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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/123456789/499
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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 |
| 著者: | Ono, Yuko
Tanigawa, Koichi
Shinohara, Kazuaki
Yano, Tetsuhiro
Sorimachi, Kotaro
Sato, Lubna
Inokuchi, Ryota
Shimada, Jiro
Tase, Choichiro |
| 学内所属: | 救急医療学講座
ふくしま国際医療科学センター
地域救急医療支援講座 |
| 誌名/書名: | Journal of Anesthesia |
| 巻: | 30 |
| 号: | 4 |
| 開始ページ: | 644 |
| 終了ページ: | 652 |
| 発行日: | 2016年8月 |
| 抄録: | 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: | Springer |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/499 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/499/4/JAnesth_30_p644.pdf |
| ISSN: | 0913-8668
1438-8359 |
| DOI: | 10.1007/s00540-016-2176-3 |
| PubMed番号: | 27130212 |
| 関連ページ: | http://dx.doi.org/10.1007/s00540-016-2176-3 |
| 権利情報: | © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. |
| 権利情報: | http://creativecommons.org/licenses/by/4.0/ |
| 出現コレクション: | a10 学術雑誌論文等 = Journal Article
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