JAMS2005 - 日本医学シミュレーション学会
Contents
1.2. 3 H m 1 gt IR 1
3. 3 pH PaO gt PaCO BLUES 1
4. ACLS
5. 6 LMA T Laryngeal Mask Airway LMA IMR ArT OT CH
6. gt bh me N 5 HPS ies eee MP
7. 1 2 3 22 2 5 ml Tuohy 2 5 ml Tuohy 5 Tuohy
8. DR 1 NS 1 1 2 3 4 5 7 0 2 3 2 1 40 38C 0 5 1 2 1 2 EIER 1
9. 6 No MS ee ce eae LAL 2004 L
10. AE 6 0mm 4 5 9 0 lt 2 gt BEND HERE 6 ON i BATT OK
11. 1 2 3 DIC K 24 2 5 I CU 6 1 mg kg 1 2 5 2 1 1
12. Te 2 3 4 Click 20 40cm 30 35Scm Distal hold up sign
13. 3 1 2 K er FC 2 0 14 0 35 MPa 4 2 RAVE Y xy MADRE 25 4 HPS
14. ETT 9 ETT 7 8 1 TOKIBO 2 JR Brimacombe AIJ Brain gum elastic bougie
15. Difficult Airway Management DAM 2004 3 1 1 DAM ASA DAM DAM 3 2004 9 Difficult Airway Management DAM 2 DAM 24 2004 10 3 DAM DAM 2003 3
16. 2005 4 1 Difficult Airway Management DAM 1990 Anesthesia Crisis Resource Management ACRM E LE 2001
17. Cr O 2 anu xT TH Ou 7 sr Pe GHz 6 F A WRG 2 AVY CIE LVR KARO 3 ATO SHIRE
18. m S PE PALE A Call for Help B f RE Secondary Strategy C ADDIE
19. 1 GE 3 4 5 1F 06 6346 8337 R
20. VIMA HPS 10 HPS
21. h 1 2 3 LET RARER EZEZ K 0 REPET E ICU D 2 0 a
22. gt 17 11 19 9 12 gt POOR a gen 5h 1 MERZ CR OEI MERCES ZAV kol E 1 1 te ae C GGA
23. 1 2 3 4 Japanese Association for Medical Simulation 4 PSr HAE MARUR ARE 1995 3
24. 1 cm 3cm 1 2 FARA HEE 3 AmI 4 5 w sm XS 1 12 FPA PARE X ok w II Melker 2 gt a 2 Melker 1 Patil s Airway
25. 14 16 MCS 3 1 1 0 14 Mpa 2 AUC EARS ALR L 5 ml 16
26. H IN CRU BRITS 3 gt 3 0 E Felice A Can J Anesth 51 592 599 2004 3 gt
27. AWA ASA difficult airway ASA difficult airway Practice Guidelines for Management of the Difficult Airway difficult airway 1992 LMA 2003
28. x gt f Nie gt x Fa JLIAF IYI ISSA MEE RAPT vy hy REY ey hSVFL ARE DT 2 0 gt EDI OEMA Pesach LMA Proseal 2 2 TrA ike ae eer tk D RAORRHSERREY y 9 MECON difficult airway 1 2
29. 10 5 cm A an N CO 2 Crycothyroidotomy can not ventilate can not intubate
30. LMA Intubating LMA LAF ILMA 3 4 3 3 ETT 7 0 7 5 8 0mm 3 ILMA RIZ oT ILMA ETT EEB ETT
31. 4 14 1 2 a b AM en RT ae 3
32. op f EDS a 2 5 4 e 5 DAM e HPS Japanese Associ
33. e e lt gt H HET LiSA 2 1995 50 58 LiSA 2 1995 64 67 LiSA 2 1995 70 73 j EME AJ REME 1 988 A clinical grading scale to predict malignant hyperthermia susceptibility Larach MG Localio AR et al Anesthesiology 80 1994 771 779 http wwwr lab toho u ac jp med anesth1 Miller s Anesthesiology 6th edition Malignant hyperthermia Gerald A Gronert et al ASA refresher course 2004 Malignant hyperthermia What is new in detection and treatment Barbara W Brandom ARR EAEN IKM 25 4
34. gt 17 11 19 1 2 3 0 3 3 0 gt gt ETA ERAK FMEA EREHE DAM 17 9 15 SN rane Be EREI TRA
35. DAM 2005 3 DAM 2003 4 1 Japanese Association for Medical Simulation JAMS JAMS Jo JAMS
36. 8 5 1 00 9 0 15 3 15 20 pH PaoO gt PaCO K
37. GEB GEB 90 7 8 GEB Parker Flex Tip 90
38. SP SP ICU
39. IZ fi i ua X 2 1 ADT R 1 I RM 1 2 X2 He
40. 20 cm Tuohy 7 6 0 7 0 mm 9
41. ex we VF 1 ZS Fi Nn HE o JOS H HX 2 2 RA TT ASA
42. 1 att T 1 D Virtual Anesthesia Machine
43. 19 3 2 20 21 6 22 23 24 1 7 25 4 1 3 31 26 3
44. 4 GEB
45. 60cm 40cm v l S NF c Ss me ABO Ob eH LICR 1 Beers hone ee Pe Me ADEE k Dee HHA Ch Ss 1 21
46. 3cm 2cm ETT CO ETT 6cm 1 3 4 ETT 1Scm ILMA 5 EEB 6 ETT EEB 7 8
47. 1 2 3 4 1 LMA 2 3 4 difficult airway
48. 52 23 cE Nn 1 O 5 0 1 0 2 0 TEZRO AREH ZS ELET Bek E Ex 2 BS K 6 KAS
49. i 6 JIJE KLEL TR b UP VE eet LMA 6 1 6 30 1 3
50. 1mg kg 1 5min gt 7mg kg 1A 20 mg Img kg 2 5mg kg IFT F 60 ml 0 8 1 2 pH9 0 10 5 gt 2 mg kg 15min gt 10mg kg O 15 min Wash Out gt gt gt ot j
51. Difficult Airway 1 Difficult Airway Management Difficult Airway ee DAM DAM DAM eRe bee DAM 4 1 DAM JAMS DAM DAM DAM JAMS 24 17 52
52. BELO Role KFRPIMOMRNCELL EFROMBORR K us Sen 3em UF BORE a DR 2 k Mallampati class IBE difficult airway BOB gt TUS HL mandibular space AF THL HEB RIPER 221 il Nes HI 4 Thyromental distance 3 FH 6cm UF AGL CT BOG BOL BOCELLI 1 difficult airway management DAM LMA ee 9 wee 6
53. FWAARILASO AIC CBE JAMS JAMS DAM DAM HPS 52 2005 6 4 DAM AMCS 2005 7 DAM HPS WISER The Peter M Winter Institute for Simul
54. 7 D AM EAJ ie ta m EF ARRS K
55. Melker 1cm 5 5 6 0mm 15 1 2 3
56. 3 fast track 2 DAM K 30 4 4 LMA preplanned strategy 1 a b c d 2 a b c 3 a b
57. 1 me lt 2 gt gt Na 1 Be AOR sniffing position METAR DIAE RE D F DJE L HEZE FN 3 2 9 0 lt 10cm
58. DAM ES E3 368 1235 sani ee SA i 4 127 28 JSAS1 Pa ws 36 Am i 7 9 TP DAM 3 OA
59. fE 2007 7 PC Virtual Anesthesia Machine VAM Sem Lampotang Virtual Anesthesia Machine Instructor WEB CS Bee JAMS W7o are you JAMS 2
60. 2 DAM difficult airway j EE 2000 26 MB DBA Ate HA 51 DAM
61. 1 cm 1 cm 4 5 SEO COBAFLEUMKT I 6 T 1 Vadodaria BS Anaesthesia 59 73 79 2004 transtracheal jet ventilation
62. 27 8 28 3 PR 17 3 26 1 2 3 4 1 PT 1 1 2 3 2 SHAR 1 5 Japanese Association for Medical Simulation 1 17 11 1 T 663 8501
63. 5 ETT ETT 6 ILMA 7 ETT ETT ILMA ETT ILMA ETT tit CHA ILMA 8 ETT ETT
64. UT OSCE Objective Structured Clinical Examination OSCE Simulated Patient SP SP BAe No CHS OSCE
65. ae 5 sal aya a Nea Cae TW QrL
66. FE i 6 7 16 15 1 7 2 25 4 17 11 19 e 9 1 2 e HPS 9 13 50 e 5 DAM 12 30 15 30 1 18 e 11 3 0 1 3 3 0 DAM
67. gt 8 4 BURE gt gt 2ml kg hr kg xBEx0 3 gt 38 38 gt gt KBICL AGA gt AAA gt gt 41 gt CaC12 gt 50 30ml 50U gt gt gt ICU gt ETco gt gt 48 ICU
68. 1 5 CK gt 20 000 IU s 1 5 CK gt 20 000 IU e 1 0 1 0 a gt 60 ug L 5 gt 170 ug L 5 K gt 6 mEq L 5 PErco gt gt 55 mmHg Pacox gt 60 1 5 mmHg Perco gt 60 mmHg Paco gt 65 3 1 5 A mmHg 1 5 10 4 o REPE OHIE T 15 gt 38 8 1 0 8 D ME VT VF 3 Base Excess lt 8 mEq L 10 6 pH lt 7 25 10 5 D 20 40 6
69. 1 3 REF E Te POTH 1 20 E COBB HEF 2 7 eile BIS 2001 350 519 20 NS 02 51 775 6
70. 2 3 W P XR 3 1 2 3 4 3 3 1 2 8 SE 3 1 2 3 2
71. 1000 Mane Raw CC amp o WRENS UFR 3 EAK RERET MAB OR SANPARKS IL KEETE I CU I CU ELK CPAP 4
72. 2 5 J ry cea J H Re k ee retrograde guide for endotracheal intubation Jo Cook Tuohy
73. c 4 3 CVCI can not ventilate can not intubate 5 1 LMA LMA 1 2 3 CVCI LMA LMA extubation strategy
74. LMA a LMA b c 8 LMA tube exchanger d NN e 1ASA difficult airway
75. Non emergency Pathway Emergency Pathway D 1 Call for Help 2 peal A B GER m T OR TE C VS EELS 3 B Primary Strategy ae SOE EH Jr BE paella aa ae 1 2 BEH 3 a b Secondary Strategy LMA LMA LMA ES Y eee Y d BR REE ie b
76. ol fF WwW N 6 Pi cong en rie een eins
77. EBM Anesthesiology EBM 569 3 preoxygenation 2 difficult airway management DAM recommendation difficult airway difficult airway 7 M T FRNLPMAEEMAL PE THEI S
78. 1 ILMA ETT RO C29 Cassie Ml 1 ILMA 2 A ETT ILMA ETT 15cm T LIMA oct
79. 2 3 1 Pao2 2 CK AST ALT LDH DIC 1 2 RAG 0 3 9 10 19 20 34 35 49 50 1 2 lt 3 B Clinical Grading Scale MH 1 Almost never 2 Unlikely 3 Somewhat less than likely 4 Somewhat greater than likely 5 Very likely 6 Almost certain 3 A 1 5 6 3 Clinical Grading Scale yess E FA 15 1 ent WAM ih AN ALA es
80. AAA EE 9 ee A T RE T 8 CF AREA 1 168 BSL gt 0 JEO BSL http sueme pobox ne jp prof
81. International Meeting for Medical Simulation MMS 2004 Society for Technology in Anesthesia STA http www anestech org IMMS Society for Medical Simulation SMS http www socmedsim org 2004 IMMS SMS 2006 1 Simulation in Healthcare http www socmedsim org Journal himl 1994 Society in Europe for Simulation Applied to Medicine SESAM http www sesam ws 199 10
82. gt 1mg kg 6 BE ey BA PYT BEEZ ERLER FEAL SD HEME fis EARR 10 DIC
83. JAMS JAMS JAMS 2 1 JAMS 3 JAMS
84. 1 1 0798 45 6392 FAX 0798 45 6393 jams hyo med ac jp 2 5 e L gt 2 10 15 Japanese Association sesa O L u IRI for Medical Simulation 2005 11 19 A 9 12 Q HP 8 9 1 50 5 12 30 3 30 D AM http www jsca25 com 663 8501 1 1 TEL 0798 45 6392 FAX 0798 45 6293 E mail jams hyo med ac jp
85. Tews 1 HPS 2 3
86. a hi KIR AH aS pH SY 1
87. 18 14 30 14 45 1 REM 14 4 5 16 15 2 1 JAMS 3 2 DAM De LS PRR RC a cE 3 4 i 5 HPS
88. METI HPSS human patient simulator version 2004 HPS6 version6 HPS HPS 4 10 1000
89. difficult airway 1988 LMA LMA LMA LMA difficult airway LMA 3 N ae 3 1 Japanese Association for Medical Simulation
90. 2 3 aay gt 17 11 19 9 1 5 0 gt gt Mee TERRA EBL PRES fae AE BY
91. dapanese Association for Medical Simulation Who are you JAMS The First Annual Meeting of Japanese Association for Medical Simulation Oval Hall Osaka Japan November 18 2005 25 1 Japanese Association for Medical Simulation CAMT ATZE Difficult Airway Management DAM LT 2005 4 1 2005 11 1 2005 SIE ETA
92. ation for Medical Simulation 25 4 5 DAM 2 Difficult Airway Management DAM ASA DAM Algorithm DAM DAM 51 1
93. ation Education and Research DAM 12 HPS 12 2 5 4 HPS 5 DAM G 2006 3 MBAS 53 2006 6 3 2006 6 JAMS DAM HPS IA DAM HPS IDAM
94. e 13 30 14 30 1 19 e 8 9 8 9 HPS e 10 11 5 DAM 17 19 5 000 1 8 1 JAMS Gina amp Jo el T 530 0003 2 1 40 1 2F 06 6346 7707 1 Who are you JAMS
95. ee Os 1F Ln ARRAS Gina amp Jo el F 530 0003 2 1 40 1 2F 06 6346 7707 3 gt E pest 1 a 2 ee FEH ea PIELII S Eg DYRE a rms es mM Snes ae an 100m pew Copyright 2 000 1 2 10 2 1 30 PC 2 PC 1 17 11
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