼吸を行う。
  • 成人の場合は5-6秒に1回、小児に対しては3-5秒に1回の人工呼吸を行う(AHA BLSヘルスケアプロバイダーマニュアル AHAガイドライン2005年準拠)



持続的陽圧換気」

  [★]

continuous positive pressure ventilation CPPV
持続的陽圧換気法持続的陽圧呼吸法 continuous positive pressure breathing CPPB



CP」

  [★]


PrepTutorEJDIC   license prepejdic

「=Communist Party」

CPP」

  [★]


"http://meddic.jp/CPPV" より作成


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