集中治療業務指針 - 日本臨床工学技士会
Contents
1.2. 3 4 118
3. 2 2 3 Ver 1 02 8
4. 119 Japan Association for Clinical Engineers Ac 2 1 2
5. 2 1 1 3 108 2
6. 4 IABP 1 1 2 120 3 IABP 2 1
7. X SpO2 etCOz CO rSO FiO2 ACT
8. 2 3 37 C 10C 1
9. 9 2 3 4 5 126 10 1 1
10. CE 1 107 2 107 1 108 2 109 3 CBP continuous blood purification therapy PE DHP 110 4 IABP UL 5 RCRS CMG 6 NO 7 lg 8 114 9 5 TR eT 1 116 2 117 3 CBP PE DHTP 119 4 IABP 120 55 RAOES S ONIO jl 6 28 7 124 8 NO 124 9 126 10 127 11
11. 2 3
12. 3 4 5
13. 2 2 1 3 Ver 1 02
14. 2 1 6 2 1 109 Japan Association for Clinical Engineers Ac
15. 5 DIABP DIABP 5 PCPS ECMO 1 1 2 Japan Association for Clinical Engineers CAC 2 3 2 1 2 3 4 5
16. 2
17. IABP 2 X 3 GO X 4
18. 2 TIL 1 6 12 MTA33 2 1 3 3 3 4 6 6
19. 2 2 Ver 1 02 3 Ver 1 02 6 NO NO
20. 2 20 3
21. 2 2 2 1 Ver 1 02 3 Ver 1 02 3 Japan Association for Clinical Engineers Ac 5 PCPS ECMO PCPS ECMO
22. 3 Ver 1 02 115 Japan Association for Clinical Engineers CAC 1 1
23. A B 2
24. 2 1 2 3 4 IV 1 2 3 PCPS ECMO
25. IABP LOS 25cc 30cc 35cc 40cc PCPS ECMO LOS 16Fr 18Fr 20Fr 22Fr HIT
26. CHDF CHF CHD ECUM PE DFPP PMX DHP DHP PMMA PS CTA m 2 nf PMX DHP DHP ml _ ml ml _ ml h mh FFP _ h ml ml h ml min ml h ml h gt ml h mmHg mmHg mmHg mmHg mmHg mmHg TMP mmHg mmHg ACT 134
27. apex sternum apex posterior R 136 OO C i HD 00 A 137 cE Japan
28. 20 C 32C A B
29. 2 1 2 0 123 Japan Association for Clinical Engineers CAC 3 4
30. 3 2 ECG
31. 2 1 1 2 3 AC DC DC
32. 13 14 1 25cm 2 15 IEC60601 1 1 2000 16 EMI 17
33. RY SU i GE RY NS dl Sry 113 Japan Association for Clinical Engineers CAC 2 3
34. 110 3 1 24 2 3 Ver 1 02 4 IABP IABP
35. 4 5 1 S 11
36. 116 3 4 5
37. NO 1 1 a NO 3 NO NO
38. 2 32C 34C 2 5 33C 34C 1 3 33C 34C 8 12 33 35 2 5 3 A B 30 41
39. FiO FiO ACT
40. 2 NO NO O 1400kPa 3 1400kPa NO
41. 1 Ver 1 02 3 Ver 1 02 2 1 1
42. 1 1 1 1 2 QIABP 1 1 ACT X 3
43. 2 1 kPa L min ppm ml min 2 3 NO NO 0 1 1 125 Japan Association for Clinical Engineers Ac 4 HFO NO NO 15L min NO 20ppm
44. 1 TL 1 9 5L 2 114
45. 5 7 1 1 2 9 3 NICU ID
46. 1 1 1 2 3 2 1 2 X
47. 1 1 2 PCPS ECMO 1 1 PCPS ACT 3
48. 2 1 2 3 4 5 8 NO 1 1 NO OI Oxygenation Index 124 AaDO OI gt
49. 6 7 8 9 10 11 107 Japan Association for Clinical Engineers CAC 12 MRI
50. 135 cE Japan Association for Clinical Engineers Uact DDD VVI VOO P M AV msec V V A 2 V V V a Ss Vy V
51. 4 2 6 V 1 2002 3 9 2 1 2 3 129 EY Japan Association for Clinical Engineers CAC 2
52. 122 6 1 1 i ICD 1CD 2 3cm R VF VT VT VT R 2 R
53. 2 1 1 1 1 2 3 4 7 1 1 H CE
54. C 2 2 1 ON OFF OFF 127 Japan Association for Clinical Engineers CAC
55. 1 PICU 4 2 2 PICU IABP PCPS ABR
56. AC100V 24 24 15cm 117 Japan Association for Clinical Engineers CAC 2 1
57. 3 URL 1 http wwwjsicm org ICU kijun html 2 http wwwjsicm org kaikoku_ccu_secchikijun html 3 http wwwJjpeds orjjp pdf 071026_shishin pdf 131 EY Japan Association for Clinical Engineers Vace UL 2 15 6 m NO 80ppm NO 15 6 my NO 12 28ppm NO 1 0ppm 192 OO 1 12 1 1 2 3 4 5 6 7 8 10 11 12 2
58. 1 1 2 D CT 128 3
59. 18 1 IL Ver 1 02 http wwwja ces orjp 10topics 2007 2 pdf 1 1 1
60. 4 NICU ID NOx NO A 3 B C NO D NO
61. 5 3 CBP PE DHP 1 1 2
62. 5 NO 6 NO 9 1 1 MRI 2 3 2 1
63. 3 Ver 1 02 3 CBP continuous blood purification ther apy PE DHP 24 1 1 0mmHgl
64. 1 2 3 4 6 7 8 10 11 12 NO 1 NO 2 7 IN 3 EE BabyLog8000 gt VT ml cmH O 4 PS cmHzO PEEP CPAP cmHzO FiO Frequency HFV Amplitude HFV NY mb nl mn 133 CE Japan Association for Clinical Engineers Ac CBP PE DHP
65. 20 60C 10 95 500 1060hPa 3 4 5 6 7 8 3P 9 1 2 3 4 5 3P
66. A CBP B PE C HA 3
67. 128 IV De 1 129 2 CCU 130 3 131 PCPS IABP 1 2 1 2
68. IABP PCPS 2 CCU 2004 3 11 3 1 CCU 2 3 2 CCU IABP PCPS 130 3 2007 3 111 10 PICU
69. 25 AaDO gt 500mmHg NO 2 NO 4L min 3 NO NO NO NO NO NO
70. Association for Clinical Engineers CAC ey C C a 199 kPa or 138
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