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      KCI등재후보

      일반병동 입원환자의 어려운 기도 예측 여부에 따른 기관 내 삽관의 결과 분석 = Outcome Analysis of Endotracheal Intubation for General Ward Patients with and without Predicted Difficulty

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      https://www.riss.kr/link?id=A101142373

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      다국어 초록 (Multilingual Abstract)

      Purpose: The purpose of this study was to determine the factors related to airway failure during endotracheal intubation among patients with and without predicted airway difficulty. Methods: Medical records were examined retrospectively. 329 patients ...

      Purpose: The purpose of this study was to determine the factors related to airway failure during endotracheal intubation among patients with and without predicted airway difficulty. Methods: Medical records were examined retrospectively. 329 patients who were admitted to the general ward and underwent endotracheal intubation were included. The incidence of airway failure in the two groups was investigated. Results: The group predicted to have airway difficulty consisted of 79 patients (24.0%) and the group without airway difficulty, 250 (76.0%). The number of cases of airway failure was 50 (15.2%). The factors that were associated with airway failure in the group with predicted airway difficulty were the jaw relaxation score, Cormack-Lehane score, and the device of the first endotracheal intubation attempt. The factors that were associated with the airway failure in the group predicted not to have airway difficulty were the induction agent, jaw relaxation score, Cormack-Lehane score, level of training of the personnel with the first endotracheal intubation success, and the device of the first endotracheal intubation attempt. Conclusion: The prediction of airway difficulty during endotracheal intubation was not effective; however, it was meaningful from the perspective of patient safety.

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      참고문헌 (Reference)

      1 김승환, "응급의료센터에서의 기관내 삽관의 성공률에 영향을 미치는 인자들:Korean Emergency Airway Management Registry를 이용한 다기관 연구" 대한응급의학회 19 (19): 45-50, 2008

      2 Reid, C., "The who, where, and what of rapid sequence intubation : prospective observational study of emergency RSI outside the operating theatre" 21 (21): 296-301, 2004

      3 Bair, A. E., "The failed intubation attempt in the emergency department analysis of prevalence, rescue, techniques, and personnel" 23 (23): 131-140, 2002

      4 Walls, R. M., "Rapid sequence intubation: Manual of emergency airway management" Lippincott Williams & Wilkins 2008

      5 Rosenblatt, W. H., "Practice patterns in managing the difficult airway by anesthesiologists in the United States" 87 (87): 153-157, 1998

      6 American Society of Anesthesiologists Task Force on Management of the Difficult Airway., "Practice guidelines for management of the difficult airway : an updated report by the American society of anesthesiologists task force on management of the difficult airway" 98 (98): 1269-1277, 2003

      7 Serocki, G., "Management of the predicted difficult airway : a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope" 27 (27): 24-30, 2010

      8 Cook, T. M., "Major complications of airway management in the UK : results of the fourth national audit project of the royal college of anaesthetists and the difficult airway society. part 2 : intensive care and emergency departments" 106 : 632-642, 2011

      9 Mort, T. C., "Emergency tracheal intubation : complications associated with repeated laryngoscopic attempts" 99 (99): 607-613, 2004

      10 Nemeth, J., "Emergency airway management : the difficult airway" 30 (30): 401-420, 2012

      1 김승환, "응급의료센터에서의 기관내 삽관의 성공률에 영향을 미치는 인자들:Korean Emergency Airway Management Registry를 이용한 다기관 연구" 대한응급의학회 19 (19): 45-50, 2008

      2 Reid, C., "The who, where, and what of rapid sequence intubation : prospective observational study of emergency RSI outside the operating theatre" 21 (21): 296-301, 2004

      3 Bair, A. E., "The failed intubation attempt in the emergency department analysis of prevalence, rescue, techniques, and personnel" 23 (23): 131-140, 2002

      4 Walls, R. M., "Rapid sequence intubation: Manual of emergency airway management" Lippincott Williams & Wilkins 2008

      5 Rosenblatt, W. H., "Practice patterns in managing the difficult airway by anesthesiologists in the United States" 87 (87): 153-157, 1998

      6 American Society of Anesthesiologists Task Force on Management of the Difficult Airway., "Practice guidelines for management of the difficult airway : an updated report by the American society of anesthesiologists task force on management of the difficult airway" 98 (98): 1269-1277, 2003

      7 Serocki, G., "Management of the predicted difficult airway : a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope" 27 (27): 24-30, 2010

      8 Cook, T. M., "Major complications of airway management in the UK : results of the fourth national audit project of the royal college of anaesthetists and the difficult airway society. part 2 : intensive care and emergency departments" 106 : 632-642, 2011

      9 Mort, T. C., "Emergency tracheal intubation : complications associated with repeated laryngoscopic attempts" 99 (99): 607-613, 2004

      10 Nemeth, J., "Emergency airway management : the difficult airway" 30 (30): 401-420, 2012

      11 Sivilotti, M. L., "Does the sedative agent facilitate emergency rapid sequence intubation?" 10 (10): 612-620, 2003

      12 Henderson, J. J., "Difficult airway society guidelines for management of the unanticipated difficult intubation" 59 (59): 675-694, 2004

      13 Reed, M. J., "Can an airway assessment score predict difficulty at intubation in the emergency department?" 22 (22): 99-102, 2005

      14 Grant, S., "Assessment of intubating conditions in adults after induction with propofol and varying doses of remifentanil" 81 (81): 540-543, 1998

      15 WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies" 363 (363): 157-163, 2004

      16 Jaber, S., "An intervention to decrease complications related to endotracheal intubation in the intensive care unit : a prospective, multiple-center study" 36 (36): 248-255, 2010

      17 Frova, G., "Algorithms for difficult airway management : a review" 75 (75): 201-209, 2009

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      2016 0.16 0.16 0
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