{"created":"2023-06-20T15:49:27.094503+00:00","id":4041,"links":{},"metadata":{"_buckets":{"deposit":"42de8533-9754-40f6-8cc1-ced287cb0945"},"_deposit":{"created_by":4,"id":"4041","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4041"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00004041","sets":["1:11"]},"author_link":["12548","12549"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"特集：PADISガイドライン一わが国の現状と未来への展望"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-10-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"611","bibliographicPageStart":"603","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"ICUとCCU：集中治療医学 = Japanese Journal of Intensive Care Madicine"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"ICUにおける痛みの評価と管理は必要不可欠な医療行為であり，多くの場合PADISガイドラインを参考に実施される。鎮痛の主な目標は重症患者に快適さを提供することである。ICUでは評価スケールを用いた鎮痛偏先の鎮静管理(analgosedation)，オピオイド持続投与，および多角的鎮痛アプローチが基本となる。鎮痛に関する新しいエビデンスとして，オピオイドの種類が患者転帰に影響する可能性や，ICU滞在中の痛みが退院後の健康関連QOLを低下させる可能性が示唆された。新しい痛みの評価は看護師による痛み評価，瞳孔反射反応に基づく瞳孔疼痛指標，鎮痛侵害受容指数の有用性が報告された。新しい鎮痛方法として，看護師による鎮痛管理，オピオイドフリー麻酔，オピオイド減量のための介入，非薬理学的介入などがあげられる。","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"医学図書出版"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2021040470","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"出版者の許諾を得て掲載"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0389-1194","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"青木, 善孝"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土井, 松幸"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-07-19"}],"displaytype":"detail","filename":"ICUとCCU-44-603.pdf","filesize":[{"value":"4.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ICUとCCU-44-603.pdf","url":"https://hama-med.repo.nii.ac.jp/record/4041/files/ICUとCCU-44-603.pdf"},"version_id":"80321627-55a2-4646-a2fb-5c5d30150be1"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ICUにおける鎮痛対策の現状と未来への展望","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ICUにおける鎮痛対策の現状と未来への展望","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-07-19"},"publish_date":"2022-07-19","publish_status":"0","recid":"4041","relation_version_is_last":true,"title":["ICUにおける鎮痛対策の現状と未来への展望"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-02T07:16:57.537827+00:00"}