{"id":60672,"date":"2020-03-26T13:00:54","date_gmt":"2020-03-26T18:00:54","guid":{"rendered":"https:\/\/www.apsf.org\/?p=60672"},"modified":"2020-05-08T01:04:45","modified_gmt":"2020-05-08T06:04:45","slug":"%e4%ba%ba%e5%b7%a5%e5%91%bc%e5%90%b8%e5%99%a81%e5%8f%b0%e3%81%ae%e8%a4%87%e6%95%b0%e6%82%a3%e8%80%85%e5%88%a9%e7%94%a8%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e5%85%b1%e5%90%8c%e5%a3%b0%e6%98%8e","status":"publish","type":"post","link":"https:\/\/www.apsf.org\/ja\/news-updates\/%e4%ba%ba%e5%b7%a5%e5%91%bc%e5%90%b8%e5%99%a81%e5%8f%b0%e3%81%ae%e8%a4%87%e6%95%b0%e6%82%a3%e8%80%85%e5%88%a9%e7%94%a8%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e5%85%b1%e5%90%8c%e5%a3%b0%e6%98%8e\/","title":{"rendered":"\u4eba\u5de5\u547c\u5438\u56681\u53f0\u306e\u8907\u6570\u60a3\u8005\u5229\u7528\u306b\u95a2\u3059\u308b\u5171\u540c\u58f0\u660e"},"content":{"rendered":"<p><div class=\"imgwrapperright\" \/><p><img decoding=\"async\" class=\"alignnone wp-image-45543 size-medium\" src=\"https:\/\/www.apsf.org\/wp-content\/uploads\/news-updates\/2020\/ventilator-statement-logos-155x300.jpg\" alt=\"\u4eba\u5de5\u547c\u5438\u5668 \u58f0\u660e\u30ed\u30b4\" width=\"155\" height=\"300\" srcset=\"https:\/\/www.apsf.org\/wp-content\/uploads\/news-updates\/2020\/ventilator-statement-logos-155x300.jpg 155w, https:\/\/www.apsf.org\/wp-content\/uploads\/news-updates\/2020\/ventilator-statement-logos-103x200.jpg 103w, https:\/\/www.apsf.org\/wp-content\/uploads\/news-updates\/2020\/ventilator-statement-logos.jpg 433w\" sizes=\"(max-width: 155px) 100vw, 155px\" \/><\/p>\n<\/div>\u9ebb\u9154\u60a3\u8005\u5b89\u5168\u8ca1\u56e3\uff08Anesthesia Patient Safety Foundation, ASPF\uff09\u3001\u7c73\u56fd\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\uff08Society of Critical Care Medicine, SCCM\uff09\u3001\u7c73\u56fd\u547c\u5438\u7642\u6cd5\u5b66\u4f1a\uff08American Association for Respiratory Care, AARC\uff09\u3001\u7c73\u56fd\u9ebb\u9154\u79d1\u5b66\u4f1a\uff08American Society of Anesthesiologists, ASA\uff09\u3001\u7c73\u56fd\u30af\u30ea\u30c6\u30a3\u30ab\u30eb\u30b1\u30a2\u770b\u8b77\u5e2b\u5354\u4f1a\uff08American Association of Critical\u2010Care Nurses, AACN\uff09\u3001\u304a\u3088\u3073\u7c73\u56fd\u80f8\u90e8\u5c02\u9580\u533b\u5b66\u4f1a\uff08American College of Chest Physicians, CHEST\uff09\u306f\u3001\u547c\u5438\u4e0d\u5168\u306e\u3042\u308b\u8907\u6570\u60a3\u8005\u306b\u5bfe\u3057\u30661\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u3092\u7528\u3044\u308b\u554f\u984c\u306b\u53d6\u308a\u7d44\u3080\u305f\u3081\u306b\u5354\u529b\u3092\u958b\u59cb\u3057\u307e\u3057\u305f\u3002\u65b0\u805e\u3084\u30c7\u30b8\u30bf\u30eb\u30e1\u30c7\u30a3\u30a2\u3001\u304a\u3088\u3073\u4e00\u90e8\u30d8\u30eb\u30b9\u30b1\u30a2\u30b0\u30eb\u30fc\u30d7\u306b\u3088\u3063\u3066\u3001\u4eba\u5de5\u547c\u5438\u5668\u4e0d\u8db3\u306e\u554f\u984c\u306b\u5bfe\u51e6\u3059\u308b\u65b9\u6cd5\u3068\u3057\u3066\u3001\u547c\u5438\u4e0d\u5168\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u8907\u6570\u60a3\u8005\u30921\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u3067\u6cbb\u7642\u3059\u308b\u3068\u3044\u3046\u8003\u3048\u304c\u6700\u8fd1\u63d0\u5531\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002APSF\u304a\u3088\u3073\u4ed6\u7d44\u7e54\u306f\u3001\u3053\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u60a3\u8005\u306b\u5bb3\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3001\u3055\u3089\u306b\u4eba\u5de5\u547c\u5438\u5668\u5bb9\u91cf\u3092\u5897\u3084\u3059\u4ee3\u66ff\u65b9\u6cd5\u304c\u3042\u308a\u3001\u305d\u306e\u65b9\u304c\u60a3\u8005\u3078\u306e\u30ea\u30b9\u30af\u304c\u5c11\u306a\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"https:\/\/www.apsf.org\/wp-content\/uploads\/news-updates\/2020\/ja\/Multiple-Patients-Single-Vent-Statement-ja.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>[PDF Version]<\/strong><\/a><\/p>\n<h3>\u4eba\u5de5\u547c\u5438\u56681\u53f0\u306e\u8907\u6570\u60a3\u8005\u5229\u7528\u306b\u95a2\u3059\u308b\u5171\u540c\u58f0\u660e<\/h3>\n<p>2020\u5e743\u670826\u65e5:\u7c73\u56fd\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\uff08Society of Critical Care Medicine, SCCM\uff09\u3001\u7c73\u56fd\u547c\u5438\u7642\u6cd5\u5b66\u4f1a\uff08American Association for Respiratory Care, AARC\uff09\u3001\u7c73\u56fd\u9ebb\u9154\u5b66\u4f1a\uff08American Society of Anesthesiologists, ASA\uff09\u3001\u9ebb\u9154\u60a3\u8005\u5b89\u5168\u8ca1\u56e3\uff08Anesthesia Patient Safety Foundation, ASPF\uff09\u3001\u7c73\u56fd\u30af\u30ea\u30c6\u30a3\u30ab\u30eb\u30b1\u30a2\u770b\u8b77\u5e2b\u5354\u4f1a\uff08American Association of Critical\u2010Care Nurses, AACN\uff09\u3001\u304a\u3088\u3073\u7c73\u56fd\u80f8\u90e8\u5c02\u9580\u533b\u5b66\u4f1a\uff08American College of Chest Physicians, CHEST\uff09\u306f\u3001\u8907\u6570\u60a3\u8005\u306b\u5bfe\u3057\u30661\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u3092\u5229\u7528\u3059\u308b\u65b9\u91dd\u306b\u3064\u3044\u3066\u3001\u3053\u306e\u5408\u610f\u58f0\u660e\u3092\u767a\u8868\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>\u4e0a\u8a18\u7d44\u7e54\u306f\u3001\u73fe\u5728\u306e\u6a5f\u5668\u3067\u306f\u5b89\u5168\u6027\u306e\u61f8\u5ff5\u306b\u3088\u308a\u3001\u4eba\u5de5\u547c\u5438\u5668\u306e\u5171\u6709\u306f\u8a66\u307f\u308b\u3079\u304d\u3067\u306f\u306a\u3044\u3068\u81e8\u5e8a\u533b\u306b\u52a9\u8a00\u3057\u3066\u3044\u307e\u3059\u3002COVID\u201019\u767a\u75c7\u60a3\u8005\u306b\u304a\u3051\u308b\u6025\u6027\u547c\u5438\u7aae\u8feb\u75c7\u5019\u7fa4\uff08acute respiratory distress syndrome, ARDS\uff09\u306e\u751f\u7406\u5b66\u7684\u898b\u89e3\u306f\u8907\u96d1\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u7406\u60f3\u7684\u306a\u74b0\u5883\u306b\u3042\u3063\u3066\u3082\u3001ARDS\u3068\u975e\u5747\u4e00\u6027\u80ba\u75be\u60a3\u3092\u4f75\u767a\u3059\u308b\u60a3\u80051\u4eba\u3078\u306e\u4eba\u5de5\u547c\u5438\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u306f\u56f0\u96e3\u3067\u3042\u308a\u3001\u6b7b\u4ea1\u7387\u306f40\uff05\u304b\u308960\uff05\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u3053\u3067\u8aac\u660e\u3059\u308b\u554f\u984c\u3092\u8e0f\u307e\u3048\u308b\u3068\u3001\u8907\u6570\u306eCOVID-19\u60a3\u8005\u306b\u5bfe\u3057\u3066\u4eba\u5de5\u547c\u5438\u6cbb\u7642\u3092\u884c\u3046\u3068\u3059\u308b\u3068\u3001\u9694\u96e2\u611f\u67d3\u60a3\u8005\u3078\u306e\u8ee2\u5e30\u7387\u4e0d\u826f\u306b\u306a\u308a\u3001\u6b7b\u4ea1\u7387\u304c\u9ad8\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u975e\u5e38\u306b\u56f0\u96e3\u3067\u3042\u308b\u304c\u73cd\u3057\u3044\u3053\u3068\u3067\u306f\u306a\u3044\u3053\u3068\u3068\u3057\u3066\u30c8\u30ea\u30a2\u30fc\u30b8\u306f\u533b\u7642\u5371\u6a5f\u3067\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001\u8907\u6570\u60a3\u8005\u306b\u5bfe\u3057\u3066\u6b7b\u4ea1\u3092\u62db\u304f\u3001\u307e\u305f\u5ef6\u547d\u5931\u6557\u3055\u305b\u308b\u3088\u308a\u3082\u3001\u56de\u5fa9\u3059\u308b\u53ef\u80fd\u6027\u304c\u6700\u3082\u9ad8\u3044\u60a3\u8005\u306b\u512a\u5148\u7684\u306b\u4eba\u5de5\u547c\u5438\u5668\u3092\u4f7f\u3046\u65b9\u304c\u9069\u5207\u3067\u3059\u3002<\/p>\n<p><strong>\u80cc\u666f:<\/strong>\u8907\u6570\u60a3\u8005\u306b\u5bfe\u3057\u30661\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u3067\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u3078\u306e\u95a2\u5fc3\u306f\u3001COVID-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u6642\u306b\u4eba\u5de5\u547c\u5438\u5668\u306e\u5229\u7528\u53ef\u80fd\u6570\u3092\u62e1\u5927\u3057\u305f\u3044\u4eba\u3005\u306b\u3088\u3063\u3066\u9ad8\u307e\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u4eba\u5de5\u547c\u5438\u56681\u53f0\u3042\u305f\u308a\u8907\u6570\u60a3\u8005\u3092\u6cbb\u7642\u3059\u308b\u65b9\u6cd5\u306b\u95a2\u3059\u308b\u521d\u671f\u306e\u8b70\u8ad6\u306f\u30012006\u5e74<sup>1<\/sup>\u306bNeyman\u3089\u306b\u3088\u3063\u3066\u30012013\u5e74<sup>2<\/sup>\u6708\u306bPaladino\u3089\u306b\u3088\u3063\u3066\u9032\u3081\u3089\u308c\u307e\u3057\u305f\u3002\u305f\u3060\u3057\u3044\u305a\u308c\u306e\u5834\u5408\u3082\u3001Branson\u3001Rubinson\u7b49\u306f\u3053\u306e\u624b\u6cd5\u306e\u4f7f\u7528\u3092\u63a8\u5968\u3067\u304d\u306a\u3044\u3068\u8b66\u544a\u3057\u3066\u3044\u307e\u3059\u3002<sup>3-5<\/sup> 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505c\u6b62\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u72b6\u6cc1\u306f\u307e\u305f\u3001\u4ed6\u306e\u60a3\u8005\u3078\u306e\u547c\u5438\u4f9b\u7d66\u52d5\u529b\u3092\u3082\u5909\u66f4\u3055\u305b\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/li>\n<li>\u8ffd\u52a0\u3055\u308c\u305f\u56de\u8def\u30dc\u30ea\u30e5\u30fc\u30e0\u306f\u3001\u4f5c\u52d5\u81ea\u52d5\u30c6\u30b9\u30c8\u3092\u7121\u52b9\u306b\u3057\u307e\u3059\uff08\u30c6\u30b9\u30c8\u306f\u5931\u6557\u306b\u306a\u308b\uff09\u3002\u81e8\u5e8a\u533b\u306f\u3001\u30c6\u30b9\u30c8\u7121\u3057\u306b\u4eba\u5de5\u547c\u5438\u5668\u3092\u64cd\u4f5c\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u6e2c\u5b9a\u8aa4\u5dee\u306e\u767a\u751f\u3082\u5897\u52a0\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u8ffd\u52a0\u306e\u5916\u90e8\u76e3\u8996\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002\u4eba\u5de5\u547c\u5438\u5668\u306f\u5e73\u5747\u5727\u529b\u3068\u4f53\u7a4d\u3092\u76e3\u8996\u3057\u307e\u3059\u3002<\/li>\n<li>\u305f\u3068\u30481\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u306b\u63a5\u7d9a\u3055\u308c\u3066\u3044\u308b\u3059\u3079\u3066\u306e\u60a3\u8005\u304c\u3001\u6cbb\u7642\u958b\u59cb\u6642\u306b\u540c\u3058\u81e8\u5e8a\u7684\u7279\u5fb4\u3092\u6301\u3063\u3066\u3044\u305f\u3068\u3057\u3066\u3082\u3001\u7570\u306a\u308b\u901f\u5ea6\u3067\u60aa\u5316\u3057\u305f\u308a\u3001\u56de\u5fa9\u3057\u305f\u308a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u5404\u60a3\u8005\u3078\u306e\u30ac\u30b9\u306e\u914d\u5206\u306f\u540c\u3058\u3067\u306f\u306a\u304f\u3001\u76e3\u8996\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3002\u6700\u3082\u75c5\u72b6\u306e\u91cd\u3044\u60a3\u8005\u306f\u4e00\u56de\u63db\u6c17\u91cf\u304c\u6700\u3082\u5c0f\u3055\u304f\u3001\u6539\u5584\u50be\u5411\u306b\u3042\u308b\u60a3\u8005\u306f\u4e00\u56de\u63db\u6c17\u91cf\u304c\u5927\u304d\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u6700\u5927\u306e\u30ea\u30b9\u30af\u306f\u30011\u4eba\u306e\u60a3\u8005\uff08\u6c17\u80f8\u3001\u6c17\u7ba1\u5185\u30c1\u30e5\u30fc\u30d6\u306e\u306d\u3058\u308c\u7b49\uff09\u306e\u72b6\u614b\u304c\u7a81\u7136\u60aa\u5316\u3057\u3001\u4ed6\u306e\u60a3\u8005\u3078\u306e\u559a\u8d77\u91cf\u306b\u5bfe\u3057\u3066\u306e\u30ac\u30b9\u4f9b\u7d66\u304c\u72c2\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3067\u3059\u3002<\/li>\n<li>\u6700\u5f8c\u306b\u3001\u502b\u7406\u7684\u306a\u554f\u984c\u304c\u3042\u308a\u307e\u3059\u3002\u4eba\u5de5\u547c\u5438\u5668\u306f1\u4eba\u306e\u60a3\u8005\u6551\u547d\u3092\u76ee\u7684\u306b\u8a2d\u8a08\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u524d\u63d0\u3068\u3059\u308b\u3068\u3001\u4e00\u5ea6\u306b\u8907\u6570\u306e\u60a3\u8005\u306b\u305d\u308c\u3092\u4f7f\u7528\u3059\u308b\u3068\u3001\u3059\u3079\u3066\u306e\u4eba\u306b\u3068\u3063\u3066\u547d\u306b\u304b\u304b\u308f\u308b\u6cbb\u7642\u306e\u5931\u6557\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<p><strong>\u53c2\u8003\u6587\u732e<\/strong><\/p>\n<ol>\n<li>Neyman G, Irvin CB.\u5371\u6a5f\u7684\u72b6\u6cc1\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306e\u3001\u8907\u6570\u60a3\u8005\u3078\u306e1\u53f0\u4eba\u5de5\u547c\u5438\u5668\u6cbb\u7642\u3002<em>\u6551\u6025\u533b\u7642\u5b66\u4f1a.<\/em>2006\u5e7411\u6708;13(11):1246\u20101249.<\/li>\n<li>Paladino L, Silverberg M, Charcaflieh JG. \u707d\u5bb3\u6642\u306e\u63db\u6c17\u30b5\u30fc\u30b8\u5bb9\u91cf\u306e\u5897\u52a0\uff1a \u5909\u66f4\u3055\u308c\u305f\u56de\u8def\u3092\u5099\u3048\u305f1\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u3092\u3001\u6210\u4eba\u30b5\u30a4\u30ba\u306e\u7f8a4\u5339\u306b\u5bfe\u3057\u3066\u63a5\u7d9a<em>\u8607\u751f.<\/em>2008\u5e744\u6708;77(1):121\u2010126.<\/li>\n<li>Branson RD\u3001Rubinson L. \u8907\u6570\u60a3\u8005\u3078\u306e1\u53f0\u306e\u4eba\u5de5\u547c\u5438\u5668\u5229\u7528\uff1a\u30c7\u30fc\u30bf\u304c\u8868\u3059\u3082\u306e<em>\u8607\u751f.<\/em>2008\u5e7410\u6708;79(1):171\u2010172; \u8457\u8005\u8fd4\u7b54 172\u2010173.<\/li>\n<li>Branson RD, Rubinson L. \u5371\u6a5f\u7684\u72b6\u6cc1\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306e\u3001\u8907\u6570\u60a3\u8005\u3078\u306e1\u53f0\u4eba\u5de5\u547c\u5438\u5668\u6cbb\u7642\u3002<em>\u6551\u6025\u533b\u7642\u5b66\u4f1a.<\/em>2006\u5e7412\u6708;13(12):1352\u20101353; \u8457\u8005\u8fd4\u7b54 1353\u20101354.<\/li>\n<li>Branson RD, Blakeman TC, Robinson BR, Johannigman JA.4\u4eba\u306e\u60a3\u8005\u306b1\u3064\u306e\u4eba\u5de5\u547c\u5438\u5668\u3092\u4f7f\u7528\uff1a\u9650\u5b9a\u7684\u6761\u4ef6\u306b\u304a\u3051\u308b\u81e8\u5e8a\u8a55\u4fa1\u3002<em>\u547c\u5438\u6cbb\u7642.<\/em>2012\u5e743\u6708;57(3):399\u2010403.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u9ebb\u9154\u60a3\u8005\u5b89\u5168\u8ca1\u56e3\uff08Anesthesia Patient Safety Foundation, ASPF\uff09\u3001\u7c73\u56fd\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\uff08Society of Critical Care Medicine, SCCM\uff09\u3001\u7c73\u56fd\u547c\u5438\u7642\u6cd5\u5b66\u4f1a\uff08American Association for 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