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気管ステント装着患者の全身麻酔経験
https://redcross.repo.nii.ac.jp/records/3093
https://redcross.repo.nii.ac.jp/records/309333dae303-6be8-40e5-bb6d-6145d681a705
名前 / ファイル | ライセンス | アクション |
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pdf001967 (1.6 MB)
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Item type | 症例・事例報告 / Case Reports(1) | |||||
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公開日 | 2013-01-24 | |||||
タイトル | ||||||
タイトル | 気管ステント装着患者の全身麻酔経験 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | General anesthesia for a patient having a tracheal stent : a case report | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | general anesthesia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | tracheal stent | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | LMA | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | granuloma of trachea | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | general anesthesia | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | tracheal stent | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | LMA | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | granuloma of trachea | |||||
資源タイプ | ||||||
資源タイプ | technical report | |||||
著者 |
吉田, 浩二
× 吉田, 浩二× 岡田, 一敏× 佐藤, 龍昌 |
|||||
著者別名 | ||||||
姓名 | YOSHIDA, Kouji | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The patient was a 44-year-old woman with a tracheal stent in whom general anesthesia was performed or insertion of a continuous ambulatory peritoneal dialysis catheter. She had experienced cardiac arrest 2 years before due to hyperkalemia caused by diabetic nephropathy. After success of cardiac resuscitation, she was tracheal-intubated and mechanical ventilation was performed for 11 days. However, she subsequently suffered serious dyspnea due to advanced granuloma of the trachea following remove of endotracheal tube. Tracheotomy was performed at 1 month after extubation and a tracheal stent was inserted. On this case, general anesthesia was induced with propofol and maintained with 2 L/min oxygen, 2 L/min nitrous oxide and 1.5% sevoflurane As airtight could be kept with a slitless laryngeal mask airway(LMA), respiratory management proceeded smoothly during anesthesia. The reason of choice of slitless LMA instead of endotracheal tube is as follows. A slit disturbances an emergence tracheal intubation and bronchoscopy through the LMA. The space between the vocal chords and the upper end of stent(approximately 1 cm)was too small to intubate an endotracheal tube. As if endotracheal intubation were performed under these circumstances, the tip of the endotracheal tube remains in the stent. In addition, performing endotracheal intubation would have risked distal movement of the stent and difficulty with extubation due to compatibility affinity between the material properties of the stent and the endotracheal tube. |
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書誌情報 |
盛岡赤十字病院紀要 en : Medical Journal of Japanese Red Cross Morioka Hospital 巻 21, 号 1, p. 6-9, 発行日 2012-07-31 |
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出版者 | ||||||
出版者 | 盛岡赤十字病院 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1341-2612 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
見出し | ||||||
大見出し | 症例 | |||||
言語 | ja |