2A100mg 3 2 9mg/ml 2ml 100mg 1 50mg 22cm cm 20 22cm 19 21cm 1 2cm l 2l l/ x second gas effect p Prologue 7
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1 P H 2 3 T ml 1 6
2 2A100mg 3 2 9mg/ml 2ml 100mg 1 50mg 22cm cm 20 22cm 19 21cm 1 2cm l 2l l/ x second gas effect p Prologue 7
3 100 O 2 9 OKOK OK 10 air one shot TOFp preoperative evaluation 8
4 awake intubation premedication tracheal intubation H 2 p.23 ventilation induction rapid induction slow induction full stomach rapid sequence induction N 2O rocuronium vecuronium Prologue 9
5 muscle relaxant laryngospasm hiccup bucking muscle twitch acetylcholineach ACh ACh ACh ACh ACh ACh 1 ACh ACh ACh ACh acetylcholinesterase choline 1 2msec choline acetyltransferasechat ACh 32
6 CoAACh CoA ACh ACh (ACh) ACh ChE ACh2 ACh K + Na + nicotinic action muscarinic action ACh 5-3 ACh ACh 17 ACh 2 33
7 ACh 2 2 ACh A ACh 1 2 B ChE 1 ACh 34
8 depolarizing muscle relaxant ChE suxamethonium succinylcholine chloride ACh 5-2 ACh msec ACh 2 2 COOCH 2CH 2N CH 3 3 CH 2 2 2Cl 2H 2 O COOCH 2 CH 2 N CH 3 3 A 2 ChE A B 1 ACh 1 ACh ChE 1 35
9 epidural anesthesia epidural space 1 3cmH 2O 1cmH 2O 0.5cmH 2O loss of resistance method3-11 hanging drop method 3-12 Tuohy 120
10 mm 5 6mm 1 10 test dose3ml g g g cm 121
11 p.110 p Trendelenburg Fowler 1.5 2ml/ ml/ complication total spinal blocktsb 2 3ml ml 10ml 20 30ml 122
12 toxic reaction p.106 epidural abscess p.118 p g g g g g g g g g g 123
13 g g segmental anesthesia differential anesthesia caudal anesthesia caudal block 3-14 sacral hiatus combined spinal-epidural anesthesiacsea retrobulbar anesthesia retrobulbar block 2 3ml 124
14 topical anesthesia p.105 procaine nerve block infiltration anesthesia field block
15 18 brachial plexus block C 5 T 1 interscalene approach 4-1 Horner supraclavicular approach 1 axillary approach
16 digital block infiltration anesthesia D ml 10ml Oberst Oberst intercostal nerve block stellate ganglion block C 7 127
0.45m1.00m 1.00m 1.00m 0.33m 0.33m 0.33m 0.45m 1.00m 2
24 11 10 24 12 10 30 1 0.45m1.00m 1.00m 1.00m 0.33m 0.33m 0.33m 0.45m 1.00m 2 23% 29% 71% 67% 6% 4% n=1525 n=1137 6% +6% -4% -2% 21% 30% 5% 35% 6% 6% 11% 40% 37% 36 172 166 371 213 226 177 54 382 704 216
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日本臨床麻酔学会 vol.33
493 麻酔科医に必要な超音波ガイド手技のポイントと教育日臨麻会誌 Vol.33 No.3, 493 500, 2013 超音波ガイド下神経ブロック 1 上肢の神経ブロックの実際 ( 腕神経叢ブロック ) *1 和田穰 *2 佐倉伸一 [ 要旨 ] 腕神経叢ブロックは, 腕神経叢をブロックするレベルによって 4 つに分類できる. この中から, 手術や鎮痛を必要とする部位あるいは患者の状態によって最適なアプローチ法を選択する必要がある.
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