{"created":"2023-06-20T15:49:34.591069+00:00","id":4157,"links":{},"metadata":{"_buckets":{"deposit":"2ea8415b-e342-4293-874d-43c9df1a9b70"},"_deposit":{"created_by":4,"id":"4157","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4157"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00004157","sets":["1:75:95"]},"author_link":["12899","12900","12901","12902","12903","12904"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"30","bibliographicPageStart":"22","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"浜松医科大学小児科学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hamamatsu Journal of Pediatrics","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"横隔膜電気的活動(electrical activity of the diaphragm : Edi)を利用した神経調節補助換気(neurally adjusted ventilatory assist : NAVA)は,同調性が改善された新しい呼吸器モードである.従来の呼吸器モードと比較して慢性肺疾患の進行予防に期待が高まっている.今回,当院で経験したNAVAの功罪に関して示唆に富む超低出生体重児4例を報告する.1症例目では,NAVAの使用により呼吸器条件の緩和が進み,抜管後もNIV-NAVAを使用したことで呼吸状態の安定を保つことができた.2症例目では,抜管後の呼吸状態の増悪時に非侵襲的神経調節補助換気(noninvasive-NAVA : NIV-NAVA)を使用したことで再挿管を回避することができた.3症例目では,抜管後の努力呼吸が予想されたためNIV-NAVAの使用により呼吸状態の増悪を予防することができた.4症例目では,Ediカテーテル留置に伴う胃壁損傷のため胃出血を来した.NAVA および NIV-NAVAは超低出生体重児の呼吸管理に有用と考えられるが,Ediカテーテル留置に伴う消化管損傷などの合併症に注意を払う必要がある.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"浜松医科大学小児科学雑誌編集部","subitem_publisher_language":"ja"}]},"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":"2024010987","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2436-2433","subitem_source_identifier_type":"EISSN"}]},"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open 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Daizo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"12902","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大石, 彰","creatorNameLang":"ja"},{"creatorName":"OHISHI, Akira","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"12903","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯嶋, 重雄","creatorNameLang":"ja"},{"creatorName":"IIJIMA, Shigeo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"12904","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-15"}],"displaytype":"detail","filename":"hjop_3_1_22.pdf","filesize":[{"value":"784.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hjop_3_1_22","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/4157/files/hjop_3_1_22.pdf"},"version_id":"72c1116f-cb73-49d1-9d97-19c6f64b7edb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"神経調節補助換気","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"非侵襲的人工換気","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"慢性肺疾患","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"超低出生体重児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"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 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