気管吸引ガイドライン2013 - square.umin.ac.jp

1 May 30, 2013 75 Jpn J Respir Care 2013 30 75-91 2013 2007 9 2013 3 2013 76 May 30, 2013 Nakane M, et al 2013 2007 5 2010 GRADE 1 2 2007

2 3 1 May 30.

3 2013 77 Jpn J Respir Care MEDLINE 1980 2012 Cochrane Database Keyword tracheal suction or suctioning endotracheal suction or suctioning artificial airway suction or suctioning 2 2 GRADE the Grading of Recommendations Assessment, Development, and Evaluation 1 1 2 A B C D 1A 2C 5 78 May 30, 2013 Nakane M, et al1 1 1 3.

4 4 2 3 1 2 3 I- II- 4 I- II- 5 6 I- II- III- IV- 7 8 I- II- 9 10 May 30, 2013 79 Jpn J Respir Care I 1 2 3 4 5 6 7 8 9 10 II 1 2 3 1 10 I 4 5 1 6 8

5 10 II 1 80 May 30, 2013 Nakane M, et al 2 3 4 I II 1 1 2 1B i ii iii rhonchi iv v vi vii viii a b c 2 II

6 3 1 5, 6 1 2 May 30, 2013 81 Jpn J Respir Care 8 7 4 4, 8 1-iii rhonchi wheeze fine crackles coarse crackles 4 rhonchi vii viii i vi vii viii 5 1A PEEP DIC

7 82 May 30, 2013 Nakane M, et al MRSA 6 I 1 2 2B 1/2 2C 1 2C 2B 3 1 4 5 1B 6 7 2B 2

8 5, 7 9 10 mm Fr May 30, 2013 83 Jpn J Respir Care 8 VAP 11, 12 13 14 2B 3 CDC 15 2C 7 AARC 8 CDC 15 II 1 13 2 15 15 I-7 3

9 10 15L/ 16, 17 5. 16 2B 84 May 30, 2013 Nakane M, et al4 17 2B 5 6 5 mL 2C 2 CDC 18 9. 3 4 9.

10 16 16 9 5 6 19 20 22 22 22 25 5 23 10 24 15 22 May 30, 2013 85 Jpn J Respir Care 26 III 1 2 27 3 1 10 2C 4 1 15 2C 1 5 20kPa 150mmHg 6 1 2B 7 4-II 8 1 1 2C 2B