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        呼吸治療業務指針 - 日本臨床工学技士会
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1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          2                                                                                                                                                                                                                  
2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        KK  693              cs                                                                                                                                                g g7 Association for Clinical Engineers                                                                                                                                                                                                                                                       
3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               1                                                                                                                                                                                                                                                                                                                                                                                                                                                                   22       ue        C7  lt   lt       lt   lt   lt   EEE Japan Association for Clinical Engineers         CAC                                                                                              
5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2                                                                                    g g7 Association for Clinical Engineers    cs    EE  693                                                                                                                                                                                                                                                              Support   ALS                             3                            up                                                                                  Basic Life Support   BLS                                Advanced Life                                                                                                                                                                                             3                               A                                                              
6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            xx                                                                                                                                                                                                                                 wD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         10           3 pan Association for Clinical Engineers    cs       3    KEE         3     6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             7                                                                                 X                                                                                                                          
8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                          IT                                           1                                                                                                                                                                                                                                                                                                                                                                                   E                                                                                                  3                                            1                                                                                                                                                                                                                                                                                                                                                    1                                                                                                                                            
9.                                                                                                                                                                                                                                                                                                                                                                                                                                               1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
10.                                                                                                                                                                                                                                                                                                                                                                                                                                          g g7 Association for Clinical Engineers    cs    Ps                                                                                                                                                                                                                                                                                                                                                                                                                                 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       3                                                                                                                      
11.                                                                                                                                                                                                                                                                                                                                                                                                                                      18    ue        PEY  apan Association for Clinical Engineers                    Vacs                                                                                                                                                                                                                                                                                                                                                             2 2     9          1                     2                                                       3                                           4                      5                                     6                                                       1 MODE                       2 Vt  PC                                 3 MV                        4 RR                    5 PEEP               6 PS                                               Trigger                8   Fi0                                     1 Vte  PC                         2 Mve                        3 PIP                           4 RR                    5 TEE   
12.                                                                                                                                                                                                                                                                                                                                                                                                                                DU  lll  Ea       ll                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             I     2                                 II                                      BL                                 1                      2                      3                                        1                                       2                                            a a      CE  Japan Association for Clinical Engineers       Vace    HM                                                                a 7    Lm              
13.                                                                                                                                                                                                                                                                                                                                      2                                                                                                      2                                               E                                                             ft  9      ON            TF            S                                                                                                                                                                                                                                                                                                                                          3                                                                                        Oo                                                              1                                                                 E                                                                                                                                                                                                                                                                                                                                                                                    
14.                                                                                                                                                                                                                                                                                                         g g7 Association for Clinical Engineers    AR                                                                               RN                                                                                                                                                                                                                                                                                        0                                                                  Des                                                                                                                                                                                          A                                                                                                                                                                                                                                                                                ey                                                                                                                                                                                                                                     1                                     
15.                                                                                                                                                                                                                                                2                                                                                                                                                                                                                                                                                                                                                                                      2      1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
16.                                                                                                                                                                                                                                          1                            15                          20kPa      150mmHg                                                                                                                                                                                                                                                                                             9                                                          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                sf                                                            11    Ce  xa         3    cs                                                                                     
17.                                                                                                                                                                                                                                     g g7 Association for Clinical Engineers    cs    EE               2                             2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 LT  C                                    gt  1  IT                      5       Mi                            FT                                  rm                                                                       NE                                                                                                                                                                                                                                                                                                               lt    3                                                                                                                                                A                  
18.                                                                                                                                                                                                                 1      1                                                                                                                                                                                                                                                                                                                                                                                                                                                                2                                                                                                                                                                                                                                                                                                                        2                                               1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
19.                                                                                                                                                                                        3                                 1                                              A                    B                                                                                               jb                                                                2     D                                                                                                                                          1                                                                                              3                                                                                                                         H                                                                              IL                                                                      H                                                                                                                                                                                                                       1                                                              12                                                         EE                   C                                                                                                                           3                                                        
20.                                                                                                                                                                             yl                                                                                  gt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         E                                                                                                                                                                                                                                                                                                                     13                                                                                                                                              ge                     EY Japan Association for Clinical Engineers  i                CAC          IPPV       NPPV           VCV       PCV  
21.                                                                                                                                                   a ea                                                                                                                                                        E                                             YE                                                                                                                                                                                                                                                                                                                                                                                                                   1                                                   3                                                                                                                                   3                                                                            1                                                                                               BO                                                                                                                                                                           E                                                                                                                                                                                                                        
22.                                                                                                                 ALS                                                                                                 23                                     ce Japan Association for Clinical Engineers    Vacs                                                                                                  7                                                                                                     7                                                    7                       7                         7         60                                                       7                                                                        7        PA  60                                              77 h                                       mn                                                             70                                                              
23.                                                                                                               2         2                                     4                                                                                8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         15    V      1                                                                           2                                                                                                          3                                                                               8                                                                         F                                                                                                                                                                                                                                 10                              ee                                                                        3        
24.                                                                                                               4                                                                                                                                                                                         2                             1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             2                                                                                                                                                                                                                                                                                                                                                     3                                                                 
25.                                                                                                       B                                                                                      II                                        1                     2                                                                                                                                                                                                                                                                      4                                                                                                                                                                        ane ts  A         X             B                                                                         C                                                                                                                                    D                                 5                          mi                                                                                                                                                                                                                                                                                                                                                                                  48                                                                                                                                             
26.                                                                                               10                                                  lt 10L             lt 30                                           CE       Pa0        A a0        gt 70mnHg  Fi0  0  4    lt 350mmHg  Fi0  1 0                PaC0       35mmHg lt      45mmHg                                                                                              A                 B              C  Pa0     D  PaC0     E                  F   G   H                                                         1            10                                                                                       50mmHg                                   gt 40                                                                                                                                                                      A                                                                     B                                                                               ED                                                               i                                                                                                                                                                                                                                                                                                                         3 pan Association for Clinical Engineers    E                                        
27.                                                                                      1      1                                                                                                                                                                                                                                                                                                                                                                                                                                       Qc                                                                                                                                                                                 133                                           H                                    EE  693           cs                                                                                                                                                        3                                                                                                                                                                                                                                                                                                                                                                                                                      2                                                                                                                                              
28.                                                                               1      a  Non invasive Positive Pressure Ventilation   NPPV  i                                                                                                                                                                                                                                                                         Standard Precaution                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2                              96                                                                                                                                                     7                                                                                                                                           
29.                                                                             14          ue  a a  PE Japan Association for Clinical Engineers              cs                                                                                                                                                                                                          4                                                                                                                                                                                                                                                                                                                                                                                                                           Da     A                                                                                  B                                                              C                                                         D                                              E                                                                                                                                                                                                                   6   2                                                                                                                                                                                2         1                                                                    
30.                                                                            2P 3P                                                                                                                                            T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 1                                                                          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
31.                                                              i                                                                                                                                                                i                                                                                                                                                                                                                                                                                                                                                                                                                                                                  iv                                                                                                                                                                            3 pan Association for Clinical Engineers    cs    Ct  xa         ES                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
32.                                                 ee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ee                                                                                                                                                                                                                                                                                                                   Vte                     Vti                                                                                                   ee                                                                                                                                                     2                                                                                                                  ee                                            3                        10         
33.                                                16                                                                                                                                                                                                                                                                               ce     g g7 Association tor Clinical Engineers  ce            1                                                                                                                                                  2       2011 12   2                                                         410                                                                                                      63     7     15       3                                                              248                                                                                                                                 13     3     27       4                                                                                                                                         0330001                             0330018                                                                                                                                               19     3     30       5                                                                                                                                                                                2007 2   6  Garpestad et al 
34.                                              70                              8                                                                    32C                                                                10L min                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2          1                          1                                                                                                    A                                                                  B                      C                                                                                                                                                     1                                      1                               EC          cs                                                                                                                                                                                                                                                                                                        
35.                                            R                                                                                                                                                                                                                                                                                                                                        1                                                                                                                                                                                                                                           1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            2                                        1                                                                                                     
36.                                         2           3                                            3                                             1                                          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ue  a a  PE     g g7 Association for Clinical Engineers              cs            
37.                                         g g7 Association for Clinical Engineers                                                                                                                                                                                                             L                                                                                                                                                                                                                                                                                                                                                                                                           3                                            2                                                                                                                                                                                                                       2                                            1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
38.                                      0         ALS                                                                     2004 3       17    4            ed ps TE 4  PEY  apan Association for Clinical Engineers                     4             CAC                                                                                                            A                               EA                                 BVR                                                  1                                  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
39.                                    A  MRI                                                                            MRI                                                 B                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   8                           19                                                                                                                                                                                                                                                                                                           1   2                                                                                                                                                                                                                                                                                                                 
40.                                   1                                     2                         3                              1                          2                                           3                                                                                                                       7  7  7    IV                                                                                 13    1     V   Vl                                                 1                                     2                         3                                  1                                       2                          3                                             4                                                LT                                                                             A ee ee Rs         RE da    13  13  13  13  13  13  15                                                                                                                                                                                                                                                                                                                                                                                                              Ct  3          ES    cs                                                                                                                                                                                                            
41.                              3 10cm                                                                                                                                                                                           120mmHg                                                                                                                                                                                                                                                       1                            10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             NO                                  
42.                      2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2                                     1                                                                                                                                              EE    2                                                                                                                                                                                                                3                                                                                                                                                                                                                                                                                                                                                                                                                                 
43.                     f                                                                                                                                                                                                                                                                                                                                                              A                                                                           B                                                                                                                                C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       A                                                                                                                                         B                                                                                                                                                                                                         
44.              3 pan Association for Clinical Engineers                                                                                                                                        FE                                        I                                                                                                                   respiratory support team   RST                                                                                                                                                     3                                                                                                                                                                                           I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    DD                                                             1                                                                                                                                                                                                                             
45.          PEEP                                                                                                                                                                                                                                                   3                                                                                                                                                                                                                                                                                                                                                                                                                            2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
46.     2011     1     21     1     2011     11      11011003O     OO   BOR     013                            OOOOO     POO40   3510100OOO   2010     3     18     2011     2     25     1     2012     02      11011003O     OO   BOR     014                            OOOOO     POO40   3510100OOO   2010     3     18     2011     1     19     1     2011     10      11011003O     OO   BOR     015                            OOOOO     POO40   3510100OOO   2010     3     18     2011     3     1     1     2012     03      11011003O     OO   BOR     016                            OOOOO     POO40   3510100OOO   2010     3     18     2011     1     17     1     2011     10      11011003O     OO   BOR 017                            OOOOO     POO40   3510100OOO   2010     3     18     2011     1     20     1     2011     11      11011003O     OO   BOR     018                            OOOOO     POO40   3510100OOO   2010     3     18     2011     1     14     1     2011     11      11011003O     OO   BOR     019                            OOOOO     POO40   3510100OOO   2010     3     18     2011     1     11     1     2011     11      11011003O     OO   BOR     020                            OOOOO     POO40   3510100OOO   2010     3     18     2011     2     16     1     2012     02      11011003OOO   BOR     021                             OOOOO     POO40   3510100OOO   2010     3     18     2011     3     30     1     2012     03                                         21    ee      EEE Jap
47.    cs                                                                                                       3 pan Association for Clinical Engineers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
48.   3                                                                1                                                                                                                        2                                                                                                                                            2         2                                             1                                                                                                                                                                                                                                                                                                                                                                        3                                                                                                                                                2         2                                               3                                                                                             4                                                                                                                                                                                                                       2         2                                            5                                                                                 5                                                                                                       
49.   Ke              3    cs        1                                                 IV                                                         1     1     2     3                               1                                        1                                                                                      QOL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           3 pan Association for Clinical Engineers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
50.   Noninvasive Ventilation for Critical Care  Chest 2007   132     711 720  2007                                                       7  AARC   Cli  Respir Care   37  887 890  1992   8                                                                                                                              14     1     9             9  GUIDELINES                                                                                               0109004                                                                                                              FOR PREVENTING EALTH CAREASSOCIATEDPNEUMONIA  2003                           5 AS                                 nical Practice Guideline Humidification during Mechanical Ventilation                                                               Recommendationsof CDC and the Healthcare Infection Control PracticesAdvisory  Committee   10                                                                                                                                                                         16     11     26       11                                                                                                                     2007     9        12                                                      10     Ra                      319 330  3                                                                3                                                                                 2005   13                   
51. 6 PEEP                7                                           1                                2                                3                                                 4                                                              1                       2 Sp0    PR    3                           ICU NICU HU CCU SCU                                                                               19    ce Japan Association for Clinical Engineers                                                  E33 covipiEN       PB840 Ventilator                                                             RS ccc ssi                                    1004341000OO                              RF   Md                                                            Bis                                             Bay                                                                                                  LE          STe                                      EsT7 7            Kg             gt 9750    m2       9    30             317772                                                                    TvPC 840 c                                                               20    we  ce Japan Association for Clinical Engineers    Vacs                                                                                                                                                          11011003O     OO   BOR 012                            OOOOO     POO40   3510100OOO   2010     3     18 
52. an Association for Clinical Engineers                                                                                       1                                                                                                 gt                                                      AC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ee                                                                                                                                                                                                                                                                                                              ee                                                                                                                                                                                                                                                                             
    
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