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人工呼吸器の安全対策の実際

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Contents

1.
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4. QC Quality Control lt QC
5. ETCO2
6. ON SN InspIration No 4 18 1 4 03 5684 1285 FAX 03 5
7. 13 11 7 2 16 3 15
8. 1 ME
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14. NO0 4 Maquet i
15. 7 RS PC IC PC PC Maquet
16. 2 76 28 13 4
17. 1 3 1
18. X 1 ETCO2 ETCO2 3
19. Key Point amp 10 Patients Safety Management Respiratory Therapist ADL QOL
20. 1IC Afro a ME 16
21. 2 ec i cm
22. Wee ei pH 2 3 diphosphogly cerate DPG Inspiration artificial ventilators based on deeper understanding 50 Pso mmHg Pso 27mmHge 2 3 bisphosphoglycerate BPG
23. e B e e e e
24. Patients Safety Manager 10 10
25. 2005 4 g
26. Inspiration artificial ventilators based on deeper understanding Servo i s 5 000 1 1 000 1 2 Servo 1 UE 3
27. Department for Quality Improvement Patients Safety Manager Quality Control Coordinator NO0 4 640 ICU NCU SCU CCU NICU PICU 16 86 ME
28. NSR li x Ni CNt 4 10 8 gt 2005 4
29. 2004 2 3 1 2 2N 31
30. 4 X 1 5 40mmHg 75 100 3 4
31. 15 2 3 17 a_
32. fighting
33. Sp02 SpO2 90 PaO2 60mmHg Inspiration artificial ventilators based on deeper understanding 1 Sp02 X
34. ye PE 300 WW Servos 21600BZY00431000 6
35. Only One Project Only One Ask not what your profession can do for you ask what you can do for your patients Tohn F Kennedy Changed by T Kitano Inspiratfon artificial ventilators based on deeper understanding mg ml 24 2005 by T Kitano 5 1 4
36. Sb NO ee 2 100 mmHog 2
37. 24 SpO2
38. 24 1 2004 8 2
39. 1986 p37 NO0 4 Bohr HCOs 3
40. Lk Ti i r 1 1 3 2 F m a MEAN AIRWAY PRESS cm Ho SERVO VENTILATOR 900 3 3 10 0 2 2 5 a
41. 1 SV 900 C D E 1 000 6 SV 300 1000 0 3 000
42. 100 4 1 75 SOS 75 5 60
43. CT 1 SpDlUs PES CL So cc NS Inspiration artificial ventilators based on deeper understanding
44. 4 4 NO 4 4 ME
45. e NO0 4
46. 1 2 3 100 1
47. Inspiration artificial ventilators based on deeper understanding RN
48. 20085 3 2005 3 s
49. hypoxic pulmonary vasoconstriction HPV HPV HPV HPV hypoxemia hypoxia 3 AaDOz2
50. Haldane 0O 3 HCO C1 3 40mmHg 75 100mmHg 98 50 50mmHg S 0
51. 3 unplanned extubation accidental extubation self extubation accidental extubation NO0 4 selFextubation 10
52. 5 20 000 0331004 Maquet
53. 1 20 102 105 2003 2 18 39 52 2001 3 22 55 60 2005 Tindol GA jr Benedetto RJ Di Kosciuk L Unplanned extubations Chest105 1804 1807 1994 5 Ely EW Bennett PA Bowton DL et al Large Scale implementation of a respiratory therapist 4 driven protocol for ventlator weaning Am J Respir Crit Care Med 159 439 446 1999 6 Dellinger RP Carlet JM Masur H et al Surviving Sepsis Campalgn guldelhnes for management of SeVeTe sepsis and septic shock Intensive Care Med 2004 Apr 30 4 536 555 2004 Inspiration artificial ventilators based on deeper understanding NPO
54. QC 5 QC Inspiration artificial ventilators based on deeper understanding QC 1 2004 2 22 1 55 60 2005 3 ARDS Clinical Practice Guidel
55. 1 3 1 2 3 Tool Fool Proof Fail Safe System Safety Management 10 4 NO 4 8wrwo i 1 m TE ni
56. 15 7g dl 5 2 51 min 7g dl 2 51 min AS 9 4 Inspiration artificial ventilators based on deeper understanding 5
57. 2 3 NO0 4
58. PaOz FIOz 2 60mmHg
59. 21 14 1
60. ICU Surviving Sepsis Campaign 9 ICU
61. e e e 63 77 1 3
62. kgf ann el IM PT 1 Td Wk i LT IT LUTIU IIUUNES III N i 2 3 ICU
63. Inspiration artificial ventilators based on deeper understanding e B e
64. PP 5 20 000 SV 900 SV 300 Servo i s 4 PAO ITDIV makes sense
65. Tindol 460 13 3 7 1
66. 30mmHg SvOs 5 3 EE J 5 Po Journal of Cardiology 0
67. Action MAOUET 5 A M Hk 3 EE 0 2 LN A 6 M yy we Se VOZ gt FUKUDA 3 39 4 OB e0000 DENSHI http www fukuda co jp NO0 4
68. NRN FUKUDA 3 39 4 DENSHI http www fukuda co jp 1 S et 100 O1 a 0 27 40 60 100 mmHog 1 4
69. P262 P263 Vol 205 No 4 2003 4 26 2005 7 15 1 3 5 830 0013 21 0942 33 1211 386 E mail onatik k6 dionne Jp 22 2003 2 2003 3 2003 4 2004 7 2005 4
70. InsDiration for your safe and skilful use of qrtificial ventilators based on deeper understandin9 INo 4 3
71. lt gt cw 1987 108 60 2 2
72. 684 1308 4 F KC 3 39 4 http www fukuda co jp NSHI 2O http wWww me times co jp rT 113 0033 3 13 6
73. ine 2 21 1 44 61 2004 4 Delliinger RP Carlet JM Masur HL et al Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock Intensive Care Med 2004 Apr 30 4 536 555 2004 SG 5 http www tqm health grjp INDXTQM html PDCA PDCA Plan Do Check Actton Plan Do Check
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