DSpace Fukushima Medical University

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 >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/653

Files in This Item:

File Description SizeFormat
IntJEmergMed_10_28.pdf538.65 kBAdobe PDFDownload
12245_2017_155_MOESM1_ESM.docxAdditional file 126.85 kBMicrosoft WordDownload
12245_2017_155_MOESM2_ESM.docxAdditional file 217.97 kBMicrosoft WordDownload
12245_2017_155_MOESM3_ESM.docxAdditional file 315.78 kBMicrosoft WordDownload
Title: Human and equipment resources for difficult airway management, airway education programs, and capnometry use in Japanese emergency departments: a nationwide cross-sectional study
Authors: Ono, Yuko
Tanigawa, Koichi
Shinohara, Kazuaki
Yano, Tetsuhiro
Sorimachi, Kotaro
Inokuchi, Ryota
Shimada, Jiro
Affiliation: 救急医療学講座
ふくしま国際医療科学センター
Source title: International Journal of Emergency Medicine
Volume: 10
Start page: 28
Issue Date: 13-Sep-2017
Abstract: 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.
Publisher: Springer
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/653
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/653/1/IntJEmergMed_10_28.pdf
ISSN: 1865-1372
1865-1380
DOI: 10.1186/s12245-017-0155-6
PubMed ID: 28905252
Related Page: http://doi.org/10.1186/s12245-017-0155-6
Rights: © The Author(s). 2017 Open Access 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

Files in This Item:

File Description SizeFormat
IntJEmergMed_10_28.pdf538.65 kBAdobe PDFDownload
12245_2017_155_MOESM1_ESM.docxAdditional file 126.85 kBMicrosoft WordDownload
12245_2017_155_MOESM2_ESM.docxAdditional file 217.97 kBMicrosoft WordDownload
12245_2017_155_MOESM3_ESM.docxAdditional file 315.78 kBMicrosoft WordDownload

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

DSpace Software Copyright © 2002-2007 MIT and Hewlett-Packard