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Influence of prolonged translaryngeal intubation on airway complications: a retrospective comparative analysis
http://hdl.handle.net/2241/0002001806
http://hdl.handle.net/2241/00020018067a4a8948-8bc2-43ad-be89-7140ca2b6f7e
名前 / ファイル | ライセンス | アクション |
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EAORL_276-8pdf.pdf (808 KB)
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Item type | Journal Article(1) | |||||||||
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公開日 | 2021-11-08 | |||||||||
タイトル | ||||||||||
言語 | en | |||||||||
タイトル | Influence of prolonged translaryngeal intubation on airway complications: a retrospective comparative analysis | |||||||||
言語 | ||||||||||
言語 | eng | |||||||||
資源タイプ | ||||||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||
タイプ | journal article | |||||||||
アクセス権 | ||||||||||
アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
著者 |
清水, 雄
× 清水, 雄× Mizutani, Taro
× Hagiya, Keiichi
× 田中, 誠 |
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抄録 | ||||||||||
内容記述タイプ | Abstract | |||||||||
内容記述 | Purpose Tracheostomy is usually suggested to facilitate airway management of intensive care unit (ICU) patients requiring prolonged translaryngeal intubation (PTLI). While it is not uncommon for physicians to hesitate and delay to perform it for more than 2 weeks, clinically recognizable airway adverse effects following PTLI are rarely discussed. Therefore, we compared retrospectively the PTLI group with control to assess them in adult patients. Methods During a period of 1991–2012, patients aged older than 15 years that were admitted to University of Tsukuba Hospital ICU, underwent translaryngeal intubation (TLI) for 14 days or longer, were retrospectively studied as Group P. Patients whose tracheas were intubated for 13 days or less were set up as a control group (Group C). Patients were excluded if they had undergone any procedures that might have affected recurrent laryngeal nerves. Results Ninety-eight patients (M:F = 58:40) (group P) and 88 patients (M:F = 58:30) (group C) were included. There were no differences in patients’ characteristics. Durations of TLI were 20.8 ± 6.8 days in group P and 3.8 ± 3.0 days in group C. There were no differences in the occurrence rates of severe airway adverse events. Although we found higher incidence rates of dysphagia and dysphonia/hoarseness in group P, the symptoms were mild and they were not prolonged. There were no differences in other signs and symptoms. Conclusions We found no difference in the occurrence rates of severe airway adverse events in both groups. Translaryngeal intubation may be tolerable in adults even if the duration exceeds 2 weeks. |
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言語 | en | |||||||||
書誌情報 |
en : European Archives of Oto-Rhino-Laryngology 巻 276, 号 8, p. 2349-2354, 発行日 2019-08 |
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ISSN | ||||||||||
収録物識別子タイプ | PISSN | |||||||||
収録物識別子 | 0937-4477 | |||||||||
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収録物識別子タイプ | NCID | |||||||||
収録物識別子 | AA10746537 | |||||||||
PubMed番号 | ||||||||||
識別子タイプ | PMID | |||||||||
関連識別子 | 31152321 | |||||||||
DOI | ||||||||||
関連タイプ | isVersionOf | |||||||||
識別子タイプ | DOI | |||||||||
関連識別子 | https://doi.org/10.1007/s00405-019-05488-4 | |||||||||
権利 | ||||||||||
言語 | en | |||||||||
権利情報 | © Springer-Verlag GmbH Germany, part of Springer Nature 2019 This is a post-peer-review, pre-copyedit version of an article published in European Archives of Oto-Rhino-Laryngology. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00405-019-05488-4 | |||||||||
著者版フラグ | ||||||||||
値 | author | |||||||||
出版者 | ||||||||||
言語 | en | |||||||||
出版者 | Springer |