記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   出版者・発行元：Scientific Reports  

The recruitment maneuver (RM) combined with PEEP to prevent atelectasis have beneficial effects. However, the change in tidal volume (VT) due to RM combined with PEEP in pediatric patients during the induction of general anesthesia is unknown. Therefore, we assessed the effects of RM combined with PEEP on VT. Pediatric patients were divided into three groups: infants, preschool children, and school children. The RM was performed by maintaining pressure control continuous mandatory ventilation (PC-CMV) with a 15 cmH2O and PEEP increase of 5 cmH2O. VT, respiratory function and hemodynamics were monitored before and after RM combined with PEEP. VT (mL) /ideal body weight (kg) before vs. after RM combined with PEEP were 9 vs 12 mL/kg (p < 0.05) in the infants, 9 vs 11 mL/kg (p < 0.05) in the preschool children, 8 vs 10 mL/kg (p < 0.05) in the school children, respectively. HR and BP before and after RM combined with PEEP increased by 2–3% and decreased by 4–7% in all groups. RM combined with PEEP resulted in an increase in VT per ideal body weight (1.1–1.2%). Therefore, this RM combined with PEEP method might improve the lung function in pediatric patients.

DOI： 10.1038/s41598-023-45441-4

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   出版者・発行元：Anesthesia progress  

Dental treatment for patients with cerebral palsy (CP) is often performed under general anesthesia due to involuntary movements that can render dental treatment difficult. Since CP is often accompanied by spasticity, care must be taken when positioning patients during general anesthesia. We report the management of a 14-year-old girl with CP and epilepsy undergoing general anesthesia for dental treatment who experienced respiratory failure due to acute thoracoabdominal muscle hypertonia after extubation. She had a history of cardiac arrest due to respiratory failure caused by acute muscle hypertonia and successful resuscitation. General anesthesia was induced after careful positioning of the patient to prevent spastic muscle stretching, and the dental treatment was completed without complications. However, upon awakening after extubation, the patient developed respiratory failure due to acute muscle hypertonia. The patient was resedated and repositioned from a supine to a sitting position, and her symptoms improved. There was no recurrence of muscle hypertonia, and she recovered fully without complications. In this case, respiratory failure associated with acute muscle hypertonia was successfully managed by position change after initial treatment with positive-pressure ventilation and propofol. It is important to be prepared for the possibility of respiratory failure associated with acute muscle hypertonia and its countermeasures when providing general anesthesia for patients with CP.

DOI： 10.2344/anpr-70-02-08

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   出版者・発行元：BMC Anesthesiology  

Background: Nasal intubation using a fiberoptic scope is a useful technique. In clinical practice, we have experienced difficulty in advancing the endotracheal tube (ETT) over the fiberoptic scope because of resistance to the passage of the ETT against rotation in the nasal cavity, when it gets hung up on structures of the laryngeal inlet. Several maneuvers have been proposed to overcome this difficulty. The gap between the tip of the ETT and the fiberoptic scope can be reduced using a thicker fiberoptic scope and a thinner ETT. Moreover, simultaneous rotation of the fiberoptic scope and ETT could lead to successful intubation by reducing impingement on the ETT. However, the discrepancy between these rotation angles is unclear. This observational prospective study aimed to investigate the discrepancy in the rotation angle between the ETT and fiberoptic scope during nasal intubation. Methods: The patients (aged 20–80 years) who underwent nasal intubation for oral and maxillofacial surgery participated in three sizes of preformed nasal ETT and were intubated using a fiberoptic scope. They were divided into three groups; the ETT internal diameter (ID) 6.5 mm (6.5 group), ID 7.0 mm (7.0 group), and ID 7.5 mm (7.5 group). The ETT was then inserted through the nasal cavity into the pharynx. After the fiberoptic scope was advanced through the ETT above the glottis, simultaneous rotation by both the proximal end of the fiberoptic scope and ETT was performed in 90° and 180° in both right (clockwise) and left (counterclockwise) directions, and the rotation angle at the distal end of the ETT was monitored using a video laryngoscope (Pentax-AWS). Results: A total of 39 patients were included in the study. When both the proximal end of the fiberscope and ETT were simultaneously rotated by 90°, in the 6.5 group (n = 13), the distal end of the ETT rotated by 47.8 ± 1.5°. In the 7.0 °group (n = 13), the distal end of the ETT rotated by 45.5 ± 1.0°. In the 7.5 group (n = 13), the distal end of the ETT rotated by 39.9 ± 1.0°. When the proximal end of the fiberscope and ETT were rotated by 180°, in the 6.5 group, the distal end of the ETT rotated by 166.2 ± 2.5°. In the 7.0 group, the distal end of the ETT rotated by 145.7 ± 2.2°. In the 7.5 group, the distal end of the ETT rotated by 115.1 ± 2.0°. All rotation angles in the distal end of the ETT were significantly lower than those in both the proximal end of the fiberscope and ETT (p < 0.05). Rotating right by 180° was significantly different among the three groups (p < 0.05), although rotating right by 90° was not significantly different. Similar results were obtained for the left rotation. Conclusion: Simultaneous rotation by the proximal end of the ETT and fiberscope above the glottis for the nasal approach induced significant differences in the distal end of the ETT. The larger tube lagged by the resistance of the nasal passages during rotation. Therefore, the ETT does not rotate as much as the rotation angle. Trial registration: This prospective observational study was conducted after receiving approval from the Ethics Review Board of Kyushu University Hospital (Approval No. 30–447).

DOI： 10.1186/s12871-023-02225-7

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記述言語：英語   出版者・発行元：Saudi Journal of Anaesthesia  

DOI： 10.4103/sja.sja_154_22

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記述言語：日本語   出版者・発行元：一般社団法人 日本歯科麻酔学会  

DOI： 10.24569/jjdsa.51.1_1

CiNii Research

記述言語：日本語   出版者・発行元：一般社団法人 日本歯科麻酔学会  

DOI： 10.24569/jjdsa.51.1_19

CiNii Research

記述言語：日本語   出版者・発行元：(一社)日本歯科麻酔学会  

症例は14歳6ヵ月女児で、多数歯う蝕に対して歯科治療を行った。脳肝型ミトコンドリアDAN枯渇症候群患者で生体肝移植術、てんかんの既往があり、痙性麻痺、歩行障害、知的能力障害のほか、過去に低血糖発作を疑う症状が出現していた。開口量は3cm以上で頭部後屈は可能であったが、治療に対する拒否反応が強いことから、全身麻酔下で歯科治療を行った。基礎疾患や合併疾患などを考慮して周術期にはブドウ糖の投与や血糖モニタリングを行い、麻酔薬は麻酔導入にセボフルラン、麻酔維持にはイソフルランを使用し、挿管チューブは内径5.5mmの気管チューブを選択した。その結果、血糖値は目標値付近で推移し、脳波上ではてんかん発作を疑う所見を認めず、術後の覚醒は良好で抜管後の呼吸状態も安定していた。本疾患患者では周術期の血糖コントロールが不可欠であり、麻酔管理においては麻酔薬の選択にも考慮が必要である。

出版者・発行元：克誠堂出版(株)  

DOI： 10.18916/j01397.2023009694

CiNii Research

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：日本語   出版者・発行元：克誠堂出版(株)  

唇顎口蓋裂の外科的修正術後,病棟へ帰室移動中に分泌物が原因で気管閉塞し,心肺蘇生が必要となる症例を経験した。手術に伴う口腔領域の解剖学的変化に呼吸や嚥下がうまく対応できないと,誤嚥や窒息の危険性が高まる。これらの患者に対する全身麻酔時には解剖学的特徴をあらかじめ認識したうえで,有効な予防と処置を準備しておく必要がある。(著者抄録)

記述言語：英語   出版者・発行元：Anesthesia progress  

OBJECTIVE: Postoperative sore throat is relatively frequent complication after orotracheal intubation. However, there are few reports about postoperative sore throat in nasotracheal intubation. In this retrospective study, we investigated the risk factors of postoperative sore throat in nasotracheal intubation. METHODS: Anesthesia records of patients 16 to 80 years of age who underwent nasotracheal intubation were included. Patients underwent oral and maxillofacial surgery from February 2015 until September 2018. Airway device (Macintosh laryngoscope, Pentax-AWS, or McGRATH video laryngoscope, or fiberoptic scope), sex, age, height, weight, American Society of Anesthesiologists classification, intubation attempts, duration of intubation, intubation time, tube size, and fentanyl and remifentanil dose were investigated. Fisher exact test, Wilcoxon rank sum test, Welch t test, and Steel-Dwass multiple test were used, and a multivariable analysis was performed using stepwise logistic regression to determine the risk factors of postoperative sore throat. RESULTS: A total of 169 cases were analyzed, and 126 patients (74.6%) had a postoperative sore throat. Based on the univariate analysis of the data, 12 factors were determined to be potentially related to the occurrence of a postoperative sore throat. However, after evaluation using stepwise logistic regression analysis, the 2 remaining variables that correlated with postoperative sore throat were airway device (P < .05) and intubation attempts (P = .04). In the model using logistic regression analysis, the fiberoptic scope had the strongest influence on the incidence of sore throat with reference to Pentax-AWS (odds ratio = 5.25; 95% CI = 1.54-17.92; P < .05). CONCLUSION: Use of a fiberoptic scope was identified as an independent risk factor for postoperative throat discomfort. Compared with direct laryngoscopy and other video laryngoscopes, the use of a fiberoptic scope had a significantly higher incidence of sore throat.

DOI： 10.2344/anpr-69-01-05

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   出版者・発行元：Resuscitation Plus  

Introduction: When performing cardiopulmonary resuscitation (CPR) on a patient who has suffered a cardiopulmonary arrest during dental treatment, few dental chairs have sufficient stability to perform effective chest compressions. We previously proposed a method of stabilizing the backrest of a dental chair using a support stool. As a result, we confirmed that the vertical displacement of the backrest could be significantly reduced. In the present study, we verified the effectiveness of the stool stabilization method using several dental chairs (flat and curved) with significantly different backrest shapes. Methods: Vertical displacement of the backrests of dental chairs was recorded. Data were obtained at three different stool positions (without a stool, under the chest at the level that participants were performing manual chest compressions, and under the shoulders). Reduction displacement ratios were calculated to evaluate the effectiveness of the stool positions. Results: The method significantly reduced the vertical displacement of the backrest for all types. When the curvature of the backrest was large, the reduction in vertical displacement was 40% when the stool was placed under the chest at the level of manual chest compressions and 65% when placed underneath the shoulder. In the case of a flat dental chair, this reduction was 90% when using a stool in either position, compared to no stool. Conclusion: When we need to perform CPR on a patient in the dental chair, placing a stool under the shoulders allows effective manual chest compression by firmly supporting the backrest of a dental chair of any shape.

DOI： 10.1016/j.resplu.2022.100286

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Scientific Reports  

Anesthesiologists often compare intraoperative and preoperative electrocardiogram (ECG) waveforms in patients undergoing general anesthesia. In addition, many intraoperative ECG monitors have filters for removing electrocautery noise. In pediatric anesthesiology practice, we often note the appearance of elevated T waves—specifically, an increase in their height—with the use of such filters, even though no actual clinical change has occurred, which possibly leads to misdiagnosis. We investigated changes in R and T wave heights and in the T/R ratio according to the use of the strong (S) versus the diagnostic (D) filtering mode during pediatric anesthesiology. Primary outcomes were the dependence of the heights of the R and T waves on the filter mode and the correlation between rates of change in the R- and T-wave heights and heart rate (HR). In the S mode, the height of the R wave was lower (p = 0.013, η2 = 0.28) and the T/R ratio was higher than the corresponding values in the D mode (χ2 = 20.46, p < 0.001). The T/R ratios were also higher in the S mode than in the D mode, and when the D mode was changed to the S mode during tachycardia, there was a strong correlation between the rate of reduction in the R wave and HR (r = 0. 573, p = 0.041). Significant differences in the heights of the R wave and in the T/R ratio occur when using different intraoperative ECG filtering modes. Specifically, in S mode, a greater relative increase in T wave height may occur due to a significant decrease in R wave height. To avoid spurious diagnoses, anesthesiologists should be familiar with these potentially purely filter-driven changes whenever ECG is intraoperatively monitored.

DOI： 10.1038/s41598-022-17680-4

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記述言語：英語   出版者・発行元：Anesthesia progress  

In oral maxillofacial surgery, the endotracheal tube (ETT) is often inserted nasotracheally to provide surgeons a better view and easier access to the oral cavity. Use of a flexible fiberoptic scope is an effective technique for difficult intubation. While the airway anatomy can be observed as the scope is advanced, the ETT tip cannot be observed with the traditional method. It is occasionally difficult to advance the ETT beyond the glottis as impingement of the ETT tip may occur. We devised a new nasotracheal intubation technique using a fiberoptic scope. In this novel technique, the ETT and fiberoptic scope are inserted into the pharyngeal space separately through the right and left nasal cavities. This permits continuous observation of the glottis as the ETT is advanced into the trachea. The main advantage of this technique is that the ETT tip is visualized as it is advanced, which helps avoid impingement of the ETT. If resistance is noted, the ETT can easily be rotated or withdrawn without causing laryngeal damage, leading to safe and smooth intubation. This novel technique allows advancement of the ETT under continuous indirect vision, thus minimizing contact of the ETT with the laryngeal structures and aiding in unhindered passage into the glottis.

DOI： 10.2344/anpr-69-02-10

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記述言語：英語   出版者・発行元：Anesthesia progress  

OBJECTIVE: Most dental chairs lack sufficient stability to perform effective manual chest compression (MCC) during cardiopulmonary resuscitation (CPR). A stabilizing stool can significantly reduce backrest vertical displacement in all chair types; however, a severely curved exterior backrest may negatively impact the stool's effectiveness. This study evaluated the efficacy of 2 stool positions for stabilizing a dental chair during MCC. METHODS: Chest compressions were performed on a manikin positioned in a dental chair while vertical displacement of the chair backrest during MCC was recorded using video and measured. Vertical displacement data were captured with no stool and with a stabilizing stool in 2 different positions. Reduction ratios were calculated to evaluate the effectiveness of the 2 stool positions. RESULTS: With no stool, the backrest median (interquartile range) vertical displacement during chest compressions was 16.5 (2.5) mm as compared with 12.0 (1.5) mm for the stabilizing stool positioned under the area of MCC and 8.5 (1.0) mm under the shoulders. The stool positioned under the shoulders produced a significantly increased calculated reduction ratio of 48% (14%) compared with 27% (20%) under the area of MCC (P < .001). CONCLUSIONS: Positioning a stabilizing stool under the shoulders was more effective at reducing vertical displacement of the dental chair backrest during chest compressions than positioning the stool under the area of MCC.

DOI： 10.2344/anpr-68-03-13

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記述言語：英語   出版者・発行元：BMC Anesthesiology  

Objective: The goal of this study was to compare the end-tidal sevoflurane concentration and time for intravenous cannulation at induction of anesthesia using sevoflurane with or without nitrous oxide in healthy children and in those with developmental disabilities. Methods: Normal and developmentally disabled children were anesthetized by inhalation of sevoflurane with nitrous oxide or with nitrous oxide-free oxygen, and intravenous cannulae were introduced. Nitrous oxide was stopped after loss of consciousness. The following parameters were recorded for each patient: age, gender, height, weight, BMI, duration of intravenous cannulation, end-tidal concentration of sevoflurane at the completion of intravenous cannulation, and use of nitrous oxide. For each parameter except gender, p-value were calculated by one-way analysis of variance (ANOVA). For gender, p-value were calculated using the Fisher method. Two-way ANOVA was performed to evaluate the effect of patient health status and nitrous oxide use on the end-tidal concentrations of sevoflurane and the time required for intravenous cannulation. Results: The end-tidal sevoflurane concentrations at the completion of the intravenous cannulation had received a significant main effect of the factor "the use of nitrous oxide" (F(1,166) = 25.8, p < 0.001, η2 = 0.13) and a small effect of the factor "the patient health status" (F(1,166) = 0.259, p = 0.611, η2 = 0.001). However, the time required for intravenous cannulation was not significantly affected by either of the two factors, "the use of nitrous oxide" (F(1,166) = 0.454, p = 0.501, η2 = 0.003) and "the patient health status" (F(1,166) = 0.308, p = 0.579, η2 = 0.002). Conclusions: Between the healthy children and the children with developmental disabilities, no significant differences in the time required for the intravenous cannulation from the beginning of anesthetic induction. However, the end-tidal sevoflurane concentrations at the completion of the intravenous cannulation was significantly different. Sevoflurane in alveoli might be diluted by nitrous oxide.

DOI： 10.1186/s12871-022-01695-5

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記述言語：英語   出版者・発行元：Human Cell  

DOI： 10.1007/s13577-022-00690-9

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： https://doi.org/10.3390/s22072745

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Sensors  

The condition of arteriovenous fistula (AVF) blood flow is typically checked by using auscultation; however, auscultation should require a qualitative judgment dependent on the skills of doctors, and further attention to contact infection is required. For these reasons, this study developed a non-contact and non-invasive medical device to measure the pulse wave of AVFs by applying optical imaging technology. As a first step toward realization of the quantification judgment based on non-contact AVF measurement, we experimentally validated the developed system, whereby the hemodynamics of 168 subjects were visually and quantitatively evaluated based on clinical tests. Based on the evaluation results, the fundamental statistical characteristics of the non-contact measurement, including the average and median values, and distribution of measured signal-to-noise power ratio, were demonstrated. The clinical test results contributed to the future construction of quantified criteria for the AVF condition with the non-contact measurement.

DOI： 10.3390/s22072745

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語  

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DOI： 10.2344/anpr-68-01-03

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DOI： 10.1007/s00784-020-03517-9.

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DOI： 10.1155/2020/5691607

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DOI： 10.2344/anpr-67-01-01

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記述言語：日本語  

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DOI： 10.1186/s12871-020-00991-2

記述言語：日本語  

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記述言語：英語  

DOI： 10.1097/MBP.0000000000000408

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記述言語：英語  

Blood Leakage Determination Using the Chromaticity of a Color Sensor
<p>Percutaneous extracorporeal circulation therapies such as apheresis and hemodialysis are commonly used in intensive care units, hemodialysis centers, and clinically settings. In these treatments, there is always a possibility of continuous bleeding from the puncture site. Since the blood flow in these therapies is high, a hemorrhagic shock may be caused by severe blood loss, and - in the worst case - this may even lead to the patient's death. Therefore, it is important to continuously monitor blood leakage during the treatment. Typical procedures include the electrode method and the blood absorbance method, but their function may be affected by leakage of colored chemicals used, or by sweat or light. In this study, we developed a blood leakage determination module based on the chromaticity of a color sensor. Since the method is specifically sensitive to the red color, it can detect blood leakage. We performed experiments to verify the effectiveness of the proposed method and compared this new procedure with the existing ones, and we confirmed that the proposed method correctly detected blood leakage. Moreover, we investigated the blood detection capability of our new procedure and found that it could be applied to detect hematocrit levels within the range of 2&#37; to 64&#37;. We developed a multicolor sensor module and established a blood leakage detection method to meet the conditions that we had set as our goal. Our study confirmed that the proposed method did not cause malfunction due to leakage of chemical or presence of obstacle in the light path, while the traditional methods did. We also evaluated its performance and found that our method was able to detect blood leakage within the hematocrit range of 2&#37; to 64&#37;.</p>

DOI： 10.14326/abe.8.177

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DOI： 10.1007/s40520-019-01378-1.

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DOI： 10.1186/s12873-019-0258-x

記述言語：日本語  

記述言語：英語  

DOI： 10.1111/aas.13207

記述言語：日本語   掲載種別：研究論文（学術雑誌）  

記述言語：英語  

DOI： 10.1016/j.joms.2018.07.011

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DOI： 10.17245/jdapm.2018.18.5.301

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DOI： 10.4103/ija.IJA_317_18

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DOI： 10.1016/j.ajem.2017.10.061

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DOI： 10.2344/anpr-64-04-02

記述言語：英語  

Two types of Planecta™ ports are commonly used as sampling ports in blood pressure transducer kits: a flat-type port (FTP) and a port with a three-way stopcock (PTS). Recently, a new type of three-way stopcock (Marvelous™) has been released as a Planecta™ counterpart, but its effects on the frequency characteristics and reliability of blood pressure monitoring have not been investigated. We assessed the influence of the Marvelous™ stopcock on the frequency characteristics of the pressure transducer kit. The basic pressure transducer kit, DT4812J, was modified by replacing one or two of the original three-way stopcocks with Marvelous™ stopcocks. The frequency characteristics (i.e., natural frequency and damping coefficient) of each kit were determined using wave parameter analysis software, and subsequently evaluated on a Gardner chart. Replacement of the original blood pressure transducer kit stopcocks with Marvelous™ stopcocks decreased the natural frequency (48.3 Hz) to 46.3 Hz or 44.8 Hz, respectively; the damping coefficient was not significantly changed. Plotting the data on a Gardner chart revealed that the changes fell within the adequate dynamic response region, indicating they were within the allowable range. Insertion of Marvelous™ stopcocks slightly affects the natural frequency of the pressure transducer kit, similar to inserting a PTS. The results indicate that the Marvelous™ stopcock is useful for accurate monitoring of arterial blood pressure, and may be recommended when insertion of two or more closed-loop blood sampling systems is necessary.

DOI： 10.1007/s10877-017-9979-0

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DOI： 10.2344/anpr-65-01-01

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DOI： 10.2344/anpr-64-02-09

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Purpose: Surgical injury stimulates the renin–angiotensin–aldosterone system (RAAS) and causes antidiuresis, leading to postoperative oliguria. Carperitide (α-human A-type natriuretic peptide) is a cardiac peptide hormone secreted from the atrium. This peptide hormone enhances diuresis by suppressing the RAAS. In our experience, carperitide alleviates decreased hemoglobin (Hb) concentration during elective surgery. In the current study, we investigated the relationship between low-dose carperitide (0.01 µg/kg/min) and Hb concentration during oral surgery. Methods: Patients (ASA-PS: I–II, 40–80 years old) undergoing oral maxillofacial surgery (duration of operation >8 h) were enrolled in this study. Patients were divided into two groups: the carperitide group received carperitide at 0.01 µg/kg/min and the control group received normal saline. Body fluid water [including total body water (TBW), extracellular water (ECW), and intracellular water (ICW)], urine volume, and chemical parameters such as Hb concentration, PaO₂, and serum electrolytes were evaluated every 2 h. Results: In the carperitide group (n = 15), Hb decreased from 12.6 ± 1.1 to 10.8 ± 1.5 g/dl, while it decreased from 12.6 ± 1.4 to 9.5 ± 1.3 g/dl in the control group (n = 15) (p < 0.05). Urine volume (2557.3 ± 983.5 mL) in the carperitide group was significantly more than it was in the control group (1108.8 ± 586.4 mL; p < 0.001). There were no significant differences in clinical characteristics, body fluid water, PaO₂, and serum electrolytes between the two groups. In addition, there were no perioperative clinical respiratory and hemodynamic complications in the groups. Conclusion: The Hb concentration in the group administered low-dose carperitide at 0.01 µg/kg/min remained higher than that in the control group during surgery. Administration of low-dose carperitide may therefore reduce the risk of blood transfusion during surgery.

DOI： 10.1007/s00540-017-2309-3

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DOI： 10.1016/j.egja.2016.09.001

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DOI： 10.2344/16-00028.1

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DOI： 10.1016/j.joms.2016.06.180

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DOI： 10.1016/j.jclinane.2016.09.022

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記述言語：日本語  

記述言語：日本語  

記述言語：英語  

DOI： 10.1016/j.joms.2016.06.180.

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：英語  

記述言語：英語  

記述言語：日本語  

記述言語：英語  

記述言語：英語  

記述言語：日本語  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：日本語  

記述言語：日本語  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語  

記述言語：日本語  

記述言語：英語  

DOI： 10.1213/01.ane.0000275198.84094.ad

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語  

記述言語：日本語  

記述言語：日本語  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：アメリカ合衆国  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：デンマーク王国  

開催年月日： 2020年8月

記述言語：英語  

国名：デンマーク王国  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：スイス連邦  

開催年月日： 2020年8月

記述言語：英語  

国名：グレートブリテン・北アイルランド連合王国(英国)  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：グレートブリテン・北アイルランド連合王国(英国)  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：ドイツ連邦共和国  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：ドイツ連邦共和国  

開催年月日： 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：アイスランド共和国  

開催年月日： 2019年8月 - 2020年8月

記述言語：英語   会議種別：口頭発表（一般）  

国名：デンマーク王国  

開催年月日： 2011年10月

記述言語：英語   会議種別：口頭発表（一般）  

国名：アメリカ合衆国  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   出版者・発行元：(一社)日本歯科麻酔学会  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   出版者・発行元：歯科医療  

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記述言語：日本語   出版者・発行元：(株)第一歯科出版  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   出版者・発行元：(公社)日本歯科医師会  

日本は超高齢社会化に伴い、持病や既往をもつ患者の割合が急激に増加している。このような背景から歯科診療における重篤な偶発症、心停止、歯や補綴物などの医原性誤嚥による気道閉塞などのリスクが高まっている。一方で、小児の重大な医療事故も発生している。そのため歯科医院という特殊な環境に即した救命処置の確立が求められている。この歯科に特化した救命処置は、歯科診療で想定される緊急事態に対応できるだけでなく、歯科医師であれば誰でも無理なく施行可能であることが必須である。本稿では、実際の臨床に即した救命処置等、特に緊急性が高い心停止と気道閉塞を中心に解説する。みなさまの安全な歯科診療につなげていただきたい。(著者抄録)

記述言語：日本語   出版者・発行元：日本歯科医師会雑誌  

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記述言語：英語   出版者・発行元：日本ヒト細胞学会  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   出版者・発行元：医歯薬出版(株)  

記述言語：日本語   出版者・発行元：歯界展望  

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記述言語：英語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：英語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

DOI： 10.4236/ojanes.2017.790

記述言語：日本語   掲載種別：記事・総説・解説・論説等（学術雑誌）  

記述言語：日本語  

記述言語：日本語  

種別：大会・シンポジウム等 

種別：学会・研究会等 

種別：査読等 

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種別：大会・シンポジウム等 

種別：大会・シンポジウム等 

学務委員会　委員

共用試験実施機構の委員会委員を務めている

歯科医師国家試験の公募問題を作成している

学内の OSCE 実施委員会の委員を務めている

共用試験実施機構の委員会委員を務めている

歯科医師国家試験の公募問題を作成している