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		<h1 class="catchCopy">好評の麻酔科ＡtoＺシリーズ第3弾！これ１冊で麻酔に関する合併症対策は万全!!</h1>
		

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					編集：高崎眞弓（宮崎大学名誉教授）
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					<span class="transparent">編集</span>　河本昌志（広島大学）
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				<li class="pad4em disc transparent">
					<span class="transparent">編集</span>　白神豪太郎（香川大学）
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					<span class="transparent">編集</span>　萩平　哲（関西医科大学）
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				<ul class="property"><li class="disc">B5変型判・678頁・2色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2845-0</li><li class="disc">2017年6月6日発行</li></ul>

				
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					17,600
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="preface">序文</h3><h3 class="indexes">主要目次</h3></div><section class="current content">全体を１．全身麻酔　２．区域麻酔　3．手技に起因するもの　４．機器・モニターに関するもの　５．薬剤に関するもの　の５章に分け，あらゆる合併症・偶発症を網羅した．合併症が起こったときにすぐに引ける字引であると同時に，手術前に偶発症予防のための予習書としても活用できる．</section><section class="preface">序文<br><br>　「麻酔科トラブルシューティングA to Z」「まれな疾患の麻酔A to Z」に続き，シリーズ三冊目の「麻酔偶発症A to Z」をお届けします．前二冊に劣らず良くできたと自画自賛しています．<br>　この「A to Z」シリーズは，15年前に出版した「麻酔科診療プラクティス」の改訂・増補版ですが，編集のコンセプトは前と同じで変えていません．第一線で忙しく働く麻酔科医に，明日の麻酔に役立つ最新情報をコンパクトに提供することを目的にしています．今回の「麻酔偶発症A to Z」は，明日の麻酔にすぐ利用できないかもしれませんが，起きてしまった偶発症を速やかに診断して，どう対処すればよいかをコンパクトにまとめてあるので，困ったときにすぐ役立ちます．<br>　執筆者には，取りあげた偶発症について症例報告やレビューを書いている方，またはその領域を専門にされている方々にお願いしましたので，診療に直結する明確な解答が得られると思います．<br>　医療行為には副作用，偶発症，合併症というリスクが常につきまといます．患者や家族は，医療は安全なものと信じていますから，医療行為に不適切なところがなくても，偶発症が発生すると不満を募らせます．特に麻酔は，病気の根本治療ではなく，外科侵襲から患者を守るための行為なので，偶発症が発生すると治癒を遅らせ，患者に迷惑をかけることになり，患者の不満も大きくなります．<br>　偶発症を起こさないことが第一ですが，どうしてもある程度の頻度で起きてしまいます．起きてしまったときは，速やかに適切に対処し，1日でも早く回復させることです．本書は，そのときに役立つように編集しました．<br>　本書には，350に及ぶ偶発症を掲載してあります．よくみられる偶発症はもちろん，まれにしかみられない偶発症も載せてあります．例えば，「肺捻転」「硬膜外・脊髄くも膜下麻酔による持続勃起」「MRIにかかわる高磁場傷害」など．また，麻酔だけでなく，外科手術に関連する偶発症も取りあげ，対応策を述べてあります．さらに，手術室という特殊な環境が麻酔科医に与える影響として，「麻酔科医の放射線被曝」「手術照明灯による光障害」なども取りあげていますので，ぜひご一読ください．<br>　麻酔科医の皆さんに，前二冊と同様に本書を活用していただければ，編集者としてこのうえない喜びです．<br>　本書の刊行にあたり，文光堂企画部の嵩　恭子さんに大変お世話になりました．心から感謝いたします．<br><br>2017年5月<br>編集者代表　高崎　眞弓</section><section class="indexes">1 全身麻酔<br>1）心臓・血管手術および循環器系偶発症<br>　a．診療科特有のもの<br>　　手術手技による大血管損傷<br>　　手術手技による心破裂・心タンポナーデ<br>　　人工心肺後の凝固異常と出血<br>　　カニュレーションによる大動脈基部解離<br>　　人工心肺による空気塞栓<br>　　人工心肺後の低血圧<br>　　人工心肺後の中枢神経系障害<br>　　人工心肺関連重要臓器障害<br>　　急性心不全による心原性ショック<br>　　周術期の心筋虚血，心筋梗塞，冠動脈攣縮（スパズム），ST上昇，ST下降<br>　　周術期高血圧<br>　　周術期肺高血圧<br>　　大量出血と循環血液量減少性ショック<br>　　周術期の頻脈，徐脈，上室性不整脈，心房細動，心室性不整脈，心室細動<br>　　周術期の脳梗塞<br>　　経皮的心肺補助装置の動作不良<br>　　ペースメーカ不良例<br>　　大血管手術時の虚血：脊髄，腹部内臓，腎障害<br>　　末梢血管手術時の虚血，再灌流障害<br>　　頸動脈内手術時の脳虚血<br>　　腫瘍による静脈血栓と肺塞栓<br>　b．体位に起因するもの<br>　　腹臥位によるペースメーカ位置異常<br>　c．麻酔法に起因するもの<br>　　術中覚醒（帝王切開を含む）<br>　　全身麻酔後のストレス誘発性心筋症<br>　　周術期たこつぼ型心筋症<br>　　術中心停止<br>　d．その他<br>　　深部静脈血栓症による術中肺血栓塞栓症<br>2）肺・縦隔手術および呼吸器系偶発症<br>　a．診療科特有のもの<br>　　心臓ヘルニア（心臓脱）<br>　　肺捻転<br>　　腫瘍による気道狭窄・気道圧迫<br>　　上大静脈症候群<br>　　腫瘍などによる肺動脈系の圧迫・血流阻害　<br>　　気道出血<br>　　縦隔気腫，皮下気腫<br>　　気胸・血胸<br>　　肺水腫<br>　　手術後の胸水<br>　　胸管損傷・乳び胸<br>　　急性呼吸促迫症候群<br>　　術後早期の呼吸不全<br>　　手術後の呼吸停止・無呼吸<br>　b．体位に起因するもの<br>　　無気肺<br>　c．麻酔法に起因するもの<br>　　ダブルルーメンチューブ・気管支ブロッカーによる気道損傷<br>　　ダブルルーメンチューブ左右誤挿入による換気不全<br>　　ダブルルーメンチューブの位置異常による換気不全<br>　　分離肺換気中の換気側の気胸<br>　　筋弛緩残存と呼吸抑制<br>　　誤嚥性肺炎（Mendelson症候群を含む）　<br>　　全身麻酔後の睡眠時無呼吸症候群<br>　d．その他<br>　　肺梗塞・肺塞栓症<br>3） 消化器，肝胆膵手術および消化器系偶発症<br>　a．診療科特有のもの<br>　　急性肝不全<br>　　腫瘍崩壊症候群<br>　　腸間膜牽引症候群<br>4）腎・泌尿器手術および泌尿器系偶発症<br>　a．診療科特有のもの<br>　　経尿道的前立腺切除と出血性ショック　<br>　　経尿道手術・子宮鏡手術による水中毒・肺水腫<br>　　尿路結石破砕術後の敗血症性ショック<br>　　急性腎不全<br>　　腹腔鏡下手術での二酸化炭素塞栓症<br>　　腸間膜虚血<br>　b．体位に起因するもの<br>　　ミオグロビン血症（横紋筋融解症）<br>5）腹腔鏡下手術の偶発症<br>　a．診療科特有のもの<br>　　悪心・嘔吐<br>　　腹壁膿瘍<br>6）整形外科手術および皮膚・筋・骨格系偶発症<br>　a．診療科特有のもの<br>　　股関節全置換術中の低血圧と一過性心停止<br>　　ターニケット麻痺症候群<br>　　脂肪塞栓症<br>　　術中骨折・脱臼<br>　b．体位に起因するもの<br>　　術後下肢コンパートメント症候群<br>　　ビーチチェア体位による偶発症<br>　　術後の後頭部脱毛<br>　　腹臥位による顔面皮膚損傷<br>　　麻酔後の臀部皮膚障害・褥瘡<br>　c．麻酔法に起因するもの<br>　　シバリング<br>　　横紋筋融解症<br>　　悪性高熱症<br>　d．その他<br>　　弾性ストッキングによる接触性皮膚炎<br>7）脳外科手術および神経系偶発症<br>　a．診療科特有のもの<br>　　脳脊髄液ドレナージに伴う脳出血<br>　　ヘッドピンによる脳損傷<br>　　反回神経麻痺<br>　　舌下神経麻痺<br>　　手術後の複合性局所疼痛症候群<br>　　髄液鼻漏<br>　　延髄および上部頸髄操作に伴う高度徐脈と心停止<br>　　開頭術後の緊張性気脳症<br>　　術後せん妄<br>　　遷延性術後痛<br>　　術中脳出血<br>　b．体位に起因するもの<br>　　頸静脈還流障害による合併症<br>　　眼球圧迫，視力障害，失明<br>　　術後の舌腫大<br>　　坐位手術中の空気塞栓症<br>　c．その他<br>　　神経原性肺水腫<br>　　全身麻酔後の腓骨神経麻痺<br>　　耳下腺手術時の顔面神経麻痺<br>　　尺骨神経麻痺<br>　　側臥位腹腔鏡下手術後の後骨間神経麻痺<br>　　術後腕神経叢麻痺<br>　　横隔神経・横隔膜麻痺<br>　　婦人科開腹，腹腔鏡手術時の大腿神経麻痺　<br>8）眼・耳・鼻・咽喉手術の偶発症<br>　a．診療科特有のもの<br>　　手術時の眼球損傷，角膜損傷<br>　　眼手術時の眼球心臓反射，眼球呼吸反射<br>　　全身麻酔後の緑内障発作<br>　　手術時の網膜血管閉塞<br>　　レーザーによる網膜損傷<br>　　咽喉頭手術時の喉頭肉芽腫<br>　　咽喉頭手術時の異物誤嚥<br>　　アデノイド・扁桃摘出による出血<br>　　レーザーによる気道熱傷<br>　　副鼻腔手術時の穿孔<br>　　鼻内手術時の出血<br>　　気管切開術後の気管腕頭動脈瘻と大量出血<br>9）内分泌・代謝系偶発症<br>　a．診療科特有のもの<br>　　下垂体手術時の前葉機能低下<br>　　下垂体手術時の後葉障害：尿崩症，SIADH，浸透圧異常：低浸透圧，高浸透圧<br>　　甲状腺手術時の甲状腺機能亢進，甲状腺クリーゼ<br>　　甲状腺手術時の甲状腺機能低下<br>　　甲状腺手術後の血腫・気道圧迫<br>　　副甲状腺手術時の副甲状腺機能低下<br>　　副甲状腺手術時の副甲状腺機能亢進<br>　　副腎褐色細胞腫手術時の循環変動<br>　　副腎手術時の急性副腎皮質機能不全<br>　　糖尿病周術期の高血糖，糖尿病性ケトアシドーシス，高浸透圧高血糖症候群<br>　　糖尿病患者の周術期の低血糖症<br>　　糖尿病患者の周術期の自律神経機能低下<br>　　低体温<br>10）産科・婦人科麻酔の偶発症<br>　a．診療科特有のもの<br>　　妊産婦手術時の仰臥位低血圧症候群<br>　　妊産婦手術時の妊娠高血圧症候群<br>　　羊水塞栓症<br>　　リトドリン中毒<br>　　リチウム中毒<br>　　胎児機能不全時の妊産婦手術<br>　　HELLP症候群の妊産婦に対する手術<br>　　分娩後の弛緩出血<br>　　分娩時の胎盤遺残<br>　　婦人科開腹，腹腔鏡手術時の肩痛<br>　b．麻酔法に起因するもの<br>　　無痛分娩中の子宮破裂<br>　　子宮破裂の麻酔<br>　　帝王切開時の子宮筋収縮不全<br>　　帝王切開時の胎児への麻酔薬移行<br>11）臓器移植の偶発症<br>　a．肺移植<br>　　肺移植時の低酸素<br>　　肺移植時の高二酸化炭素<br>　　肺移植時の肺水腫<br>　b．肝移植<br>　　肝移植時の低酸素<br>　　肝移植時の低血糖<br>　　肝移植時の低血圧<br>　　肝移植時の肝動脈・門脈血栓<br>　　肝移植時の食道胃静脈瘤破裂<br>　c．腎移植<br>　　腎移植後再灌流時の高度徐脈，心停止<br>　　腎移植後のシャント閉塞<br>　d．膵移植<br>　　膵移植後の血糖異常<br>12）日帰り手術の偶発症<br>　　電気痙攣療法による偶発症<br>　　MRIにかかわる高磁場傷害<br>　　日帰り手術の帰宅遅延，予定外入院とその原因<br>　　日帰り手術後の悪心・嘔吐<br>　　術後の睡眠障害，閉塞性睡眠時無呼吸<br>　　術後認知機能障害<br>　　日帰り手術の術前指示事項遵守不履行<br>13） 蘇生および外傷患者麻酔に関する偶発症<br>　　蘇生後の偶発症（心停止，心拍再開後の脳障害（昏睡状態））<br>14）輸液・輸血・栄養に関する偶発症<br>　a．電解質異常<br>　　低ナトリウム血症，高ナトリウム血症<br>　　低カリウム血症，高カリウム血症<br>　　カルシウムの異常<br>　　マグネシウムの異常<br>　　リンの異常<br>　b．酸塩基平衡の異常<br>　　代謝性アシドーシスとアルカローシス<br>　　呼吸性アシドーシスとアルカローシス<br>　　乳酸アシドーシス<br>　c．輸液に関するもの<br>　　脱水<br>　　溢水・輸液過剰<br>　　輸液による浸透圧異常<br>　　HESによる急性腎障害<br>　d．輸血に関するもの<br>　　不適合輸血：溶血性副作用<br>　　輸血の非溶血性副作用：発熱反応，アレルギー反応<br>　　輸血関連急性肺障害，輸血関連免疫修飾<br>　　輸血による移植片対宿主病<br>　　輸血後紫斑病<br>　e．大量輸血に関するもの<br>　　大量輸血によるクエン酸中毒，低カルシウム血症<br>　　大量輸血による高カリウム血症<br>　　大量輸血による鉄過剰<br>　　大量輸血による止血・凝固障害<br>　f．ビタミンK欠乏<br>　　ビタミンK欠乏<br>2 区域麻酔<br>1）硬膜外麻酔の偶発症<br>　　硬膜外穿刺困難<br>　　硬膜外穿刺時の血管穿刺<br>　　硬膜外カテーテル挿入困難<br>　　硬膜外カテーテルの血管内留置<br>　　硬膜外カテーテルのくも膜下留置，広範な無痛域<br>　　硬膜外カテーテルの硬膜下留置，広範な無痛域<br>　　硬膜外カテーテルの胸腔留置<br>　　硬膜外カテーテルの傍脊椎留置<br>　　物理的原因による硬膜外カテーテル抜去困難<br>　　硬膜外カテーテルの切断・遺残<br>　　硬膜外誤薬投与<br>　　硬膜外麻薬性鎮痛薬過量投与<br>　　硬膜外麻酔の失敗（効果なし）・まだら効き<br>　　硬膜穿刺後頭痛<br>　　硬膜外・脊髄くも膜下麻酔後のジストニア<br>　　硬膜外・脊髄くも膜下麻酔による持続勃起<br>　　硬膜外・脊髄くも膜下麻酔後の神経根症状（直接神経損傷を含む）<br>　　硬膜外・脊髄くも膜下麻酔による直接脊髄損傷<br>　　硬膜外・脊髄くも膜下麻酔後の対麻痺・前脊髄動脈症候群<br>　　硬膜外・脊髄くも膜下麻酔による低血圧，循環虚脱，心停止<br>　　硬膜外・脊髄くも膜下麻酔による悪心・嘔吐<br>　　硬膜外・脊髄くも膜下麻酔による排尿障害・尿閉<br>　　硬膜外・脊髄くも膜下麻酔による呼吸抑制・無呼吸<br>　　硬膜外・脊髄くも膜下麻酔後の背部痛<br>　　硬膜外・脊髄くも膜下麻酔後の慢性癒着性くも膜炎<br>　　硬膜外・脊髄くも膜下麻酔後の髄膜炎<br>　　硬膜外・脊髄くも膜下麻酔後の化膿性脊椎炎<br>　　硬膜外・脊髄くも膜下麻酔後の瘙痒<br>　　硬膜外・脊髄くも膜下麻酔後の硬膜下・くも膜下血腫<br>　　硬膜外・脊髄くも膜下麻酔後の臀部紅斑<br>　　硬膜外麻酔後の脊椎硬膜外血腫<br>　　硬膜外・脊椎くも膜下麻酔後の頭蓋内血腫<br>　　硬膜外穿刺部皮膚の炎症<br>　　硬膜外麻酔後の硬膜外膿瘍<br>　　硬膜外麻酔後の網膜出血<br>　　硬膜外麻酔後の体内気泡<br>　　凝固能悪化による硬膜外カテーテル抜去困難<br>2）仙骨麻酔の偶発症<br>　　仙骨麻酔時の骨髄穿刺・髄内誤注入<br>　　仙骨麻酔時の硬膜穿刺・くも膜下ブロック<br>　　仙骨麻酔の失敗（効果なし）・不完全ブロック<br>3）脊髄くも膜下麻酔の偶発症<br>　　脊髄くも膜下穿刺困難<br>　　脊髄くも膜下穿刺時の放散痛<br>　　脊髄くも膜下麻酔時の血性髄液<br>　　くも膜下誤薬投与<br>　　脊髄くも膜下麻薬性鎮痛薬過量投与<br>　　脊髄くも膜下麻酔の失敗（効果なし）・麻酔レベル不足<br>　　硬膜外・脊髄くも膜下麻酔後の全脊髄くも膜下ブロック<br>　　脊髄くも膜下麻酔時の高度徐脈と心停止<br>　　脊髄くも膜下麻酔後の一過性神経症状<br>　　脊髄くも膜下麻酔後の馬尾症候群<br>　　脊髄くも膜下麻酔後の脳神経麻痺<br>　　脊髄くも膜下麻酔による気管支喘息発作<br>4）神経ブロックの偶発症<br>　　腕神経叢ブロック後の反回神経麻痺<br>　　腕神経叢ブロック後のホルネル症候群<br>　　腕神経叢ブロック後の横隔神経麻痺<br>　　腕神経叢ブロック斜角筋間法によるくも膜下ブロック<br>　　腕神経叢ブロック鎖骨上法による皮下気腫・縦隔気腫<br>　　末梢神経ブロック後の出血<br>　　末梢神経ブロック後の神経障害<br>　　末梢神経ブロックに伴う炎症・感染<br>　　末梢神経ブロック後の転倒<br>5）無痛分娩の偶発症<br>　　硬膜外無痛分娩による遷延分娩<br>　　硬膜外無痛分娩時の胎児心拍数低下<br>　　硬膜外無痛分娩時の体温上昇<br>　　傍頸管ブロック時の胎児心拍数低下<br>6）局所麻酔薬に関する偶発症<br>　　メトヘモグロビン血症<br>　　硬膜外麻酔・末梢神経ブロック中の痙攣（局所麻酔薬中毒）<br>　　局所麻酔薬の心毒性<br>3 手技に起因するもの<br>1）マスク換気に関するもの<br>　　マスクとヘッドストラップの圧迫による傷害：顔面神経麻痺など<br>　　マスク換気不全<br>2）LMAに関するもの<br>　　ラリンジアルマスク挿入による咽頭損傷<br>　　ラリンジアルマスク使用後の咽頭痛・嗄声<br>3）気管挿管に関するもの<br>　　気管挿管困難<br>　　気管挿管時の危険な高血圧と頻脈<br>　　危険な低血圧<br>　　気管挿管時の頭蓋内圧・眼圧亢進<br>　　麻酔回路トラブル<br>　　歯牙・口唇損傷<br>　　気管挿管操作による顎関節損傷<br>　　気管挿管に伴う頸髄損傷<br>　　気管挿管に伴う口蓋垂・咽喉頭損傷<br>　　気管挿管に伴う声帯麻痺・披裂関節脱臼<br>　　気管挿管に伴う気管・気管支損傷，気管チューブによる気道損傷<br>　　固定テープによる皮膚損傷<br>　　挿管操作による出血<br>　　食道穿孔・後咽頭膿瘍<br>　　片肺挿管<br>　　喉頭痙攣<br>　　全身麻酔中の気管支痙攣<br>　　高圧換気，気道内圧過上昇による圧外傷<br>　　せき・バッキング<br>　　経鼻挿管による鼻腔損傷，鼻出血，感染，頭蓋内挿管<br>　　気管チューブ抜去時の循環変動<br>　　気管チューブ抜管後の喘鳴，喉頭浮腫，クループ<br>　　気管チューブ抜管後の嗄声，咽頭痛<br>4）中心静脈カテーテルおよび肺動脈カテーテルに関するもの<br>　　中心静脈カテーテル挿入困難<br>　　カテーテル留置に伴う不整脈<br>　　カテーテル留置に伴う肺動脈破裂，肺梗塞<br>　　カテーテル先端位置の異常<br>　　カテーテルの穿孔，断裂，遺残<br>　　カテーテルによる血管閉塞<br>　　カテーテル留置に伴う神経損傷<br>　　カテーテル留置に伴う動脈損傷<br>　　カテーテル留置に伴う心周囲漏出，心タンポナーデ<br>5）動脈ラインに関するもの<br>　　動脈カテーテルの血栓，塞栓<br>　　動脈カテーテル挿入後の皮膚障害<br>　　動脈カテーテルからの感染<br>　　動脈カテーテル挿入に伴う神経損傷<br>　　直接動脈圧の不正確な測定：共鳴，ダンピング，大動脈圧との乖離<br>　　動脈穿刺後の血腫形成<br>　　動脈ライン接続部の緩みによる出血<br>6）末梢静脈ラインに関するもの<br>　　末梢静脈カテーテルの断裂・遺残<br>　　末梢静脈カテーテルによる血腫，血栓，塞栓<br>　　静脈炎<br>　　静脈穿刺時の神経損傷<br>7）食道心エコーに関するもの<br>　　経食道心エコーによる臓器圧迫・浮腫・穿孔<br>8）非観血的血圧計に関するもの<br>　　血圧カフによる圧損傷<br>9）胃管に関するもの<br>　　胃管誤挿入（気管内挿入），位置異常<br>10）体温計に関するもの<br>　　体温計挿入に伴う外傷<br>11）尿道カテーテルに関するもの<br>　　膀胱留置カテーテルによる尿道損傷<br>12）低血圧麻酔に関するもの<br>　　低血圧麻酔による臓器低灌流<br>13）malpractice（過誤）<br>　　全身麻酔薬の誤投与<br>　　手術台からの患者落下<br>14）麻酔科医・医療従事者への障害<br>　　麻酔ガスへの職業曝露<br>　　麻酔科医の職業感染<br>　　麻酔科医の放射線曝露<br>　　麻酔科医のレーザー曝露<br>　　麻酔科医の騒音障害<br>　　麻酔科医の手術用照明による光障害<br>4 器械・モニターに関するもの<br>1）モニター誤作動，信頼性低下<br>　　酸素飽和度の誤作動，信頼性低下<br>　　ガスモニターの誤作動，信頼度低下<br>　　ガスモニターサンプリングラインの閉塞<br>　　経食道心エコーの信頼性低下<br>　　中心静脈圧，肺動脈圧，心拍出量の信頼度低下<br>　　脳波モニター，BISの信頼性低下<br>　　筋弛緩モニターの誤作動，信頼性低下<br>　　体温モニターの信頼性低下<br>　　心電図の信頼性低下<br>　　モニタープローブなどによる皮膚損傷・熱傷<br>　　モニターケーブルの断線<br>2）麻酔器の異常<br>　　流量計異常<br>　　気化器異常による揮発性麻酔薬過量投与<br>　　二酸化炭素吸収剤の消耗<br>　　ガス供給の途絶<br>　　余剰ガス排出装置異常による室内汚染<br>　　人工呼吸器の異常による低換気・高二酸化炭素<br>　　一方弁の機能不全<br>　　呼吸器回路内の大量結露<br>　　金属アレルギー<br>　　硬麻針・脊麻針の損傷<br>3）呼吸回路の異常<br>　　気道乾燥<br>4）輸液／シリンジポンプの異常<br>　　ポンプ・シリンジポンプに関連する偶発症<br>　　TCIに関連する偶発症<br>　　硬膜外鎮痛における電動式PCAポンプの誤設定<br>5）患者加温装置の異常<br>　　加温ブランケットによる熱傷<br>6）輸液・輸血加温装置の異常<br>　　患者加温装置の異常による低体温<br>　　輸液・輸血加温装置の異常高温<br>7）電源供給，電気に関するもの<br>　　電気供給停止・停電<br>　　マクロショック，ミクロショック<br>8）手術室火災・爆発<br>　　手術室火災・爆発<br>5 薬剤に関するもの<br>　　アレルギー（即時型反応，遅延型反応）<br>　　全身麻酔薬による免疫学的・非免疫学的アナフィラキシー<br>　　局所麻酔薬アナフィラキシーショック<br>　　ラテックスアレルギー<br>　　消毒薬アレルギー<br>　　麻酔関連薬剤のアナフィラキシー・アレルギー<br>　　覚醒遅延<br>　　吸入麻酔薬による肝障害，肝炎<br>　　亜酸化窒素の有害作用：閉鎖腔膨張，拡散性低酸素<br>　　インジゴカルミンによる循環異常<br>　　プロポフォールの有害作用<br>　　麻薬性オピオイド全身投与による呼吸抑制，過鎮静，悪心・嘔吐，瘙痒感，尿閉，便秘<br>索　引</section></article>
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