Transcription of IVCを見て輸液を判断してもいいのか？
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IVCを見て輸液を判断してもいいのか？
IVC . 2019/08/13. ICU .. ( ). IVC , . ( ). + IVC , .. IVC , ? . , . ( , , ). Orso D, et al. Intensive Care Med. 2018; 5: 1-10. ( , ) . , first-line . Jozwiak M, et al. Ann Transl Med. 2018; 6(18): 352-362.. Ansari , et al. Anaesthesia. 2016; 71: 94-105.. , , .. Monnet X, et al. Ann Intensive Care. 2016; 111. ICU 72 1L/ , 10% .. Wiedemann HP, et al. N Engl J Med. 2006; 354: 2564-2575. 1), 2), 3), AKI4) .. 1)Micek ST, et al. Crit Care. 2013; 17: R246. 2)Murphy CV, et al. Chest. 2009; 136: 102-9. 3)Kirkpatrick AW, et al. Intensive Care Med. 2013; 39: 1190-206. 4)Payen D, et al. Crit Care. 2008; 12: R74.. , . Marik PE, et al. Ann Intensive Care. 2011; 1: 1-9. , 28 . Levy MM, et al. Chest. 2004; 124(suppl): 120S. , .. Lopes MR, et al. Crit Care. 2007; 11: R100. Kalantari K, et al. Kidney International. 2013; 83: 1017-28.. Swan- ganz catheter PAWP CVP.
→Swan-Ganz catheterを用いたPAWPやCVPが登場した ・中心静脈圧(central venous pressure: CVP) ・肺動脈楔入圧(pulmonary artery wedge pressure: PAWP) →陽性的中率: 47%(CVP), 54%(PAWP)と有効性が乏しい Osman D, et al. CritCare Med. 2007; 35:64-8 しかし 非侵襲的なエコーが広く用いられるように ...
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