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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/499

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Title: Difficult airway management resources and capnography use in Japanese intensive care units: a nationwide cross-sectional study
Authors: Ono, Yuko
Tanigawa, Koichi
Shinohara, Kazuaki
Yano, Tetsuhiro
Sorimachi, Kotaro
Sato, Lubna
Inokuchi, Ryota
Shimada, Jiro
Tase, Choichiro
Affiliation: 救急医療学講座
Source title: Journal of Anesthesia
Volume: 30
Issue: 4
Start page: 644
End page: 652
Issue Date: Aug-2016
Abstract: 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.
Publisher: Springer
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/499
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/499/4/JAnesth_30_p644.pdf
ISSN: 0913-8668
DOI: 10.1007/s00540-016-2176-3
PubMed ID: 27130212
Related Page: http://dx.doi.org/10.1007/s00540-016-2176-3
Rights: © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
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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