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Surgical airways for trauma patients in an emergency surgical setting: 11 years' experience at a teaching hospital in Japan
https://fmu.repo.nii.ac.jp/records/2000025
https://fmu.repo.nii.ac.jp/records/2000025628be567-9503-4036-9eea-bcef6171943c
| 名前 / ファイル | ライセンス | アクション |
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JAnesth_27_p832.pdf (260.4 KB)
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| Item type | デフォルトアイテムタイプ（フル）fmu(1) | |||||||||||||||||
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| 公開日 | 2014-12-01 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Surgical airways for trauma patients in an emergency surgical setting: 11 years' experience at a teaching hospital in Japan | |||||||||||||||||
| 言語 | en | |||||||||||||||||
| 作成者 |
Ono, Yuko
× Ono, Yuko
× Yokoyama, Hideyuki
× Matsumoto, Akinori
× Kumada, Yoshibumi
× Shinohara, Kazuaki
× Tase, Choichiro
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| 権利情報 | ||||||||||||||||||
| 権利情報 | © Japanese Society of Anesthesiologists 2013. The final publication is available at link.springer.com | |||||||||||||||||
| 内容記述 | ||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||
| 内容記述 | PURPOSE: Airway management of trauma patients during emergency surgeries can be very difficult and presents a challenge for anesthesiologists. Difficult airways are associated with emergency surgical airways (ESA), but little is known about ESA in the operating room. We conducted this study to clarify the present use of ESA for trauma patients in emergency surgery settings. METHODS: We performed a retrospective review of all trauma patients requiring emergency surgery under general anesthesia at our hospital from January 2002 to December 2012, focusing on ESA. RESULTS: During the study period, 15,654 trauma patients were treated at our hospital, of whom 554 (3.5 %) required emergency surgery. Four of these patients (0.72 %) received ESA as definitive airway management. Two patients with severe facial injury and distorted upper airways and 1 patient with penetrating neck trauma received open standard tracheostomy (OST). These three patients received OST as the initial approach to intubation. A fourth OST was performed after several unsuccessful attempts at endotracheal intubation. No cases were classified as "cannot ventilate, cannot intubate" (CVCI), and there were no complications associated with ESA. All cases had good outcomes. Statistical analysis revealed that patients with severe facial trauma (Abbreviated Injury Scale >/=3) received ESA at a significantly higher rate than others (p = 0.015, odds ratio 14.1). CONCLUSION: One of the most important functions of anesthesiologists is risk management. We should recognize risks that can cause CVCI situations, and make proper clinical decisions, including providing ESA, to assure patient safety. | |||||||||||||||||
| 出版者 | ||||||||||||||||||
| 出版者 | Springer | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| 書誌情報 |
en : Journal of anesthesia 巻 27, 号 6, p. 832-837, 発行日 2013-12 |
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| 関連タイプ | isVersionOf | |||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||
| 関連識別子 | https://doi.org/10.1007/s00540-013-1640-6 | |||||||||||||||||
| 関連情報 | ||||||||||||||||||
| 識別子タイプ | PMID | |||||||||||||||||
| 関連識別子 | 23686452 | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| 出版タイプ | ||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||
| 収録物識別子 | ||||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||||
| 収録物識別子 | 0913-8668 | |||||||||||||||||
| 収録物識別子 | ||||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||||
| 収録物識別子 | 1438-8359 | |||||||||||||||||
| 収録物識別子 | ||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||
| 収録物識別子 | AA10852931 | |||||||||||||||||
| 主題 | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | emergency surgery | |||||||||||||||||
| 主題 | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | difficult airway | |||||||||||||||||
| 主題 | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | trauma | |||||||||||||||||
| 主題 | ||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | tracheostomy | |||||||||||||||||
| 主題 | ||||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Airway Management | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Anesthesia, General | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Emergency Medical Services | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Emergency Treatment | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Female | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Hospitals, Teaching | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Humans | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Japan | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Male | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Middle Aged | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Retrospective Studies | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Surgical Procedures, Operative | |||||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||||
| 主題 | Wounds and Injuries | |||||||||||||||||
