Ann Int Med 2005年2月15日号に掲載された、呼吸器アップデート



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〔人工呼吸〕
医師のトレーニングは人工呼吸の適切な教育を供与していない
Am J Respir Crit Cre Med. 2003:167:32-8
http://ajrccm.atsjournals.org/cgi/reprint/200206-624OCv1.pdf

ランダム化トライアルのリリース前に1回換気量処方は減っていた。
Impact of randomized trial results on acute lung injury ventilator therapy in teaching hospitals
Am J Respir Crit Cre Med. 2003;167:1304-9
http://ajrccm.atsjournals.org/cgi/content/full/167/10/1304

早期非侵襲的PS換気は心原性肺水腫に改善を促進
Noninvasive Ventilation in Cardiogenic Pulmonary Edema
A Multicenter Randomized Trial
American Journal of Respiratory and Critical Care Medicine Vol 168. pp. 1432-1437, (2003)
http://ajrccm.atsjournals.org/cgi/content/abstract/168/12/1432


〔閉塞性肺疾患〕
LVRSは重症肺気腫の予後を改善しない
N Engl J Med. Volume 348:2059-2073 May 22, 2003 Number 21
A Randomized Trial Comparing Lung-Volume?Reduction Surgery with Medical Therapy for Severe Emphysema
http://content.nejm.org/cgi/content/abstract/348/21/2059

なぜ気管支拡張剤がCOPD患者の運動耐容能を改善しないかの説明になる
American Journal of Respiratory and Critical Care Medicine Vol 168. pp. 425-430, (2003)
http://ajrccm.atsjournals.org/cgi/content/full/168/4/425


喫煙は喘息患者の経口ステロイドの有効性を阻害する
Cigarette Smoking Impairs the Therapeutic Response to Oral Corticosteroids in Chronic Asthma
American Journal of Respiratory and Critical Care Medicine Vol 168. pp. 1308-1311, (2003)
http://ajrccm.atsjournals.org/cgi/content/full/168/11/1308

術前要因は非胸部手術後の肺合併症のリスクを同定する
Accuracy of the Preoperative Assessment in Predicting Pulmonary Risk after Nonthoracic Surgery
American Journal of Respiratory and Critical Care Medicine Vol 167. pp. 741-744, (2003)
http://ajrccm.atsjournals.org/cgi/content/full/167/5/741


〔肺感染症〕
臨床的肺感染症スコアは診断正確性が低い
Diagnosing Pneumonia during Mechanical Ventilation
The Clinical Pulmonary Infection Score Revisited
American Journal of Respiratory and Critical Care Medicine Vol 168. pp. 173-179, (2003)
http://ajrccm.atsjournals.org/cgi/content/abstract/168/2/173


8日と15日抗生剤投与とも人工呼吸関連肺炎の結果は同等
Comparison of 8 vs 15 Days of Antibiotic Therapy for Ventilator-Associated Pneumonia in Adults
A Randomized Trial
JAMA. 2003;290:2588-2598.
http://jama.ama-assn.org/cgi/content/abstract/290/19/2588

施設入所老人の誤嚥性肺炎の好気性菌の役割
Microbiology of Severe Aspiration Pneumonia in Institutionalized Elderly
American Journal of Respiratory and Critical Care Medicine Vol 167. pp. 1650-1654, (2003)
http://ajrccm.atsjournals.org/cgi/content/full/167/12/1650

by internalmedicine | 2005-03-24 17:24 | 呼吸器系  

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