アブストラクト
| Title | わが国におけるCOVID-19へのECMO導入の現状と課題 |
|---|---|
| Subtitle | 特別寄稿 学会活動報告 |
| Authors | 清水敬樹1,7), 大下慎一郎2,7), 小倉崇以3,7), 竹田晋浩4,7), 橋本悟5,7), 西田修6,7), 志馬伸朗2,7), 濱口純1,7) |
| Authors (kana) | |
| Organization | 1)東京都立多摩総合医療センター ECMOセンター, 2)広島大学大学院 救急集中治療医学, 3)済生会宇都宮病院 救急・集中治療科, 4)かわぐち心臓呼吸器病院, 5)京都府立医科大学附属病院 集中治療部, 6)藤田医科大学医学部 麻酔・侵襲制御医学講座, 7)日本COVID-19対策ECMO net (https://www.ecmonet.jp/) |
| Journal | 人工呼吸 |
| Volume | 38 |
| Number | 1 |
| Page | 50-60 |
| Year/Month | 2021 / 5 |
| Article | 報告 |
| Publisher | 日本呼吸療法医学会 |
| Abstract | 「I. はじめに」現在, 新型コロナウイルス感染症 (COVID-19) が世界を震撼させている. 重症化して重症肺炎に陥った場合に, 人工呼吸管理を経て呼吸ECMO (extracorporeal membrane oxygenation : 体外式膜型人工肺) を用いる橋渡し的な対症療法が効果を示しており, なかでも, わが国の成績は世界の中でもトップレベルである. わが国では2020年2月上旬に集中治療医, 救急医を中心として重症患者対応目的で, とくに呼吸ECMO導入を視野に入れた組織, 日本COVID-19対策ECMO net (以下, ECMO net) (竹田晋浩代表) を立ち上げた. 2020年2月15日より, まずは24時間対応の電話相談窓口を設置した. 本稿ではECMO netのECMOに関する活動および, ECMO netにおける横断的ICU情報探索システム (CRoss Icu Searchable Information System : CRISIS) (橋本悟管理リーダー) のデータベースから得られたデータなど, 呼吸ECMOに関する知見, 現状, 課題を述べる. |
| Practice | 臨床医学：内科系 |
| Keywords | COVID-19, 呼吸ECMO, patient self-inflicted lung injury (P-SILI), chain of respiratory management, CRoss Icu Searchable Information System (CRISIS), 日本COVID-19対策ECMO net |
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