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Difficult airway management resources and capnography use in Japanese intensive care units: a nationwide cross-sectional study
https://fmu.repo.nii.ac.jp/records/2000032
https://fmu.repo.nii.ac.jp/records/200003238521752-3b25-4c2d-b923-f355a9466e21
| 名前 / ファイル | ライセンス | アクション |
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JAnesth_30_p644.pdf (462.2 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 | 2016-05-13 | |||||||||||||||||||||||
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| タイトル | Difficult airway management resources and capnography use in Japanese intensive care units: a nationwide cross-sectional study | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
| 作成者 |
Ono, Yuko
× Ono, Yuko
× Tanigawa, Koichi
× Shinohara, Kazuaki
× Yano, Tetsuhiro
× Sorimachi, Kotaro
× Sato, Lubna
× Inokuchi, Ryota
× Shimada, Jiro
× Tase, Choichiro
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| 権利情報 | ||||||||||||||||||||||||
| 権利情報Resource | http://creativecommons.org/licenses/by/4.0/ | |||||||||||||||||||||||
| 権利情報 | © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. | |||||||||||||||||||||||
| 内容記述 | ||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||
| 内容記述 | PURPOSE: The availability of difficult airway management (DAM) resources and the extent of capnometry use in Japanese intensive care units (ICUs) remained unclear. The purpose of this study was to clarify whether: (1) DAM resources were adequate, and (2) capnometry was routinely applied in Japanese ICUs. METHODS: This nationwide cross-sectional study was conducted from September 2015 to February 2016. All ICUs received a mailed questionnaire about their DAM resources and use of capnometry. Outcome measures were availability of: (1) 24-h in-house backup coverage; (2) a supraglottic airway device (SGA); (3) a dedicated DAM cart; and (4) surgical airway devices, and (5) routine use of capnometry to verify tube placement and for continuous monitoring of ventilator-dependent patients. The association between these outcomes and ICU type (academic, high-volume, closed, surgical) was also analyzed. RESULTS: Of the 289 ICUs, 196 (67.8 %) returned completed questionnaires. In-house backup coverage and surgical airway devices were highly available (89.3 and 95.9 %), but SGAs and dedicated DAM carts were not (60.2 and 60.7 %). The routine use of capnometry to confirm tube placement was reported by 55.6 % of the ICUs and was highest in closed ICUs (67.2 %, p = 0.03). The rate of continuous capnography monitoring was also 55.6 % and was highest in academic ICUs (64.5 %, p = 0.04). CONCLUSION: In Japanese ICUs, SGAs and dedicated DAM carts were less available, and capnometry was not universally applied either to confirm tube placement, or for continuous monitoring of ventilated patients. Our study revealed areas in need of improvement. | |||||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||||
| 出版者 | Springer | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
| 書誌情報 |
en : Journal of Anesthesia 巻 30, 号 4, p. 644-652, 発行日 2016-08 |
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| 関連タイプ | isIdenticalTo | |||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1007/s00540-016-2176-3 | |||||||||||||||||||||||
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| 識別子タイプ | PMID | |||||||||||||||||||||||
| 関連識別子 | 27130212 | |||||||||||||||||||||||
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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 | |||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||
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| 収録物識別子タイプ | PISSN | |||||||||||||||||||||||
| 収録物識別子 | 0913-8668 | |||||||||||||||||||||||
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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 | Capnometry | |||||||||||||||||||||||
| 主題 | ||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||
| 主題 | Supraglottic airway device | |||||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||||
| 主題 | Portable storage unit | |||||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||||
| 主題 | Postal survey | |||||||||||||||||||||||
