ID 112061
タイトル別表記
Successful cricothyrotomy for emergency airway management : a case report
著者
宮本, 亮太 徳島県立中央病院
森, 勇人 徳島県立中央病院
藤木, 和也 徳島県立中央病院
藤本, 啓介 徳島県立中央病院
松下, 健太 徳島県立中央病院
松本, 大資 徳島県立中央病院
川下, 陽一郎 徳島県立中央病院
近清, 素也 徳島県立中央病院
大村, 健史 徳島県立中央病院
井川, 浩一 徳島県立中央病院
広瀬, 敏幸 徳島県立中央病院
倉立, 真志 徳島県立中央病院
八木, 淑之 徳島県立中央病院
三村, 誠二 徳島県立中央病院
戸田, 直紀 徳島県立中央病院
堀, 洋二 徳島県立中央病院
キーワード
airway emergency
cricothyrotomy
rapid sequence intubation
cardiopulmonary arrest
資料タイプ
学術雑誌論文
抄録
A 60 year-old male was brought to our emergency department by ambulance due to sudden onset of dyspnea. On examination, he was in coma since his level of consciousness decreased during transport, blood pressure was 199/111mmHg, heart rate was100 beats per minute, respirations were 10 per minute, blood oxygen saturation level(SpO2)was100% via assisted ventilation with Bag-Valve-Mask, and stridor was heard on auscultation. Those findings indicated airway emergency and endotracheal intubation was required. However, attempts at intubation were unsuccessful due to restriction of mouth opening. Muscle relaxant was then given to perform rapid sequence intubation, which caused vomiting. Failure to ventilation and intubation resulted in cardiopulmonary arrest. Chest compression was started immediately and decision for cricothyrotomy was made. 10 minute after cricothyrotomy, he revived. Subsequently, systemic management including therapeutic normothermia was performed at intensive care unit, then he regained consciousness. He was discharged 1 month after admission.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
73
5-6
開始ページ
309
終了ページ
312
並び順
309
発行日
2017-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院