| Item type |
デフォルトアイテムタイプ（フル）fmu(1) |
| 公開日 |
2016-01-05 |
| タイトル |
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|
タイトル |
Are prehospital airway management resources compatible with difficult airway algorithms? A nationwide cross-sectional study of helicopter emergency medical services in Japan |
|
言語 |
en |
| 作成者 |
Ono, Yuko
Shinohara, Kazuaki
Goto, Aya
Yano, Tetsuhiro
Sato, Lubna
Miyazaki, Hiroyuki
Shimada, Jiro
Tase, Choichiro
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| 権利情報 |
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|
権利情報Resource |
http://creativecommons.org/licenses/by/4.0/ |
|
権利情報 |
© The Author(s) 2015. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
PURPOSE: Immediate access to the equipment required for difficult airway management (DAM) is vital. However, in Japan, data are scarce regarding the availability of DAM resources in prehospital settings. The purpose of this study was to determine whether Japanese helicopter emergency medical services (HEMS) are adequately equipped to comply with the DAM algorithms of Japanese and American professional anesthesiology societies. METHODS: This nationwide cross-sectional study was conducted in May 2015. Base hospitals of HEMS were mailed a questionnaire about their airway management equipment and back-up personnel. Outcome measures were (1) call for help, (2) supraglottic airway device (SGA) insertion, (3) verification of tube placement using capnometry, and (4) the establishment of surgical airways, all of which have been endorsed in various airway management guidelines. The criteria defining feasibility were the availability of (1) more than one physician, (2) SGA, (3) capnometry, and (4) a surgical airway device in the prehospital setting. RESULTS: Of the 45 HEMS base hospitals questioned, 42 (93.3 %) returned completed questionnaires. A surgical airway was practicable by all HEMS. However, in the prehospital setting, back-up assistance was available in 14.3 %, SGA in 16.7 %, and capnometry in 66.7 %. No HEMS was capable of all four steps. CONCLUSION: In Japan, compliance with standard airway management algorithms in prehospital settings remains difficult because of the limited availability of alternative ventilation equipment and back-up personnel. Prehospital health care providers need to consider the risks and benefits of performing endotracheal intubation in environments not conducive to the success of this procedure. |
| 出版者 |
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出版者 |
Springer |
| 言語 |
|
|
言語 |
eng |
| 書誌情報 |
en : Journal of anesthesia
巻 30,
号 2,
p. 205-214,
発行日 2016-04
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| 関連情報 |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1007/s00540-015-2124-7 |
| 関連情報 |
|
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|
識別子タイプ |
PMID |
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関連識別子 |
26715428 |
| 資源タイプ |
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|
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 |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0913-8668 |
| 収録物識別子 |
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|
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 |
Airway equipment |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Supraglottic airway device |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Difficult airway |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
Prehospital endotracheal intubation |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
Surgical airway equipment |
10.1007%252Fs00540-015-2124-7.pdf (747.5 KB)
