| Japanese |
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| Title | ICUにおける緊急Cardiopulmonary bypass(CPB)症例の検討 |
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| Subtitle | 原著 |
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| Authors | 棚橋貞哉*, 間渕則文*, 伊藤彰師*, 高洲宏江*, 山田悌士**, 薗田誠**, 大堀久***, 津田喬子*** |
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| Authors(kana) | |
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| Organization | *名古屋第2赤十字病院ICU, **名古屋第2赤十字病院ME部, ***名古屋市立大学医学部麻酔・蘇生学教室 |
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| Journal | 循環制御 |
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| Volume | 12 |
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| Number | 3 |
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| Page | 469-475 |
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| Year/Month | 1991/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」呼吸循環動態が危機的状況に陥り, 従来の治療法によっては生命維持が困難と判断されたICU入室患者7症例に対して, Cardiopulmonary bypass(以下CPB)を適用し一時的に心肺機能の補助を試みた. その結果, 心肺蘇生法施行中からCPBを開始した2例を含めた全例において, CPB開始直後から危機的呼吸循環動態を脱することに成功し, 3例がCPBを離脱し, そのうち2例は全く後遺症を残さずに回復した. 緊急CPBはこれまで救命できなかった症例の有力な治療手段となり得るが, ICUにおける緊急CPBの対象症例は, 蘇生患者を含め瀕死の症例が多く, 必要な場合には一刻も早くCPBを開始できる技術と体制をICUに整備してゆくことが, 救命率を向上させる上で肝要である. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | cardiopulmonary bypass (CPB), extracorporeal lung assist (ECLA), extracorporeal membrane oxygenation (ECMO), artificial lung, cardiopulmonary resuscitation (CPR) |
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| English |
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| Title | Emergency Cardiopulmonary Bypass in the ICU. |
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| Subtitle | |
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| Authors | Sadaya Tanahashi*, Norifumi Mabuchi*, Shoji Ito*, Hiroe Takasu*, Teiji Yamada**, Makoto Sonoda**, Hisashi Ohori***, Takako Tsuda*** |
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| Authors(kana) | |
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| Organization | *Division of intensive care Nagoya Daini Red Cross Hospital, **Division of clinical engineering Nagoya Daini Red Cross Hospital, ***Department of anesthesiology & resuscitology Nagoya City University Medical School |
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| Journal | Circulation Control |
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| Volume | 12 |
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| Number | 3 |
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| Page | 469-475 |
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| Year/Month | 1991/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We put seven ICU patients on emergency cardiopulmonary bypass (CPB), because their respiratory and/or circulatory failures were so severe that their lives were threatened even with maximal conventional therapies. In all patients, including two instituting CPB during cardiopulmonary resuscitation, respiratory or circulatory conditions improved immediately and dramatically after establishing the bypass. Of these seven patients, three could subsequently be weaned from CPB, and two of these three recovered without any sequela. These results suggest that CPB can be used as an emergency life-saving measure in ICU when conventional treatments or resuscitation fail. However, since patients are all in dying condition, rapidity and safety of the procedure are mandatory. To obtain better survival rate, it is essential to have skillful emergency CPB team that is ready to start bypass procedure immediately upon request at any time. |
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| Practice | Basic medicine |
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| Keywords | cardiopulmonary bypass (CPB), extracorporeal lung assist (ECLA), extracorporeal membrane oxygenation (ECMO), artificial lung, cardiopulmonary resuscitation (CPR) |
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