臨床外科71巻11号

2016年10月発行

増刊号 消化器・一般外科医のための—救急・集中治療のすべて

Ⅰ章 周術期の集中治療 呼吸管理

ウィーニングと抜管

著者： 布宮伸¹

所属機関： ¹自治医科大学医学部麻酔科学・集中治療医学講座集中治療医学部門

ページ範囲：P.34 - P.41

文献概要

POINT
■ウィーニング開始の絶対条件は，人工呼吸管理の原因となった病態の改善である．
■ウィーニングの遅れは人工呼吸管理の長期化を招きやすいため，人工呼吸管理を始めたその瞬間から，常にウィーニングの可能性を念頭に置いた管理を行う．
■人工呼吸中の鎮静は必要最小限にとどめる．持続鎮静中でも1日1回は患者を覚醒させてウィーニングの可否を判断する．
■ウィーニング可能と判断されれば，できる限り速やかに自発呼吸トライアル（SBT）に移行する．

参考文献

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