{"id":33,"date":"2025-04-21T16:47:00","date_gmt":"2025-04-21T07:47:00","guid":{"rendered":"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/?page_id=33"},"modified":"2025-07-03T16:58:06","modified_gmt":"2025-07-03T07:58:06","slug":"pulmonary","status":"publish","type":"page","link":"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/research\/pulmonary","title":{"rendered":"\u80ba\u751f\u7406\u5b66\u90e8\u9580"},"content":{"rendered":"<div class=\"page-link-box\">\n<ul class=\"page-link\">\n<li><a href=\"#research01\">\u7814\u7a76\u6982\u8981<\/a><\/li>\n<p><!--\n\n<li><a href=\"#member01\">\u30e1\u30f3\u30d0\u30fc\u7d39\u4ecb<\/a><\/li>\n\n--><\/p>\n<li><a href=\"#achievement01\">\u7814\u7a76\u696d\u7e3e<\/a><\/li>\n<\/ul>\n<\/div>\n<div class=\"flex\">\n<div class=\"anchor w100\" id=\"research01\"><\/div>\n<div class=\"w20 resp100 mb24\">\n<div class=\"sticky\">\n<h3 class=\"green\">\u7814\u7a76\u6982\u8981<\/h3>\n<div class=\"w80 resp60 resp_ma research_img\"><img decoding=\"async\" src=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/05\/hai.png\" alt=\"\" class=\"alignnone size-full wp-image-188\"><\/div>\n<\/div>\n<\/div>\n<div class=\"w80 resp100\"><div data-post-id=\"341\" class=\"insert-page insert-page-341 \"><h3>\u306f\u3058\u3081\u306b<\/h3>\n<p>ARDS (Acute Respiratory  Distress Syndrome: \u6025\u6027\u547c\u5438\u4fc3\u8feb\u75c7\u5019\u7fa4)\u306f\u591a\u69d8\u306a\u75c5\u614b (\u4f8b: \u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u80ba\u708e\u3092\u542b\u3080\u7a2e\u3005\u306e\u91cd\u75c7\u80ba\u708e\u3001\u8aa4\u56a5\u3001\u6557\u8840\u75c7\u3001\u5916\u50b7\u3084\u624b\u8853)\u304b\u3089\u767a\u75c7\u3059\u308b\u3001\u80ba\u8840\u7ba1\u900f\u904e\u6027\u4ea2\u9032\u306b\u3088\u308b\u975e\u5fc3\u539f\u6027\u80ba\u6c34\u816b\u3092\u7279\u5fb4\u3068\u3059\u308b\u6025\u6027\u547c\u5438\u4e0d\u5168\u306e\u3053\u3068\u3067\u3059\u3002ARDS\u306b\u5bfe\u3059\u308b\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u6226\u7565\u306f\u3001\u4e00\u56de\u63db\u6c17\u91cf\u3068\u6c17\u9053\u5185\u5727\u306e\u5236\u9650\u3092\u57fa\u672c\u3068\u3059\u308b\u80ba\u4fdd\u8b77\u63db\u6c17\u6226\u7565\u3067\u3001\u80ba\u80de\u306e\u904e\u4f38\u5c55\u306b\u3088\u308b\u4eba\u5de5\u547c\u5438\u5668\u95a2\u9023\u80ba\u50b7\u5bb3\u3092\u6700\u5c0f\u9650\u306b\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059 (\u4e0b\u56f3\u5de6)\u3002 <br \/>\n\u3057\u304b\u3057\u3069\u306e\u3088\u3046\u306a\u75c5\u614b\u30fb\u80ba\u5f62\u614b\u3067\u3042\u3063\u305f\u3068\u3057\u3066\u3082\u3001\u3059\u3079\u3066\u540c\u3058\u4e00\u56de\u63db\u6c17\u91cf\u30fb\u540c\u3058\u6c17\u9053\u5185\u5727\u3067\u7ba1\u7406\u3092\u3059\u308b\u3068\u3044\u3046\u753b\u4e00\u7684\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u304c\u884c\u308f\u308c\u3066\u304d\u305f\u7d50\u679c\u3001\u3053\u306e\u7d0420\u5e74\u9593\u3067\u300cARDS\u9662\u5185\u6b7b\u4ea1\u7387\u306f\u307b\u3068\u3093\u3069\u4f4e\u4e0b\u3057\u3066\u3044\u306a\u3044\u300d\u3068\u3044\u3046\u5927\u304d\u306a\u554f\u984c\u70b9\u3092\u62b1\u3048\u3066\u3044\u307e\u3059 (\u4e0b\u56f3\u53f3)\u3002 <br \/>\n\u5f93\u3063\u3066\u3001ARDS\u306e\u5206\u91ce\u306b\u304a\u3044\u3066\u3001<span class=\"orange\">\u300c\u753b\u4e00\u7684\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u6226\u7565\u304b\u3089\u8131\u5374\u3057\u500b\u5225\u5316\u533b\u7642\u306e\u63d0\u4f9b\u306b\u3088\u308b\u6cbb\u7642\u6210\u7e3e\u306e\u3055\u3089\u306a\u308b\u5411\u4e0a\u300d<\/span>\u3092\u76ee\u6307\u3057\u3066\u3044\u304b\u306a\u304f\u3066\u306a\u304f\u3066\u306f\u306a\u308a\u307e\u305b\u3093\u3002\u6211\u3005\u306f\u591a\u89d2\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3001\u624b\u8853\u9ebb\u9154\u4e2d\u305d\u3057\u3066ICU\u7ba1\u7406\u4e2d\u306e\u60a3\u8005\u3055\u3093\u4e00\u4eba\u4e00\u4eba\u306b\u9069\u3057\u305f\u300c\u500b\u5225\u5316\u547c\u5438\u7ba1\u7406\u306e\u63d0\u4f9b\u300d\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u3002\u73fe\u5728\u3001\u547c\u5438\u30b0\u30eb\u30fc\u30d7\u304c\u624b\u639b\u3051\u3066\u3044\u308b\u6570\u3042\u308b\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u306e\u4e2d\u304b\u3089\u3044\u304f\u3064\u304b\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002 <\/p>\n<div class=\"w100 center flex\"><img decoding=\"async\" src=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/06\/image01a.png\" alt=\"\" class=\"alignnone w48 resp100 size-full wp-image-297\"><img decoding=\"async\" src=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/06\/image01b.png\" alt=\"\" class=\"alignnone w48 resp100 size-full wp-image-297\"><\/div>\n<p>&nbsp;<\/p>\n<h3 class=\"green\">1. \u80ba\u50b7\u5bb3\u306e\u30ea\u30b9\u30af\u3092\u53ef\u8996\u5316\u3059\u308b<br class=\"sp_no\">Lung stress mapping\u6cd5\u306e\u78ba\u7acb\u3068\u81e8\u5e8a\u5fdc\u7528\u3078\u306e\u6311\u6226<\/h3>\n<ul>\n<li>\u79d1\u5b66\u6280\u8853\u632f\u8208\u6a5f\u69cb (JST) \u5275\u767a\u7684\u7814\u7a76\u652f\u63f4\u4e8b\u696d\u30002021\u5e74\u5ea6\u63a1\u629e\u8ab2\u984c <\/li>\n<li>\u5927\u962a\u5927\u5b66\u82e5\u624b\u7814\u7a76\u8005\u306e\u53d6\u308a\u7d44\u307f\u30fb\u30d3\u30b8\u30e7\u30f32022\u3000\u63b2\u8f09\u8ab2\u984c <\/li>\n<li>\u5927\u962a\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7cfb\u7814\u7a76\u79d1\u3000\u653e\u5c04\u7dda\u533b\u5b66\u6559\u5ba4\u30fb\u30ad\u30e3\u30ce\u30f3\u30e1\u30c7\u30a3\u30ab\u30eb\u30b7\u30b9\u30c6\u30e0\u30ba\u682a\u5f0f\u4f1a\u793e\u3068\u306e\u5171\u540c\u7814\u7a76 <\/li>\n<\/ul>\n<p>\u6211\u3005\u306f\u3001\u80ba\u751f\u7406\u5b66\u3068\u753b\u50cf\u89e3\u6790\u5b66\u3068\u306e\u878d\u5408\u306b\u3088\u308b\u65ac\u65b0\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3001\u5168\u80ba\u9818\u57df\u306b\u5b58\u5728\u3059\u308b<em class=\"orange\">Lung stress <\/em>\u306e\u81a8\u5927\u306a\u60c5\u5831\u3092\u53ef\u8996\u5316\u3055\u305b\u308b\u6280\u8853- <em class=\"orange\">Lung stress  mapping<\/em>\u306e\u78ba\u7acb\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002\u3053\u308c\u3092\u4f7f\u3048\u3070\u3001\u80ba\u50b7\u5bb3\u30ea\u30b9\u30af\u9818\u57df\u306e\u300c\u91cf\u300d\u53ca\u3073\u300c\u90e8\u4f4d\u30fb\u30d1\u30bf\u30fc\u30f3\u300d\u3092\u8a55\u4fa1\u30fb\u53ef\u8996\u5316\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u3055\u3089\u306b\u4eba\u5de5\u77e5\u80fd\u3092\u7528\u3044\u3066\u3001\u80ba\u50b7\u5bb3\u30ea\u30b9\u30af\u9818\u57df\u306e\u8a55\u4fa1\u304b\u3089\u4e88\u5f8c\u4e88\u6e2c\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u30ea\u30b9\u30af\u5927\u306e\u60a3\u8005\u7fa4\u3092\u62bd\u51fa\u3057\u3001\u300c\u5148\u5236\u7684\u300d\u500b\u5225\u5316\u533b\u7642\u306e\u63d0\u4f9b\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059\u3002 <br \/>\n      \u4eba\u5de5\u547c\u5438\u5668\u95a2\u9023\u80ba\u50b7\u5bb3\u30ea\u30b9\u30af\u9818\u57df\u306e\u300c\u90e8\u4f4d\u30fb\u30d1\u30bf\u30fc\u30f3\u300d\u300c\u91cf\u300d\u3092\u8a55\u4fa1\u3067\u304d\u308b<em class=\"orange\">Lung stress mapping<\/em>\u306f\u3001\u69d8\u3005\u306a\u500b\u5225\u5316\u533b\u7642\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3042\u308a\u3001\u6211\u3005\u306e\u4e88\u60f3\u3092\u306f\u308b\u304b\u306b\u8d85\u3048\u308b\u300c\u7206\u767a\u7684\u300d\u30fb\u300c\u7834\u58ca\u7684\u300d\u306a\u52b9\u679c\u3092\u751f\u307f\u51fa\u3059\u3068\u601d\u308f\u308c\u307e\u3059\u3002 <br \/>\n      \u305d\u306e\u4e00\u3064\u3068\u3057\u3066\u3001<em class=\"orange\">Lung stress mapping<\/em>\u3092\u642d\u8f09\u3057\u305f\u6b21\u4e16\u4ee3\u578b\u4eba\u5de5\u547c\u5438\u5668\u306f\u3001\u30ea\u30b9\u30af\u9818\u57df\u81ea\u52d5\u8efd\u6e1b\u30b7\u30b9\u30c6\u30e0\u306b\u3088\u308a\u60a3\u8005\u3055\u3093\u306b\u63d0\u4f9b\u3059\u308b\u63db\u6c17\u6761\u4ef6\u309224\u6642\u9593365\u65e5\u81ea\u52d5\u3067\u6700\u9069\u5316\u3059\u308b\u3053\u3068\u3067\u3001\u300c\u3044\u3064\u3067\u3082\u300d\u300c\u3069\u3053\u3067\u3082\u300d\u300c\u3060\u308c\u3067\u3082\u300d\u500b\u5225\u5316\u533b\u7642\u306e\u63d0\u4f9b\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002\u300c\u4eba\u5de5\u547c\u5438\u5668\u7ba1\u7406\u306f\u7d4c\u9a13\u306b\u57fa\u3065\u304f\u719f\u7df4\u306e\u6280\u300d\u3068\u3044\u3046\u65e2\u6210\u6982\u5ff5\u3092\u7834\u58ca\u3057\u3001ARDS\u6cbb\u7642\u6210\u7e3e\u5411\u4e0a\u306e\u9769\u65b0\u7684\u306a\u30d6\u30ec\u30a4\u30af\u30b9\u30eb\u30fc\u3068\u306a\u308b\u3053\u3068\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002 <\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"green\">2. \u4eba\u5de5\u547c\u5438\u5668\u3092\u4f7f\u7528\u305b\u305a\u547c\u6c17\u967d\u5727\u3092\u767a\u751f\u3055\u305b\u308b<br class=\"sp_no\">\u5358\u56de\u4f7f\u7528\u547c\u5438\u56de\u8def\u7528\u30b3\u30cd\u30af\u30bf\u306e\u958b\u767a<\/h3>\n<ul>\n<li>\u56fd\u969b\u533b\u5de5\u60c5\u5831\u30bb\u30f3\u30bf\u30fcMEI\u30b0\u30e9\u30f3\u30c8\u30002019\u5e74\u5ea6\u63a1\u629e\u8ab2\u984c <\/li>\n<li>\u5927\u962a\u5927\u5b66\u5927\u5b66\u9662\u57fa\u790e\u5de5\u5b66\u7814\u7a76\u79d1\u3000\u6a5f\u80fd\u5275\u6210\u5c02\u653b\u3000\u30d0\u30a4\u30aa\u30e1\u30ab\u30cb\u30af\u30b9\u7814\u7a76\u5ba4\u30fb\u65e5\u672c\u5149\u96fb\u5de5\u696d\u682a\u5f0f\u4f1a\u793e\u3068\u306e\u5171\u540c\u7814\u7a76 <\/li>\n<li>\u7279\u8a31\u5171\u540c\u51fa\u9858\u3059\u307f <\/li>\n<li>\u5927\u962a\u5927\u5b66 Innovation Bridge\u30b0\u30e9\u30f3\u30c8 2022\u5e74\u5ea6\u3000\u63a1\u629e <\/li>\n<li>\u79d1\u5b66\u7814\u7a76\u8cbb\u52a9\u6210\u4e8b\u696d \u57fa\u76e4\u7814\u7a76(B) \u30002023\u5e74\u5ea6\u3000\u63a1\u629e <\/li>\n<\/ul>\n<p>ICU\u3067\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3092\u5fc5\u8981\u3068\u3059\u308b\u5168\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u7d0410%\u306f\u3001<span class=\"orange\">\u300c\u4eba\u5de5\u547c\u5438\u5668\u304b\u3089\u306e\u96e2\u8131\u304c\u56f0\u96e3\u3067\u3042\u308b\u305f\u3081\u300d<\/span>\u306b\u6c17\u7ba1\u5207\u958b\u3092\u5fc5\u8981\u3068\u3059\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u6c17\u7ba1\u5207\u958b\u5f8c\u306b\u4eba\u5de5\u547c\u5438\u5668\u304b\u3089\u96e2\u8131\u3067\u304d\u306a\u304b\u3063\u305f\u4eba\u5de5\u547c\u5438\u5668\u4f9d\u5b58\u60a3\u8005\u3055\u3093\u306f\u3001\u96e2\u8131\u3067\u304d\u305f\u60a3\u8005\u3055\u3093\u306b\u6bd4\u3079\u3066\u9577\u671f\u4e88\u5f8c\u306e\u8457\u3057\u3044\u60aa\u5316\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3057\u3001\u6c17\u7ba1\u5207\u958b\u4e0b\u3067\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u671f\u9593\u304c\u9577\u304f\u306a\u308c\u3070\u306a\u308b\u307b\u3069\u3001\u533b\u7642\u8cbb\u306e\u5897\u52a0\u53ca\u3073ICU\u6ede\u5728\u65e5\u6570\u306e\u5897\u52a0\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u3053\u3068\u3082\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3002\u5f93\u3063\u3066\u3001<span class=\"orange\">\u300c\u6c17\u7ba1\u5207\u958b\u60a3\u8005\u306e\u65e9\u671f\u4eba\u5de5\u547c\u5438\u5668\u96e2\u8131\u300d<\/span>\u3068\u3044\u3046\u533b\u7642\u30cb\u30fc\u30ba\u30fb\u793e\u4f1a\u8ab2\u984c\u306b\u771f\u5263\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u304b\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u3002 <br \/>\n      \u9577\u671f\u4eba\u5de5\u547c\u5438\u5668\u4f9d\u5b58\u60a3\u8005\u3055\u3093\u306e\u539f\u75be\u60a3\u7b2c1\u4f4d\u306f\u6025\u6027\u547c\u5438\u4e0d\u5168\u3067\u3042\u308a\u3001\u9577\u671f\u4eba\u5de5\u547c\u5438\u5668\u4f9d\u5b58\u306b\u95a2\u9023\u3059\u308b\u4e3b\u306a\u30ea\u30b9\u30af\u56e0\u5b50\u306f\u3001\u6025\u6027\u547c\u5438\u4e0d\u5168\u3001\u547c\u5438\u7b4b\u59d4\u7e2e\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u3001\u2460\u50b7\u5bb3\u3092\u3046\u3051\u305f\u80ba\u306e\u305f\u3081\u306b\u9069\u5207\u306a\u30ac\u30b9\u4ea4\u63db\u304c\u884c\u3048\u306a\u3044\u3053\u3068\u3001\u2461\u547c\u5438\u7b4b\u59d4\u7e2e\u306e\u305f\u3081\u306b\u547c\u5438\u4ed5\u4e8b\u91cf\u5897\u5927\u3078\u306e\u8010\u4e45\u6027\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u4eba\u5de5\u547c\u5438\u5668\u96e2\u8131\u56f0\u96e3\u306e\u539f\u56e0\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002 <br \/>\n      \u672c\u7814\u7a76\u3067\u306f\u3001\u300c\u547c\u6c17\u967d\u5727\u306e\u767a\u751f\u306f\u4eba\u5de5\u547c\u5438\u5668\u306a\u3057\u306b\u306f\u4e0d\u53ef\u80fd\u300d\u3068\u3044\u3046\u5f93\u6765\u306e\u5e38\u8b58\u3092\u7834\u58ca\u3057\u3001\u4eba\u5de5\u547c\u5438\u5668\u3092\u4f7f\u7528\u3057\u306a\u304f\u3066\u3082\u547c\u6c17\u967d\u5727\u3092\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b<span class=\"orange\">\u9769\u65b0\u7684\u306a\u6280\u8853\u3092\u5275\u51fa<\/span>\u3059\u308b\u3053\u3068\u3067\u3001\u300c\u9577\u671f\u4eba\u5de5\u547c\u5438\u5668\u4f9d\u5b58\u60a3\u8005\u306b\u304a\u3051\u308b\u4eba\u5de5\u547c\u5438\u5668\u304b\u3089\u306e\u65e9\u671f\u96e2\u8131\u300d\u3068\u3044\u3046\u5927\u304d\u306a\u793e\u4f1a\u8ab2\u984c\u306b\u6311\u3093\u3067\u3044\u307e\u3059\u3002 <\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"green\">3. \u81ea\u767a\u547c\u5438\u95a2\u9023\u80ba\u30fb\u6a2a\u9694\u819c\u50b7\u5bb3\u306e<br class=\"sp_no\">\u6a5f\u5e8f\u89e3\u660e\u3068\u6cbb\u7642\u6cd5\u306e\u78ba\u7acb<\/h3>\n<ul>\n<li>\u79d1\u5b66\u7814\u7a76\u8cbb\u52a9\u6210\u4e8b\u696d\u30002014\u5e74\u5ea6\u30012019\u5e74\u5ea6\u30012022\u5e74\u5ea6\u63a1\u629e\u8ab2\u984c <\/li>\n<li>\u516c\u76ca\u4fe1\u8a17\u4e38\u8302\u6551\u6025\u533b\u5b66\u7814\u7a76\u632f\u8208\u57fa\u91d1\u30002014\u5e74\u5ea6\u63a1\u629e\u8ab2\u984c <\/li>\n<li>\u516c\u76ca\u8ca1\u56e3\u6cd5\u4eba\u798f\u7530\u8a18\u5ff5\u533b\u7642\u6280\u8853\u632f\u8208\u8ca1\u56e3\u30002019\u5e74\u5ea6\u63a1\u629e\u8ab2\u984c <\/li>\n<li>2012\u5e74\u512a\u79c0\u8ad6\u6587\u5968\u52b1\u8cde\u3001\u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a \uff08\u5409\u7530\u5065\u53f2\uff09<\/li>\n<li>2013\u5e74\u512a\u79c0\u8ad6\u6587\u672c\u8cde\u3001\u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a \uff08\u5409\u7530\u5065\u53f2\uff09<\/li>\n<li><em class=\"orange\">2017 The Marion and Earl Orser Prize in Anesthesia  and Sleep Sciences, University of Toronto<\/em>\uff08\u5409\u7530\u5065\u53f2\uff09<\/li>\n<li><em class=\"orange\">42th Global Rising  Star Award, Australian and New Zealand Intensive Care Society<\/em>\uff08\u5409\u7530\u5065\u53f2\uff09<\/li>\n<li>2022\u5e74\u3000PLUG meeting Best Abstract Award\uff08\u6a4b\u672c\u660e\u4f73\uff09 <\/li>\n<li>2022\u5e74\u3000\u7b2c44\u56de\u65e5\u672c\u547c\u5438\u7642\u6cd5\u533b\u5b66\u4f1a\u5b66\u8853\u96c6\u4f1a\u3000\u6700\u512a\u79c0\u6f14\u984c\u8cde\uff08Andi Muhammad Fadlillah Firstiogusran\uff09<\/li>\n<li>2023\u5e74\u3000\u7b2c45\u56de\u65e5\u672c\u547c\u5438\u7642\u6cd5\u533b\u5b66\u4f1a\u5b66\u8853\u96c6\u4f1a\u3000\u6700\u512a\u79c0\u6f14\u984c\u8cde\uff08\u6a4b\u672c\u660e\u4f73\uff09 <\/li>\n<\/ul>\n<p>\u9577\u3044\u9593\u3001\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u4e2d\u306e\u60a3\u8005\u3055\u3093\u306f\u5e38\u306b\u81ea\u767a\u547c\u5438\u3092\u6e29\u5b58\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u4f8b\u3048\u3070\u547c\u5438\u52aa\u529b\u304c\u5f37\u3044\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u3001\u4e00\u56de\u63db\u6c17\u91cf\u3084\u6c17\u9053\u5185\u5727\u3092\u5236\u9650\u3057\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u6c17\u80f8\u306a\u3069\u306e\u547c\u5438\u5668\u5408\u4f75\u75c7\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u3092\u3057\u3070\u3057\u3070\u7d4c\u9a13\u3057\u307e\u3059\u3002\u5f93\u3063\u3066\u3001\u300c\u81ea\u767a\u547c\u5438\u306e\u6e29\u5b58\u300d\u306b\u95a2\u3057\u3066\u3082\u300c\u500b\u5225\u5316\u300d\u304c\u5fc5\u8981\u3067\u3042\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u3001\u81ea\u767a\u547c\u5438\u3092\u6e29\u5b58\u3059\u3079\u304d\u60a3\u8005\u3055\u3093\u3001\u6e29\u5b58\u3059\u3079\u304d\u3067\u306f\u306a\u3044\u60a3\u8005\u3055\u3093\u3092\u660e\u78ba\u306b\u9078\u5225\u3057\u3001\u500b\u3005\u306b\u9069\u3057\u305f\u300c\u81ea\u767a\u547c\u5438\u30ec\u30d9\u30eb\u300d\u3092\u63d0\u4f9b\u3057\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/05\/image03.png\" alt=\"\" class=\"alignright size-full wp-image-298 multiply\"><\/p>\n<p>\u6211\u3005\u306f\u3001\u514e\u3084\u8c5aARDS\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u4e2d\u306b\u81ea\u767a\u547c\u5438\u52aa\u529b\u3092\u6b8b\u3057\u80ba\u30fb\u6a2a\u9694\u819c\u306b\u5bfe\u3059\u308b\u52b9\u679c\u3092\u7d44\u7e54\u5b66\u7684\u89b3\u70b9\u3001Dynamic  Lung Imaging (CT\u3001EIT)\u3092\u7528\u3044\u305f\u80ba\u753b\u50cf\u89e3\u6790\u5b66\u7684\u89b3\u70b9\u304b\u3089\u591a\u89d2\u7684\u306b\u691c\u8a0e\u3057\u3066\u304d\u307e\u3057\u305f\u3002\u5f37\u3044\u81ea\u767a\u547c\u5438\u306b\u3088\u308a\u80f8\u819c\u5727\u304c\u4f4e\u4e0b\u3057\u7d4c\u80ba\u5727- <em class=\"orange\">Lung stress<\/em>\u304c\u5897\u52a0\u3059\u308b\u3053\u3068\u3067\u305f\u3068\u3048\u4f4e\u3044\u4e00\u56de\u63db\u6c17\u91cf\u3084\u6c17\u9053\u5185\u5727\u3067\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u3092\u3057\u3066\u3044\u3066\u3082\u80ba\u50b7\u5bb3\u304c\u60aa\u5316\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u4e16\u754c\u306b\u5148\u99c6\u3051\u3066\u8a3c\u660e\u3057\u3001<span class=\"orange\">\u300c\u81ea\u767a\u547c\u5438\u95a2\u9023\u80ba\u50b7\u5bb3\u300d\u306e\u6982\u5ff5\u3092\u5275\u51fa<\/span>\u3057\u3044\u305f\u3057\u307e\u3057\u305f (\u4e0a\u56f3)\u3002\u3055\u3089\u306b\u3001\u547c\u5438\u52aa\u529b\u304c\u5f37\u3044\u60a3\u8005\u3055\u3093\u3001\u80ba\u50b7\u5bb3\u304c\u91cd\u5ea6\u3067\u3042\u308b\u60a3\u8005\u3055\u3093\u3001\u60a3\u8005\u4eba\u5de5\u547c\u5438\u5668\u9593\u4e0d\u540c\u8abf\u306e\u5408\u4f75\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u306f\u3001\u81ea\u767a\u547c\u5438\u306b\u3088\u308b\u5bb3\u304c\u9855\u5728\u5316\u3057\u3084\u3059\u3044\u3053\u3068\u3092\u57fa\u790e\u5b9f\u9a13\u30fb\u81e8\u5e8a\u7814\u7a76\u3067\u793a\u3057\u3001\u300c\u81ea\u767a\u547c\u5438\u95a2\u9023\u80ba\u30fb\u6a2a\u9694\u819c\u50b7\u5bb3\u300d\u304c\u767a\u751f\u3057\u3084\u3059\u3044\u72b6\u6cc1\u3092\u660e\u3089\u304b\u306b\u3057\u307e\u3057\u305f\u3002\u3053\u3046\u3057\u305f\u81ea\u767a\u547c\u5438\u52aa\u529b\u304c\u5f37\u3044\u60a3\u8005\u3055\u3093\u3078\u306e\u300c\u500b\u5225\u5316\u306e\u547c\u5438\u7ba1\u7406\u6226\u7565\u300d\u3068\u3057\u3066\u3001\u2460PEEP\u4ed8\u52a0\u3001\u2461\u8179\u81e5\u4f4d\u306b\u3088\u308b\u547c\u5438\u52aa\u529b\u306e\u8efd\u6e1b\u3068\u3044\u3046\u753b\u671f\u7684\u306a\u547c\u5438\u7ba1\u7406\u65b9\u6cd5\u3092\u767a\u6848\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u65b0\u898f\u7ba1\u7406\u65b9\u6cd5\u306f\u3001\u5168\u8eab\u7b4b\u5f1b\u7de9\u5264\u6295\u4e0e\u3092\u5fc5\u8981\u3068\u3057\u307e\u305b\u3093\u306e\u3067\u3001\u60a3\u8005\u4e0d\u52d5\u5316\u306b\u3088\u308b\u5168\u8eab\u7b4b\u840e\u7e2e\u767a\u751f\u306e\u30ea\u30b9\u30af\u3092\u5927\u5e45\u306b\u8efd\u6e1b\u3057\u3064\u3064\u3001\u300c\u81ea\u767a\u547c\u5438\u95a2\u9023\u80ba\u30fb\u6a2a\u9694\u819c\u50b7\u5bb3\u300d\u3092\u56de\u907f\u3067\u304d\u308b\u7ba1\u7406\u6cd5\u3068\u3057\u3066\u5927\u304d\u306a\u6ce8\u76ee\u3092\u96c6\u3081\u3066\u3044\u307e\u3059\u3002 <br \/>\n\u6211\u3005\u306e\u4e00\u8cab\u3057\u305f\u81ea\u767a\u547c\u5438\u306b\u95a2\u3059\u308b\u7814\u7a76\u6210\u679c\u306f\u3001ARDS\u306b\u5bfe\u3059\u308b\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u306b\u5927\u304d\u306a\u5909\u9769\u3092\u3082\u305f\u3089\u3057\u307e\u3057\u305f\u3002<span class=\"orange\">\u300c\u5e38\u306b\u81ea\u767a\u547c\u5438\u306f\u6e29\u5b58\u3059\u3079\u304d\u300d\u3068\u3044\u3046\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u306e\u5e38\u8b58\u3092\u7834\u58ca<\/span>\u3057\u3001\u65b0\u578b\u30b3\u30ed\u30ca\u80ba\u708e\u3092\u542b\u3080\u6025\u6027\u547c\u5438\u4e0d\u5168\u30fbARDS\u3067\u81ea\u767a\u547c\u5438\u52aa\u529b\u304c\u5f37\u3044\u60a3\u8005\u3055\u3093\u306b\u306f\u7b4b\u5f1b\u7de9\u5264\u6295\u4e0e\u30fb\u9ad8\u3081PEEP\u30fb\u8179\u81e5\u4f4d\u306b\u3088\u308b<span class=\"orange\">\u300c\u81ea\u767a\u547c\u5438\u95a2\u9023\u80ba\u50b7\u5bb3\u300d\u306e\u8efd\u6e1b\u304c\u6a19\u6e96\u6cbb\u7642<\/span>\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u5b9f\u969b\u3001\u6d77\u5916\u306e\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u3067\u3001\u633f\u7ba1\u524d\u306b\u8179\u81e5\u4f4d\u3067\u81ea\u767a\u547c\u5438\u3092\u6e29\u5b58\u3057\u305f\u30b3\u30ed\u30ca\u6025\u6027\u547c\u5438\u4e0d\u5168\u60a3\u8005\u7fa4\u306e\u65b9\u304c\u4e88\u5f8c\u826f\u597d\u3067\u3042\u308b\u3068\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002 <br \/>\n\u3053\u3046\u3057\u305f\u6211\u3005\u306e\u7814\u7a76\u6210\u679c\u306f\u3001\u4e00\u6d41\u306e\u5c02\u9580\u96d1\u8a8c\u3060\u3051\u3067\u306a\u304f\u3001<em class=\"orange\">Lancet\u3001JAMA<\/em>\u3068\u3044\u3063\u305f\u4e00\u6d41\u306e\u4e00\u822c\u533b\u5b66\u96d1\u8a8c\u306b\u3082\u5f15\u7528\u3055\u308c\u308b\u307b\u3069<span class=\"orange\">\u300c\u65b0\u5947\u6027\u300d\u30fb\u300c\u72ec\u5275\u6027\u300d\u30fb\u300c\u666e\u904d\u6027\u300d<\/span>\u306b\u5bcc\u307f\u533b\u7642\u754c\u306b\u4e0e\u3048\u305f\u5f71\u97ff\u306f\u975e\u5e38\u306b\u5927\u304d\u3044\u3082\u306e\u3067\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002 <\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"green\">4. \u80ba\u30ea\u30af\u30eb\u30fc\u30c8\u30e1\u30f3\u30c8\u624b\u6280\u306b\u3088\u308b<br class=\"sp_no\">\u8853\u4e2d\u80ba\u865a\u8131\u4e88\u9632\u52b9\u679c\u306e\u691c\u8a0e<\/h3>\n<ul>\n<li>\u6771\u90a6\u5927\u5b66\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u5927\u6a4b\u75c5\u9662\u3068\u306e\u5171\u540c\u7814\u7a76<\/li>\n<\/ul>\n<p>\u5168\u8eab\u9ebb\u9154\u624b\u8853\u306b\u304a\u3051\u308b\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u306f\u3001\u6bd4\u8f03\u7684\u75c5\u7684\u8981\u7d20\u3092\u6709\u3057\u306a\u3044\u80ba\u3092\u5bfe\u8c61\u306b\u3057\u3066\u3044\u307e\u3059\u304c\u30015-20%\u7a0b\u5ea6\u306e\u983b\u5ea6\u3067\u7121\u6c17\u80ba\u3001\u4f4e\u9178\u7d20\u8840\u75c7\u3001\u80ba\u708e\u306a\u3069\u306e\u8853\u5f8c\u80ba\u5408\u4f75\u75c7\uff08Postoperative Pulmonary  Complications; PPC\uff09\u304c\u8d77\u3053\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002PPC\u306f\u5165\u9662\u65e5\u6570\u306e\u5ef6\u9577\u306a\u3069\u3001\u60a3\u8005\u4e88\u5f8c\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u5168\u8eab\u9ebb\u9154\u4e0b\u3067\u306e\u624b\u8853\u4e2d\u306e\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u306b\u3082\u4e00\u56de\u63db\u6c17\u91cf\u3068\u6c17\u9053\u5185\u5727\u306e\u5236\u9650\u3092\u57fa\u672c\u3068\u3059\u308b\u80ba\u4fdd\u8b77\u63db\u6c17\u6226\u7565\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001PPC\u3092\u6e1b\u5c11\u3055\u305b\u3001\u60a3\u8005\u4e88\u5f8c\u3082\u6539\u5584\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6211\u3005\u306f\u3001\u80ba\u4fdd\u8b77\u63db\u6c17\u6226\u7565\u306b\u52a0\u3048\u3066\u3001\u63d0\u4f9b\u3057\u3066\u3044\u308b\u967d\u5727\u3088\u308a\u3082\u9ad8\u3044\u5727\u3092\u7528\u3044\u3066\u80ba\u3092\u81a8\u3089\u307e\u305b\u308b\u3053\u3068\u3067\u865a\u8131\u3092\u9632\u3050<span class=\"orange\">\u30ea\u30af\u30eb\u30fc\u30c8\u30e1\u30f3\u30c8\u624b\u6280\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u3088\u308a\u52b9\u679c\u7684\u306bPPC\u767a\u75c7\u3092\u8efd\u6e1b<\/span>\u3067\u304d\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002 <br \/>\n\u4e00\u65b9\u3067\u3001\u8fd1\u5e74\u306e\u624b\u8853\u306f\u4fb5\u8972\u6027\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u8179\u8154\u93e1\u624b\u8853\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002\u6c17\u8179\u306b\u3088\u308b\u8179\u5727\u4e0a\u6607\u3067\u6a2a\u9694\u819c\u304c\u6319\u4e0a\u3057\u3001\u80ba\u80de\u865a\u8131\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u8ab2\u984c\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u5bfe\u8c61\u81d3\u5668\u306b\u3088\u3063\u3066\u306f\u982d\u4f4e\u4f4d\u3092\u3068\u308b\u3053\u3068\u3092\u4f59\u5100\u306a\u304f\u3055\u308c\u308b\u305f\u3081\u3001\u3055\u3089\u306b\u80ba\u80de\u865a\u8131\u304c\u5897\u5f37\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u61f8\u5ff5\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u73fe\u5728\u3001\u5927\u962a\u5927\u5b66\u75c5\u9662\u3001\u6771\u90a6\u5927\u5b66\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u5927\u6a4b\u75c5\u9662\u306e2\u65bd\u8a2d\u306b\u304a\u3044\u3066\u3001<span class=\"orange\">\u982d\u4f4e\u4f4d\u8179\u8154\u93e1\u624b\u8853\u75c7\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u305f\u524d\u5411\u304d\u30e9\u30f3\u30c0\u30e0\u5316\u4ecb\u5165\u6bd4\u8f03\u7814\u7a76<\/span>\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u9ebb\u9154\u5668\u3067\u306e\u5b9a\u671f\u7684\u306a\u30ea\u30af\u30eb\u30fc\u30c8\u30e1\u30f3\u30c8\u624b\u6280\u3092\u7528\u3044\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u7c21\u4fbf\u304b\u3064\u5b89\u5b9a\u3057\u305f\u624b\u6280\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u3001\u305d\u306e\u5b89\u5168\u6027\u3068\u52b9\u679c\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3067\u9069\u5207\u306a\u60a3\u8005\u7ba1\u7406\u306e\u78ba\u7acb\u3068\u624b\u8853\u60a3\u8005\u3055\u3093\u306e\u901f\u3084\u304b\u306a\u56de\u5fa9\u306b\u5bc4\u4e0e\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"green\">5. \u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u30cf\u30a4\u30ea\u30b9\u30af\u60a3\u8005\u306b\u304a\u3051\u308b<br class=\"sp_no\">EIT\u3092\u7528\u3044\u305f\u500b\u5225\u5316\u4eba\u5de5\u547c\u5438\u5668\u7ba1\u7406\u6226\u7565<\/h3>\n<ul>\n<li>\u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a CTG\u59d4\u54e1\u4f1a\u7814\u7a76\u52a9\u6210\u5236\u5ea6 2024\u5e74\u5ea6\u63a1\u629e\u7814\u7a76<\/li>\n<\/ul>\n<p>\u5927\u624b\u8853\u306e\u3042\u3068\u3001\u60a3\u8005\u3055\u3093\u306e\u56de\u5fa9\u3092\u59a8\u3052\u308b\u5927\u304d\u306a\u8981\u56e0\u306e\u3072\u3068\u3064\u306b\u300c\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\uff08Postoperative Pulmonary Complications; PPC\uff09\u300d\u304c\u3042\u308a\u307e\u3059\u3002\u8853\u5f8c\u3001\u4eba\u5de5\u547c\u5438\u5668\u306b\u3088\u308b\u7ba1\u7406\u304c\u5fc5\u8981\u3068\u306a\u308b\u60a3\u8005\u3055\u3093\u306b\u304a\u3044\u3066\u306f\u3001\u8853\u64cd\u4f5c\u3084\u6c17\u8179\u306a\u3069\u306b\u3088\u308a\u80ba\u306e\u4e00\u90e8\u304c\u3064\u3076\u308c\u308b\u300c\u7121\u6c17\u80ba\u300d\u3084\u3001\u904e\u5ea6\u306b\u81a8\u3089\u307f\u3059\u304e\u308b\u300c\u904e\u81a8\u5f35\u300d\u304c\u8d77\u3053\u308a\u3084\u3059\u304f\u3001\u3053\u308c\u3089\u304c\u80ba\u306e\u640d\u50b7\u3084\u5408\u4f75\u75c7\u306e\u767a\u751f\u306b\u6df1\u304f\u95a2\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u80ba\u50b7\u5bb3\u3092\u9632\u3050\u305f\u3081\u306b\u306f\u3001\u4eba\u5de5\u547c\u5438\u5668\u306ePEEP\u306e\u8a2d\u5b9a\u304c\u91cd\u8981\u3067\u3059\u304c\u3001\u73fe\u5728\u306f\u60a3\u8005\u306e\u72b6\u614b\u306e\u72b6\u614b\u306b\u5fdc\u3058\u3066\u3001\u533b\u5e2b\u306e\u7d4c\u9a13\u306b\u57fa\u3065\u3044\u3066\u8abf\u6574\u3055\u308c\u3066\u3044\u308b\u306e\u304c\u73fe\u72b6\u3067\u3059\u3002PEEP\u306e\u8a2d\u5b9a\u65b9\u6cd5\u306f\u672a\u3060\u78ba\u7acb\u3055\u308c\u3066\u3044\u306a\u3044\u306e\u304c\u73fe\u72b6\u3067\u3059\u3002<br \/>\n\u305d\u3053\u3067\u79c1\u305f\u3061\u306f\u3001<span class=\"orange\">EIT\uff08Electrical Impedance Tomography\uff09<\/span>\u3068\u3044\u3046\u975e\u4fb5\u8972\u7684\u306a\u753b\u50cf\u6280\u8853\u306b\u7740\u76ee\u3057\u307e\u3057\u305f\u3002EIT\u306f\u3001\u80f8\u306b\u30d9\u30eb\u30c8\u578b\u306e\u96fb\u6975\u3092\u88c5\u7740\u3059\u308b\u3060\u3051\u3067\u3001\u80ba\u306e\u4e2d\u306e\u63db\u6c17\u306e\u69d8\u5b50\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u306b\u201c\u898b\u3048\u308b\u5316\u201d\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u653e\u5c04\u7dda\u88ab\u3070\u304f\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u79c1\u305f\u3061\u304c\u884c\u3063\u305f\u5148\u884c\u7814\u7a76\u3067\u306f\u3001\u8853\u5f8cICU\u306b\u5165\u5ba4\u3057\u305f\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u4e2d\u306e\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u3001\u5f93\u6765\u306ePEEP\u8a2d\u5b9a\u3067\u306f\u7d0460%\u306e\u60a3\u8005\u3067\u63db\u6c17\u5206\u5e03\u304c\u4e0d\u5747\u4e00\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u307e\u305f\u3001<span class=\"orange\">\u3053\u3046\u3057\u305f\u4e0d\u5747\u4e00\u306a\u63db\u6c17\u306f\u3001\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u306e\u767a\u751f\u3084\u4eba\u5de5\u547c\u5438\u5668\u306e\u4f7f\u7528\u671f\u9593\u306e\u5ef6\u9577\u3068\u95a2\u9023<\/span>\u3057\u3066\u3044\u308b\u3053\u3068\u3082\u308f\u304b\u308a\u307e\u3057\u305f\u3002\uff08Iwata. AJRCCM 2024\uff09<br \/>\n\u3053\u3046\u3057\u305f\u80cc\u666f\u304b\u3089\u3001<span class=\"orange\">EIT\u3092\u6d3b\u7528\u3057\u3066\u63db\u6c17\u5206\u5e03\u304c\u5747\u4e00\u3068\u306a\u308b\u3088\u3046\u306bPEEP\u3092\u8a2d\u5b9a\u3059\u308b\u3053\u3068\u304c\u3001\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u306e\u4e88\u9632\u3068\u4eba\u5de5\u547c\u5438\u5668\u304b\u3089\u306e\u65e9\u671f\u96e2\u8131\u306b\u3064\u306a\u304c\u308b<\/span>\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u79c1\u305f\u3061\u306f\u8003\u3048\u307e\u3057\u305f\u3002<\/p>\n<p>\u73fe\u5728\u3001\u79c1\u305f\u3061\u306f\u3053\u306e\u4eee\u8aac\u3092\u691c\u8a3c\u3059\u308b\u305f\u3081\u3001\u5168\u56fd\u306e\u8907\u6570\u306e\u533b\u7642\u6a5f\u95a2\u3068\u5354\u529b\u3057\u3001<span class=\"orange\">\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u3068\u3057\u305f\u591a\u65bd\u8a2d\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13<\/span>\u3092\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002\u672c\u7814\u7a76\u3067\u306f\u3001EIT\u3092\u7528\u3044\u305f\u4eba\u5de5\u547c\u5438\u6226\u7565\u304c\u3001\u8853\u5f8c\u5408\u4f75\u75c7\u306e\u767a\u751f\u3092\u6e1b\u3089\u3057\u3001\u3088\u308a\u65e9\u304f\u5b89\u5168\u306b\u4eba\u5de5\u547c\u5438\u5668\u3092\u96e2\u8131\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u3092\u79d1\u5b66\u7684\u306b\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u53d6\u308a\u7d44\u307f\u306f\u3001\u201c\u7d4c\u9a13\u306b\u4f9d\u5b58\u3057\u305f\u4eba\u5de5\u547c\u5438\u7ba1\u7406\u201d\u3092\u3001\u201c<span class=\"orange\">\u53ef\u8996\u5316\u306b\u57fa\u3065\u304f\u500b\u5225\u5316\u533b\u7642<\/span>\u201d\u3078\u3068\u9032\u5316\u3055\u305b\u307e\u3059\u3002\u79c1\u305f\u3061\u306f\u3001\u8853\u5f8cICU\u7ba1\u7406\u306e\u8cea\u3092\u9ad8\u3081\u308b\u6b21\u4e16\u4ee3\u306e\u4eba\u5de5\u547c\u5438\u6226\u7565\u306e\u78ba\u7acb\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u4e0d\u5747\u4e00\u306a\u63db\u6c17\u5206\u5e03\u306f\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u3068\u95a2\u9023<\/h4>\n<div class=\"mb16\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"370\" src=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/07\/eit01.png\" alt=\"\" class=\"alignnone size-full wp-image-1375\" srcset=\"https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/07\/eit01.png 1200w, https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/07\/eit01-300x93.png 300w, https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/07\/eit01-1024x316.png 1024w, https:\/\/www.med.osaka-u.ac.jp\/pub\/anes\/wp-content\/uploads\/2025\/07\/eit01-768x237.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/div>\n<ul class=\"mb0 disc\">\n<li>\u8853\u5f8c\u60a3\u8005\u306e\u63db\u6c17\u5206\u5e03\u3092\uff13\u30d1\u30bf\u30fc\u30f3\u306b\u5206\u985e<\/li>\n<li>Type 1,3\u306f\u8853\u5f8c\u547c\u5438\u5668\u5408\u4f75\u75c7\u30b9\u30b3\u30a2\u304cType 2\u3068\u6bd4\u3079\u3066\u9ad8\u3044<\/li>\n<li>\u4e0d\u5747\u4e00\u306a\u63db\u6c17\u5206\u5e03\u306f\u91cd\u5927\u306a\u547c\u5438\u5668\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u56e0\u5b50<\/li>\n<\/ul>\n<div class=\"f_s tr\">Iwata. AJRCCM 2024<\/div>\n<\/div><\/div>\n<p class=\"w100\">&nbsp;<\/p>\n<div class=\"anchor w100\" id=\"achievement01\"><\/div>\n<div class=\"w20 resp100\">\n<div class=\"sticky\">\n<h3 class=\"green\">\u7814\u7a76\u696d\u7e3e<\/h3>\n<ul class=\"sub_link\">\n<li><a href=\"#paper2025\">2025<\/a><\/li>\n<li><a href=\"#paper2024\">2024<\/a><\/li>\n<li><a href=\"#paper2023\">2023<\/a><\/li>\n<li><a href=\"#paper2022\">2022<\/a><\/li>\n<li><a href=\"#paper2021\">2021<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"w80 resp100\"><div data-post-id=\"808\" class=\"insert-page insert-page-808 achievement_list\"><h3 class=\"green\">\u8ad6\u6587<\/h3>\n<div class=\"anchor\" id=\"paper2025\"><\/div>\n<h4>2025<\/h4>\n<ol>\n<li>Taenaka H, Matthay MA. Mechanisms of impaired alveolar fluid clearance. Anat Rec (Hoboken). 2025;308(4):1026-1039. doi:10.1002\/ar.25166<\/li>\n<\/ol>\n<div class=\"anchor\" id=\"paper2024\"><\/div>\n<h4>2024<\/h4>\n<ol>\n<li>Christopher J. Yarnell, Arviy Paranthaman, Peter Reardon, Federico Angriman, Thiago Bassi, Giacomo Bellani, Laurent Brochard, Harm Jan De Grooth, Laura Dragoi, Syafruddin Gaus. An International Factorial Vignette-Based Survey of Intubation Decisions in Acute Hypoxemic Respiratory Failure. Critical Care Medicine. 2024 Nov 22.<\/li>\n<li>Taiki Hoshino, Takeshi Yoshida. Spontaneous breathing-induced lung injury in mechanically ventilated patients. Current Opinion in Critical Care. 2024 Nov 11.<\/li>\n<li>Han Chen, Takeshi Yoshida, Jian-Xin Zhou. Comparison of electrical impedance tomography, blood gas analysis, and respiratory mechanics for positive end-expiratory pressure titration. Critical Care (London, England). 2024 Oct 22; 28(1):341.<\/li>\n<li>Taiki Hoshino, Takeshi Yoshida. Future direction of ventilatory strategies in acute respiratory distress syndrome. Journal of the Japanese Society of Intensive Care Medicine. 2024 Sep 1; 31(5):469\u2013476.<\/li>\n<li>Taenaka H, Fang X, Maishan M, et al. Neutrophil reduction attenuates the severity of lung injury in the early phase of pneumococcal pneumonia in mice. Am J Physiol Lung Cell Mol Physiol. 2024;327(2):L141-L149. doi:10.1152\/ajplung.00113.2024<\/li>\n<li>Taenaka H, Wick KD, Sarma A, et al. Biological effects of corticosteroids on pneumococcal pneumonia in Mice-translational significance. Crit Care. 2024;28(1):185. Published 2024 May 29. doi:10.1186\/s13054-024-04956-6<\/li>\n<li>Takeshi Yoshida, Hirofumi Iwata, Yuji Fujino. Reply to Morais et al.: Electrical impedance tomography-based ventilation patterns for evaluating proper ventilator settings and to classifying lung morphofunction. American Journal of Respiratory and Critical Care Medicine. 2024 Apr 26.<\/li>\n<li>Yu Kurokami, Chigusa Yamashita, Kazunori Yokoi, Kyoko Tonomura, Yosuke Ishitsuka, Yoshida Takeshi, Yukiko Koyama, Yuji Fujino, Manabu Fujimoto, Atsushi Tanemura. A rare case of metastatic extramammary Paget disease developing transfusion-related acute lung injury during chemotherapy. The Journal of Dermatology. 2024 Apr 11.<\/li>\n<li>Tomonori Yamashita, Akinori Uchiyama, Yusuke Enokida, Takeshi Yoshida, Yuji Fujino. Combined use of alkaline agents with low-flow extracorporeal carbon dioxide removal in carbon dioxide inhalation models preserving inspiratory efforts. Journal of Acute Medicine. 2024 Mar 1; 14(1):28\u201338.<\/li>\n<li>Hirofumi Iwata, Takeshi Yoshida, Taiki Hoshino, Yuki Aiyama, Takashi Maezawa, Haruka Hashimoto, Yukiko Koyama, Tomomi Yamada, Yuji Fujino. Electrical impedance tomography-based ventilation patterns in patients after major surgery. American Journal of Respiratory and Critical Care Medicine. 2024 Feb 12.<\/li>\n<li>Tanaka, Aiko; Kitamura, Tetsuhisa; Uchiyama, Akinori; Enokida, Yusuke; Koyama, Yukiko; Yoshida, Takeshi; Fujino, Yuji. Response to: The association between time definition of reintubation and patient outcomes in critically ill patients\u2014several topics should be noticed. Critical Care (London, England). 2024 Feb 1; 28(1):37.<\/li>\n<li>Taiki Hoshino, Takeshi Yoshida. Future directions of lung-protective ventilation strategies in acute respiratory distress syndrome. Acute Medicine &amp; Surgery. 2024; 11(1):e918.<\/li>\n<\/ol>\n<div class=\"anchor\" id=\"paper2023\"><\/div>\n<h4>2023<\/h4>\n<ol>\n<li>Guillaume Franchineau, Annemijn H Jonkman, Lise Piquilloud, Takeshi Yoshida, Eduardo Costa, Hadrien Roz\u00e9, Luigi Camporota, Thomas Piraino, Elena Spinelli, Alain Combes, et al. Electrical impedance tomography to monitor hypoxemic respiratory failure. American Journal of Respiratory and Critical Care Medicine. 2023 Dec 21.<\/li>\n<li>Guild J, Juul NH, Andalon A, et al. Evidence for lung barrier regeneration by differentiation prior to binucleated and stem cell division. J Cell Biol. 2023;222(12):e202212088. doi:10.1083\/jcb.202212088<\/li>\n<li>Aiko Tanaka, Yoshimitsu Shimomura, Akinori Uchiyama, Natsuko Tokuhira, Tetsuhisa Kitamura, Hirofumi Iwata, Haruka Hashimoto, Suguru Ishigaki, Yusuke Enokidani, Tomonori Yamashita, et al. Time definition of reintubation most relevant to patient outcomes in critically ill patients: a multicenter cohort study. Critical Care (London, England). 2023 Sep 30; 27(1):378.<\/li>\n<li>Haruka Hashimoto, Yoshida Takeshi, Andi Muhammad Fadlillah Firstiogusran, Hiroki Taenaka, Ryota Nukiwa, Yukiko Koyama, Akinori Uchiyama, Yuji Fujino. Asynchronous injures lung and diaphragm in acute respiratory distress syndrome. Critical Care Medicine. 2023 Jul 17.<\/li>\n<li>Taiki Hoshino, Akinori Uchiyama, Natsuko Tokuhira, Suguru Ishigaki, Moe Koide, Naoko Kubo, Yusuke Enokidani, Ryota Sakaguchi, Yukiko Koyama, Takeshi Yoshida, et al. Factors associated with prolonged ventilation in patients receiving prone positioning protocol with muscle relaxants for severe COVID-19 pneumonia. Respiratory Care. 2023 May 23<\/li>\n<li>Hiroki Taenaka, Takeshi Yoshida, Haruka Hashimoto, Andi Muhammad Fadlillah Firstiogusran, Suguru Ishigaki, Hirofumi Iwata, Yusuke Enokidani, Hironori Ebishima, Naoko Kubo, Moe Koide, et al. Personalized ventilatory strategy based on lung recruitability in COVID-19-associated acute respiratory distress syndrome: a prospective clinical study. Critical Care (London, England). 2023 Apr 19; 27(1):152.<\/li>\n<\/ol>\n<div class=\"anchor\" id=\"paper2022\"><\/div>\n<h4>2022<\/h4>\n<ol>\n<li>Ryota Nukiwa, Akinori Uchiyama, Aiko Tanaka, Tetsuhisa Kitamura, Ryota Sakaguchi, Yoshimitsu Shimomura, Suguru Ishigaki, Yusuke Enokidani, Tomonori Yamashita, Yukiko Koyama, et al. Timing of tracheostomy and patient outcomes in critically ill patients requiring extracorporeal membrane oxygenation: a single-center retrospective observational study. Journal of Intensive Care. 2022 Dec 30; 10(1):56.<\/li>\n<li>Andi Muhammad Fadlillah Firstiogusran, Takeshi Yoshida, Haruka Hashimoto, Hirofumi Iwata, Yuji Fujino. Positive end-expiratory pressure and prone position alter the capacity of force generation from diaphragm in acute respiratory distress syndrome: an animal experiment. BMC Anesthesiology. 2022 Dec 2; 22(1):373.<\/li>\n<li>Shiori Kageyama, Naoki Takeishi, Hiroki Taenaka, Takeshi Yoshida, Shigeo Wada. Fluid dynamic assessment of positive end-expiratory pressure in a tracheostomy tube connector during respiration. Medical &amp; Biological Engineering &amp; Computing. 2022 Oct; 60(10):2981\u20132993.<\/li>\n<li>Aiko Tanaka, Akinori Uchiyama, Tetsuhisa Kitamura, Ryota Sakaguchi, Sho Komukai, Yusuke Enokidani, Yukiko Koyama, Takeshi Yoshida, Naoya Iguchi, Tomotaka Sobue, et al. Association between tracheostomy and survival in patients with coronavirus disease 2019 who require prolonged mechanical ventilation for more than 14 days: A multicenter cohort study. Auris, Nasus, Larynx. 2022 Jun 13; 50(2):276\u2013284.<\/li>\n<\/ol>\n<div class=\"anchor\" id=\"paper2021\"><\/div>\n<h4>2021<\/h4>\n<ol>\n<li>Aiko Tanaka, Akinori Uchiyama, Yu Horiguchi, Ryota Higeno, Ryota Sakaguchi, Yukiko Koyama, Hironori Ebishima, Takeshi Yoshida, Atsuhiro Matsumoto, Kanaki Sakai, et al. Predictors of post-extubation strider in patients on mechanical ventilation: a prospective observational study. Scientific Reports. 2021 Dec; 11(1):19993.<\/li>\n<li>Egi Moritoki, Hiroshi Ogura, Tomoaki Yatabe, Kazuaki Atagi, Shigeaki Inoue, Toshiaki Iba, Yasuyuki Kakihana, Tatsuya Kawasaki, Shigeki Kushimoto, Yasuhiro Kuroda, et al. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020). Journal of Intensive Care. 2021 Aug; 9(1).<\/li>\n<li>Egi Moritoki, Hiroshi Ogura, Tomoaki Yatabe, Kazuaki Atagi, Shigeaki Inoue, Toshiaki Iba, Yasuyuki Kakihana, Tatsuya Kawasaki, Shigeki Kushimoto, Yasuhiro Kuroda, et al. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020). Acute Medicine &amp; Surgery. 2021 Aug; 8(1).<\/li>\n<li>Takeshi Yoshida, Aiko Tanaka, Rollin Roldan, Roc\u00edo Quispe, Hiroki Taenaka, Akinori Uchiyama, Yuji Fujino. Prone Position Reduces Spontaneous Inspiratory Effort in Patients with Acute Respiratory Distress Syndrome: A Bi-Center Study. American Journal of Respiratory and Critical Care Medicine. 2021 Feb 10; 203(11):1437\u20131440<\/li>\n<li>Takeshi Yoshida, Yuji Fujino. Monitoring the patient for a safe-assisted ventilation. Current Opinion in Critical Care. 2021 Feb; 27(1):1\u20135.<\/li>\n<li>Bhushan H Katira, Kohei Osada, Doreen Engelberts, Luca Bastia, L. Felipe Damiani, Xuehan Li, Han Chen, Takeshi Yoshida, Marcelo B.P. Amato, Niall D Ferguson, et al. Positive End-Expiratory Pressure, Pleural Pressure, and Regional Compliance During Pronation: An Experimental Study. American Journal of Respiratory and Critical Care Medicine. 2021 Jan 6<\/li>\n<li>Antoine Tilmont, Benjamin Coiffard, Takeshi Yoshida, Florence Daviet, Karine Baumstarck, Geoffrey Brioude, Sami Hraiech, Jean-Marie Forel, Antoine Roch, Laurent Brochard, et al. Oesophageal pressure as a surrogate of pleural pressure in mechanically ventilated patients. ERJ Open Research. 2021 Jan; 7(1):00646-2020.<\/li>\n<\/ol>\n<div class=\"anchor\" id=\"paper2020\"><\/div>\n<h4>2020<\/h4>\n<ol>\n<li>Sami Hraiech, Takeshi Yoshida, Djillali Annane, Abhijit Duggal, Vito Fanelli, Arnaud Gacouin, Leo Heunks, Samir Jaber, Peter D. Sottile, Laurent Papazian. Myorelaxants in ARDS patients. Intensive Care Medicine. 2020 Nov 7.<\/li>\n<li>Mario Menk, Elisa Estenssoro, Sarina K. Sahetya, Ary Serpa Neto, Pratik Sinha, Arthur S. Slutsky, Charlotte Summers, Takeshi Yoshida, Thomas Bein, Niall D. Ferguson. Current and evolving standards of care for patients with ARDS. Intensive Care Medicine. 2020 Nov 6.<\/li>\n<li>Ewan C. Goligher, Annemijn H. Jonkman, Jose Dianti, Katerina Vaporidi, Jeremy R. Beitler, Bhakti K. Patel, Takeshi Yoshida, Samir Jaber, Martin Dres, Tommaso Mauri, et al. Clinical strategies for implementing lung and diaphragm-protective ventilation: avoiding insufficient and excessive effort. Intensive Care Medicine. 2020 Nov 2<\/li>\n<li>Luca Bastia, Doreen Engelberts, Kohei Osada, Bhushan H Katira, L Felipe Damiani, Takeshi Yoshida, Lu Chen, Niall D Ferguson, Marcelo B P Amato, Martin Post, et al. Role of PEEP and Regional Transpulmonary Pressure in Asymmetrical Lung Injury. American Journal of Respiratory and Critical Care Medicine. 2020 Oct 22.<\/li>\n<li>Ewan C. Goligher, Martin Dres, Bhakti K. Patel, Sarina K. Sahetya, Jeremy R. Beitler, Irene Telias, Takeshi Yoshida, Katerina Vaporidi, Domenico Luca Grieco, Tom Schepens, et al. Lung- and Diaphragm-Protective Ventilation. American Journal of Respiratory and Critical Care Medicine. 2020 Oct 1; 202(7):950-961.<\/li>\n<li>Yusuke Enokidani, Akinori Uchiyama, Takeshi Yoshida, Ryuichiro Abe, Tomonori Yamashita, Yukiko Koyama, Yuji Fujino. Effects of Ventilatory Settings on Pendelluft Phenomenon During Mechanical Ventilation. Respiratory Care. 2020 Sep 8.<\/li>\n<li>Tomonori Yamashita, Akinori Uchiyama, Yukiko Koyama, Takeshi Yoshida, Aiko Tanaka, Yuji Fujino. Effects of alkaline agents on respiratory characteristics in rabbit models of respiratory failure. Respiratory Physiology &amp; Neurobiology. 2020 Sep; 280:103485-103485<\/li>\n<li>Takeshi Yoshida. The Dark Side of Spontaneous Breathing during Noninvasive Ventilation. From Hypothesis to Theory. American Journal of Respiratory and Critical Care Medicine. 2020 Aug 15; 202(4):482-484.<\/li>\n<li>Takeshi Yoshida, Domenico L. Grieco, Laurent Brochard, Yuji Fujino. Patient self-inflicted lung injury and positive end-expiratory pressure for safe spontaneous breathing. Current Opinion in Critical Care. 2020 Feb; 26(1):59-65<\/li>\n<li>Laurent Brochard, Takeshi Yoshida, Marcelo Amato. Reply to Frerichs et al.: Simple Electrical Impedance Tomography Measures for the Assessment of Ventilation Distribution. American Journal of Respiratory and Critical Care Medicine. 2020 Feb 1; 201(3):388-388.<\/li>\n<li>Arnaud W. Thille, Takeshi Yoshida. High Pressure versus High Flow: What Should We Target in Acute Respiratory Failure? American Journal of Respiratory and Critical Care Medicine. 2020 Feb 1; 201(3):265-266.<\/li>\n<li>Sourav Kumar Mukhopadhyay, Michael Zara, Irene Telias, Lu Chen, Remi Coudroy, Takeshi Yoshida, Laurent Brochard, Sridhar Krishnan. A Singular Spectrum Analysis-Based Data-Driven Technique for the Removal of Cardiogenic Oscillations in Esophageal Pressure Signals. 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