呼吸管理に必要な呼吸生理
大気中と血中とのガスの移動は，呼吸生理学において重要な部分を占めている。今回は，主に呼吸管理に必要な理論と重要な数式，およびその誘導法について，臨床に即して解説した。ほとんどの数式は，気体の状態方程式とドルトンの法則を適用すれば誘導できる。本稿では，理解しやすい肺胞気式の新しい誘導法も紹介する。...
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| Published in | 日本集中治療医学会雑誌 Vol. 15; no. 1; pp. 49 - 56 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本集中治療医学会
01.01.2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1340-7988 1882-966X |
| DOI | 10.3918/jsicm.15.49 |
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| Abstract | 大気中と血中とのガスの移動は，呼吸生理学において重要な部分を占めている。今回は，主に呼吸管理に必要な理論と重要な数式，およびその誘導法について，臨床に即して解説した。ほとんどの数式は，気体の状態方程式とドルトンの法則を適用すれば誘導できる。本稿では，理解しやすい肺胞気式の新しい誘導法も紹介する。 |
|---|---|
| AbstractList | 大気中と血中とのガスの移動は，呼吸生理学において重要な部分を占めている。今回は，主に呼吸管理に必要な理論と重要な数式，およびその誘導法について，臨床に即して解説した。ほとんどの数式は，気体の状態方程式とドルトンの法則を適用すれば誘導できる。本稿では，理解しやすい肺胞気式の新しい誘導法も紹介する。 |
| Author | 稲田, 英一 釘宮, 豊城 半井, 悦朗 |
| Author_FL | NAKARAI Etsuro INADA Eiichi KUGIMIYA Toyoki |
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| Copyright | 2008 日本集中治療医学会 |
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| References | 5) Tobin MJ, Laghi F, Walsh JM. Discontinuation of mechanical ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994. p. 1185. 8) Riley RL, Lilienthal JL, Proemmel DD, et al. On the determination of the physiologically effective pressures of oxygen and carbon dioxide in alveolar air. Am J Physiol. 1946;147:191-8. 3) West JB. Structure and function. In: Kelly PJ, Standen MJD, editors. Respiratory physiology-the essentials 6th ed. Philadelphia: Lippincott Williams Wilkins; 2000. p. 6. 7) Nunn JF. Respiratory support and artificial ventilation. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 430. 9) 諏訪邦夫．血液ガスの臨床 改定3版．東京：中外医学社；2006. p. 199-202. 1) Nunn JF. Oxygen. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 182. 11) Weibel ER, Federspiel WJ, Fryder-Doffey F, et al. Morphometric model for pulmonary diffusing capacity. Respir Physiol. 1993;93:125-49. 12) Wagner PD. Vascular transit times in the lung. J Appl Physiol. 1995;79:380-1. 2) Nunn JF. Hyperoxia and oxygen toxicity. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 350. 4) Nunn JF. Distribution of pulmonary ventilation and perfusion In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 119. 6) Tobin MJ, Laghi F, Walsh JM. Monitoring of respiratory neuromuscular function. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994. p. 957-9. 10) 半井悦朗．実戦クリティカル記憶術WB五輪書（呼吸管理の巻）改訂版．東京：UR出版；2004. p. 35-7. |
| References_xml | – reference: 9) 諏訪邦夫．血液ガスの臨床 改定3版．東京：中外医学社；2006. p. 199-202. – reference: 2) Nunn JF. Hyperoxia and oxygen toxicity. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 350. – reference: 4) Nunn JF. Distribution of pulmonary ventilation and perfusion In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 119. – reference: 5) Tobin MJ, Laghi F, Walsh JM. Discontinuation of mechanical ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994. p. 1185. – reference: 10) 半井悦朗．実戦クリティカル記憶術WB五輪書（呼吸管理の巻）改訂版．東京：UR出版；2004. p. 35-7. – reference: 6) Tobin MJ, Laghi F, Walsh JM. Monitoring of respiratory neuromuscular function. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill; 1994. p. 957-9. – reference: 7) Nunn JF. Respiratory support and artificial ventilation. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 430. – reference: 8) Riley RL, Lilienthal JL, Proemmel DD, et al. On the determination of the physiologically effective pressures of oxygen and carbon dioxide in alveolar air. Am J Physiol. 1946;147:191-8. – reference: 12) Wagner PD. Vascular transit times in the lung. J Appl Physiol. 1995;79:380-1. – reference: 3) West JB. Structure and function. In: Kelly PJ, Standen MJD, editors. Respiratory physiology-the essentials 6th ed. Philadelphia: Lippincott Williams Wilkins; 2000. p. 6. – reference: 11) Weibel ER, Federspiel WJ, Fryder-Doffey F, et al. Morphometric model for pulmonary diffusing capacity. Respir Physiol. 1993;93:125-49. – reference: 1) Nunn JF. Oxygen. In: Lumb AB, editor. Nunn's applied respiratory physiology 6th ed. Philadelphia: Elsevier; 2005. p. 182. |
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| Snippet | 大気中と血中とのガスの移動は，呼吸生理学において重要な部分を占めている。今回は，主に呼吸管理に必要な理論と重要な数式，およびその誘導法について，臨床に即して解... |
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| Title | 呼吸管理に必要な呼吸生理 |
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