| Emergency Airway Management in Japan: Interim Analysis of a Multi-center Prospective Observational Study. | |
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MedLine Citation:
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PMID: 22155701 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: Emergency medicine is increasingly recognized as a medical specialty in Japan. However, comprehensive studies evaluating emergency airway management practice are lacking. We describe emergency department (ED) airway management using a large multi-center registry. METHODS: We formed the Japanese Emergency Airway Network, a consortium of 10 academic and community medical centers in Japan, and prospectively collected data on ED intubations from April 2010 to February 2011. All patients undergoing emergency intubation were eligible for inclusion. Data were entered in real time by the intubator using a standardized data form. Variables included patient's age, sex, weight, indication for intubation, methods of intubation, drugs, level of training and specialty of the intubator, number of attempts, success or failure, and adverse events. We present descriptive data as proportions with 95% confidence intervals. RESULTS: We recorded 1,486 intubations (compliance rate 99%). Intubation was ultimately successful in 99.7%. The initial method of intubation varied substantially among the hospitals, including rapid sequence intubation (0 to 79%), sedation without paralysis (4 to 88%), paralysis without sedation (0 to 18%), and oral without medication (12 to 67%), in non-cardiac arrest encounters. Success rates in first and ≤ 3 attempts ranged from 40 to 83% and from 74 to 100%, respectively. The overall adverse event rate was 11%, without significant difference by the method used. CONCLUSIONS: In this multi-center study characterizing ED airway management across Japan, we observed a high overall success rate but a high degree of variation among hospitals in the methods of intubation and success rates. |
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Authors:
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Kohei Hasegawa; Yusuke Hagiwara; Takuyo Chiba; Hiroko Watase; Ron M Walls; David F M Brown; Calvin A Brown Iii; |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-8 |
Journal Detail:
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Title: Resuscitation Volume: - ISSN: 1873-1570 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Departments of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, Massachusetts 02115, U.S.A; Departments of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street Boston, Massachusetts 02114, U.S.A. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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