지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 92 - 98 (7page)
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Purpose: Emergency endotracheal intubation (EEI) is a complex process that leads to various complications. Previous studies mainly demonstrated that the Medical Emergency Team (MET) intervention reduced the incidence of cardiac arrest, however, the impact of a MET on airway management has not been investigated in detail. Our purpose was to confirm the impact of a MET on airway management and compare the incidence of complications of EEI before and after MET intervention in a general ward. Materials and Methods: We performed an observational study and reviewed 318 patients intubated by a MET in a general ward. Results: The patients enrolled during the control (2007) and study (2009) periods were 103 and 215, respectively. Cardiopulmonary resuscitation requiring emergency intubation in a general ward was reduced after MET intervention at the Asan Medical Center (39.8% vs. 19.1%, p<0.001). Pre-intubation and post-intubation oxygen saturation levels were higher after MET intervention (pre-intubation, 80% before vs. 92% after MET, p<0.001; post-intubation, 95% before vs. 99% after MET, p<0.001). The use of vasopressors after intubation decreased as a result of MET intervention (62.1% before vs. 36.7% after MET, p<0.001). Hypotension was also reduced (34% before vs. 8.8% after MET, p<0.001). Conclusion: Early interventions of a MET changed the causes of emergency intubation in a general ward from cardiopulmonary resuscitation to respiratory distress or shock and improved hypoxemia and hypotension related to emergency intubation. The MET intervention is safe and effective system for emergency intubation in a general ward.
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참고문헌 (24)
참고문헌 신청
Reed MJ / 2005 / Can an airway assessment score predict difficulty at intubation in the emergency department? / Emerg Med J 22:99~102
/ 1993 / Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway /
Atlas GM / 2003 / Attempts at emergent tracheal intubation of inpatients: A retrospective practice analysis comparing adjunct sedation with or without neuromuscular blockade
Bellomo R / 2003 / A prospective before-and-after trial of a medical emergency team / Med J Aust 179 : 283 ~ 287
Benedetto WJ / 2007 / Urgent tracheal intubation in general hospital units: an observational study / J Clin Anesth 19 : 20 ~ 24
/ 1993 / Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway /
Atlas GM / 2003 / Attempts at emergent tracheal intubation of inpatients: A retrospective practice analysis comparing adjunct sedation with or without neuromuscular blockade
Bellomo R / 2003 / A prospective before-and-after trial of a medical emergency team / Med J Aust 179 : 283 ~ 287
Benedetto WJ / 2007 / Urgent tracheal intubation in general hospital units: an observational study / J Clin Anesth 19 : 20 ~ 24
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