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
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.53 No.4
- 발행연도
- 2007.1
- 수록면
- 486 - 490 (5page)
이용수
초록· 키워드
오류제보하기
Background: There is a greater incidence of complications such as desaturation, laryngospasm, airway obstruction and vomiting during tracheal extubation than intubation. We survey to ascertain current tracheal extubation practice and to estimate the incidence of problems associated with extubation and suggest the recommendation about extubation practice. Methods: We sent an anonymous questionnaire to resident and staffs of anesthesiology departments in five different area. These anesthesiologists were asked to complete and return anonymously in the stamped, addressed envelope provided. We received 130 replies from 134 questionnaires (97%). Results: We found that 38% of respondents use awake extubation and only 1% use it for deep extubation. Eighty-two percent would use reversal agents at extubation. More than 75% usually extubated at the end of inspiration. The administration of 100% oxygen before extubation was ‘always' used in every case by 81% of anesthesiologists. Many respondents are extubating elective, emergency surgery, and obese patients in the supine position regardless of patients situation and not following the traditional practice of extubating in the head-down and left lateral position. Every respondent had experienced average 4.1 extubation complications during last 3 months. The incidences of postoperative complications such as excessive coughing (15.3%), irritability (13.8%), desaturation (9.9%), airway obstruction (8.7%) were relatively high in our survey. Conclusions: We should need to discuss and establish recommendation how they are trained in extubation on the basis of more surveys and reported experiences.
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