| Item type |
文献 / Documents(1) |
| 公開日 |
2019-10-25 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
長期間の多職種連携による離床により人工呼吸器からの離脱に成功したacute respiratory distress syndrome（ARDS）の１症例 |
| タイトル別表記 |
|
|
その他のタイトル |
Long-term mobilization by a multidisciplinary team liberated a case of an acute respiratory distress syndrome (ARDS) from prolonged mechanical ventilation |
| タイトル別表記 |
|
|
その他のタイトル |
長期間の多職種連携による離床 |
| 著者 |
中西, 信人
髙島, 拓也
西川, 真理恵
岡久, 哲也
土肥, 智史
野村, 慶子
福岡, 千佳
河原, 良美
吉田, 奈緒美
中山, 志津
中瀧, 恵実子
板垣, 大雅
大藤, 純
|
| 抄録 |
|
|
内容記述 |
Early mobilization is an effective way to improve the physical function of critically ill patients, but there are numerous barriers to mobilization. One such is an early ward transfer. Mobilization is often insufficient in a ward, and the patient cannot be liberated from mechanical ventilation. We experienced a case of a successfully liberated patient from prolonged mechanical ventilation in long-term mobilization as orchestrated by a multidisciplinary team in the ICU. A ４５-year-old female was admitted to the ICU and placed on mechanical ventilation for acute respiratory distress syndrome（ARDS）. We deployed a mobilization protocol, which was mostly restricted to passive exercise in the first ２ weeks after admission. On day ３０, the patient recovered from unstable respiration, but could not be liberated from mechanical ventilation because of muscle weakness, diagnosed as ICU-acquired weakness. The patient was gradually mobilized and transferred to a chair on day ３５, and she was able to stand on day ５６. On day ６５, she was completely liberated from mechanical ventilation and discharged from the ICU ７０ days after her initial admission. Long-term mobilization is important for liberation of a patient from prolonged mechanical ventilation as well as early mobilization in the ICU. |
| キーワード |
|
|
主題 |
リハビリテーション |
| キーワード |
|
|
主題 |
ICU退室 |
| キーワード |
|
|
主題 |
ICU-acquired weakness |
| キーワード |
|
|
主題 |
rehabilitation |
| キーワード |
|
|
主題 |
multidisciplinary team |
| キーワード |
|
|
主題 |
mechanical ventilation |
| キーワード |
|
|
主題 |
acute respiratory distress syndrome |
| 書誌情報 |
ja : 四国医学雑誌
en : Shikoku Acta Medica
巻 75,
号 3-4,
p. 103-108,
発行日 2019-08-25
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| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
00373699 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00102041 |
| 出版者 |
|
|
出版者 |
徳島医学会 |
| EID |
|
|
識別子 |
352255 |
| 言語 |
|
|
言語 |
jpn |
sam_75_3-4_103.pdf (567 KB)
