| Item type |
デフォルトアイテムタイプ（フル）fmu(1) |
| 公開日 |
2017-09-19 |
| タイトル |
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|
タイトル |
Human and equipment resources for difficult airway management, airway education programs, and capnometry use in Japanese emergency departments: a nationwide cross-sectional study |
|
言語 |
en |
| 作成者 |
Ono, Yuko
Tanigawa, Koichi
Shinohara, Kazuaki
Yano, Tetsuhiro
Sorimachi, Kotaro
Inokuchi, Ryota
Shimada, Jiro
|
| 権利情報 |
|
|
権利情報Resource |
http://creativecommons.org/licenses/by/4.0/ |
|
権利情報 |
© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Although human and equipment resources, proper training, and the verification of endotracheal intubation are vital elements of difficult airway management (DAM), their availability in Japanese emergency departments (EDs) has not been determined. How ED type and patient volume affect DAM preparation is also unclear. We conducted the present survey to address this knowledge gaps. Methods: This nationwide cross-sectional study was conducted from April to September 2016. All EDs received a mailed questionnaire regarding their DAM resources, airway training methods, and capnometry use for tube placement. Outcome measures were the availability of: (1) 24-h in-house back-up; (2) key DAM resources, including a supraglottic airway device (SGA), a dedicated DAM cart, surgical airway devices, and neuromuscular blocking agents; (3) anesthesiology rotation as part of an airway training program; and (4) the routine use of capnometry to verify tube placement. EDs were classified as academic, tertiary, high-volume (upper quartile of annual ambulance visits), and urban. Results: Of the 530 EDs, 324 (61.1%) returned completed questionnaires. The availability of in-house back-up coverage, surgical airway devices, and neuromuscular blocking agents was 69.4, 95.7, and 68.5%, respectively. SGAs and dedicated DAM carts were present in 51.5 and 49.7% of the EDs. The rates of routine capnometry use (47.8%) and the availability of an anesthesiology rotation (38.6%) were low. The availability of 24-h back-up coverage was significantly higher in academic EDs and tertiary EDs in both the crude and adjusted analysis. Similarly, neuromuscular blocking agents were more likely to be present in academic EDs, high-volume EDs, and tertiary EDs; and the rate of routine use of capnometry was significantly higher in tertiary EDs in both the crude and adjusted analysis. Conclusions: In Japanese EDs, the rates of both the availability of SGAs and DAM carts and the use of routine capnometry to confirm tube placement were approximately 50%. These data demonstrate the lack of standard operating procedures for rescue ventilation and post-intubation care. Academic, tertiary, and high-volume EDs were likely to be well prepared for DAM. |
| 出版者 |
|
|
出版者 |
Springer |
| 言語 |
|
|
言語 |
eng |
| 書誌情報 |
en : International Journal of Emergency Medicine
巻 10,
p. 28,
発行日 2017-09-13
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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 |
|
|
関連識別子 |
http://doi.org/10.1186/s12245-017-0155-6 |
| 関連情報 |
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|
識別子タイプ |
PMID |
|
|
関連識別子 |
28905252 |
| 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 |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
1865-1372 |
| 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 |
1865-1380 |
| 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 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Portable storage unit |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Postal survey |
Full text (538.7 KB)
Additional file 1 (26.8 KB)
