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  1. 医学部
  2. 学術雑誌論文

Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department

https://fmu.repo.nii.ac.jp/records/2000043
https://fmu.repo.nii.ac.jp/records/2000043
91758012-dd2e-472b-8245-0f03af75ee98
名前 / ファイル ライセンス アクション
EmergMedInt_5649476.pdf EmergMedInt_5649476.pdf (1.6 MB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2018-06-21
タイトル
タイトル Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department
言語 en
作成者 Ono, Yuko

× Ono, Yuko

en Ono, Yuko

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Kakamu, Takeyasu

× Kakamu, Takeyasu

en Kakamu, Takeyasu

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Kikuchi, Hiroaki

× Kikuchi, Hiroaki

en Kikuchi, Hiroaki

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Mori, Yusuke

× Mori, Yusuke

en Mori, Yusuke

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Watanabe, Yui

× Watanabe, Yui

en Watanabe, Yui

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Shinohara, Kazuaki

× Shinohara, Kazuaki

en Shinohara, Kazuaki

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権利情報
権利情報Resource http://creativecommons.org/licenses/by/4.0/
権利情報 Copyright © 2018 Yuko Ono et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
内容記述
内容記述タイプ Abstract
内容記述 The aim of this study was to determine complication rates and possible risk factors of expert-performed endotracheal intubation (ETI) in patients with trauma, in both the prehospital setting and the emergency department. We also investigated how the occurrence of ETI-related complications affected the survival of trauma patients. This single-center retrospective observational study included all injured patients who underwent anesthesiologist-performed ETI from 2007 to 2017. ETI-related complications were defined as hypoxemia, unrecognized esophageal intubation, regurgitation, cardiac arrest, ETI failure rescued by emergency surgical airway, dental trauma, cuff leak, and mainstem bronchus intubation. Of the 537 patients included, 23.5% experienced at least one complication. Multivariable logistic regression analysis revealed that low Glasgow Coma Scale Score (adjusted odds ratio [AOR], 0.93; 95% confidence interval [CI], 0.88–0.98), elevated heart rate (AOR, 1.01; 95% CI, 1.00–1.02), and three or more ETI attempts (AOR, 15.71; 95% CI, 3.37–73.2) were independent predictors of ETI-related complications. We also found that ETI-related complications decreased the likelihood of survival of trauma patients (AOR, 0.60; 95% CI, 0.38–0.95), independently of age, male sex, Injury Severity Score, Glasgow Coma Scale Score, and off-hours presentation. Our results suggest that airway management in trauma patients carries a very high risk; this finding has implications for the practice of airway management in injured patients.
出版者
出版者 Hindawi
言語
言語 eng
書誌情報 en : Emergency Medicine International

巻 2018, p. 5649476, 発行日 2018-06-10
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1155/2018/5649476
関連情報
識別子タイプ PMID
関連識別子 29984001
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 2090-2840
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2090-2859
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