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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
A 医学部 = School of Medicine >
a10 学術雑誌論文等 = Journal Article >
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http://ir.fmu.ac.jp/dspace/handle/123456789/496
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| Title: | Are prehospital airway management resources compatible with difficult airway algorithms? A nationwide cross-sectional study of helicopter emergency medical services in Japan |
| Authors: | Ono, Yuko
Shinohara, Kazuaki
Goto, Aya
Yano, Tetsuhiro
Sato, Lubna
Miyazaki, Hiroyuki
Shimada, Jiro
Tase, Choichiro |
| Affiliation: | 救急医療学講座
公衆衛生学講座
地域救急医療支援講座
看護部 |
| Source title: | Journal of anesthesia |
| Volume: | 30 |
| Issue: | 2 |
| Start page: | 205 |
| End page: | 214 |
| Issue Date: | Apr-2016 |
| Abstract: | 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. |
| Publisher: | Springer |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/496 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/496/3/10.1007%252Fs00540-015-2124-7.pdf |
| ISSN: | 0913-8668
1438-8359 |
| DOI: | 10.1007/s00540-015-2124-7 |
| PubMed ID: | 26715428 |
| Related Page: | http://dx.doi.org/10.1007/s00540-015-2124-7 |
| Rights: | © 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. |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Appears in Collections: | a10 学術雑誌論文等 = Journal Article
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