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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/655

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Title: 救急/集中治療領域のdifficult airway managementにおける声門上器具 ─その役割を再考する
Other Titles: Reappraising the role of supraglottic airway devices for difficult airway management in critical care and emergency medicine
Authors: 大野, 雄康
篠原, 一彰
谷川, 攻一
Affiliation: 救急医療学講座
ふくしま国際医療科学センター
Source title: 日本集中治療医学会雑誌
Volume: 24
Issue: 5
Start page: 535
End page: 541
Issue Date: 2017
Abstract: 救急/集中治療領域で気管挿管困難症に遭遇する確率は手術室より遥かに高く,かつ気道確保の失敗は致命的な結果を招く。一刻の猶予も許されない状況で使用するレスキューデバイスは「迅速,単純,容易」に操作できなければならない。声門上器具はこれらの観点からはほぼ理想的なデバイスであり,近年麻酔科領域のみならず,救急/集中治療領域のdifficult airway management(DAM)でもその有用性を示す報告が増加している。しかし,本邦の救急/集中治療領域における声門上器具の普及率は諸外国に比して低く,現状では声門上器具が適切に配備されているとは言い難い。一刻を争う事態での安全を確保するために,声門上器具を含め,平時より適切なDAMデバイスを配備し運用しておくことが望まれる。本稿を通し,救急/集中治療領域のDAMにおける声門上器具の役割を再考する。
Difficult airways and severe airway-related adverse events occur much more commonly in emergency departments and ICUs than in operating rooms. Thus, rescue ventilation strategies are indispensable in emergency departments and ICUs. Rescue ventilation techniques in time-sensitive situations must be fast, simple and easy to perform. Considering this situation, supraglottic airway devices are near-ideal instruments. Using a supraglottic airway device is a common first-line rescue ventilation strategy in difficult airway management (DAM) algorithms advocated by several professional anesthesiology societies. Furthermore, supraglottic airway devices are also proving to be useful for DAM in emergency departments and ICUs, and evidence supporting their implementation in such environments is increasing. However, supraglottic airway devices are much less likely to be available in Japanese emergency medical services and ICUs than in other countries. Immediate access to appropriate DAM devices, including supraglottic airways, is essential to ensure safety. The aim of this study was to reappraise the role of supraglottic airway devices in the field of emergency and critical care medicine.
Publisher: 日本集中治療医学会
language: jpn
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/655
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/655/1/jjsicm_24_535.pdf
ISSN: 1340-7988
1882-966X
DOI: 10.3918/jsicm.24_535
Related Page: http://doi.org/10.3918/jsicm.24_535
Rights: © 2017 日本集中治療医学会
Appears in Collections:a10 学術雑誌論文等 = Journal Article

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