jseptic | 特定非営利活動法人 日本集中治療教育研究会 · airway management and...

Post on 05-Nov-2020

1 Views

Category:

Documents

0 Downloads

Preview:

Click to see full reader

TRANSCRIPT

101 .

2 5

�����

JAMA. 2018 Feb 27;319(8):779-787. PMID 29486039

• e a

a a

c

Ca

C

Airway management and out-of-hospital cardiac arrest outcome in the CARES registry.

McMullan J, Gerecht R, Bonomo J, et al.

Resuscitation. 2014;85(5):617-622. PMID 24561079

)0 19 ,1 9

(6 6 1 ,(

O

OC IC

IC IC

C

56 O 2 8 39.4 O 401. 8 9.

5

-28282 1 7

95 9 %

28282 1 7

A

Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest.

Hasegawa K, Hiraide A, Chang Y, et al.

JAMA. 2013. 16;309(3):257-66. PMID 23321764

- - -

0 , 0 659 1 4 2

I

C

8. . 31 20 -9 6

%

9

6%

- U JE2 A

U 0 ILB U p H

sU C

1 a suHr P ei O

T C

OJO U Bt wBB B gldnB VHR

SHT R ByO HMV O C

JAMA. 2013. 16;309(3):257-66.

:642 f g V2HH 8 J O OC J CE OMR

T ed s 5 7f m al 6 CE fi l

f– U tc ag

h fwyU( u 5 7 .u 3 9

fr U)- 5 7 - p noC P A O O J % 0- - / % % (

2JJ H 5ICMECJAR 9CB A JC %% 0( /(2A BCI A 5ICMECJAR 9CB A JC %%)0 / %

.;MC O H 5ICMECJAR 4 MC %% 0 / ( -

JAMA. 2013. 16;309(3):257-66.

��� ���������

Airways in out-of-hospital cardiac arrest: systematic review and meta-analysis.

Fouche PF, Simpson PM, Bendall J, et al.

Prehosp Emerg Care. 2014;18(2):244-56. PMID 24111481

3 1 ,

C

89

67 6 - 3 1 2

99 %

5

54.1

054.1

5

Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival.

Andersen LW, Granfeldt A, Callaway CW, et al.

JAMA. 2017. 317(5):494-506. PMID 28118660

- 1 1 1 1

968 1,0682 4 2 47

1 5

91 % 47< .3 < 8 678.0< 5 - -

53146 6( %

53146 6(

) 7

��������������� �

Endotracheal intubation versus supraglottic airway insertion in out-of-hospital cardiac arrest.

Wang HE, Szydlo D, Stouffer JA, et al.

Resuscitation. 2012;83(9):1061-1066

PMID 22664746

The multicenter Resuscitation Outcomes Consortiu(ROC) PRIMED trial

40,1 5 ,4 , ,1 505

� ������"!� �

� ��#�

� � ����������

� �������

9

8 7 0 3 -34. 1

( %1

( )

1 %

9CContinuous improvements in "chain of survival" increased survival after out-of-hospital cardiac arrests: a large-scale population-based study.

Iwami T, Nichol G, Hiraide A, et al.

Circulation. 2009;119(5):728-34PMID:19171854

9 6 I,- . 0 54. % )( ) % ) % ))

C

EA

H

��������• &7025�;*! �"���)3?3�)+68

• ! �"���'�>9�-����,<" ����#1��.(�� �$:=�/���%���

• ! �"����4����

C

�����

JAMA. 2018 Feb 27;319(8):779-787. PMID 29486039

24 3 0,

18 I2

C

��

• 3 5 5• 3 2 2

37

• 2 159 5 92 0

1 8

• u S i t rP RO e

I o I

• P RO– d e n– P RO C y v

e n

•– S i

• 53 53 5

Pa

3 34 c 2 c 4 c 8 2 e c4 c 8 2 c4i4

–– 5–– dme dme– 2e S

– 8 d 5 2– d8 n

• tr• c o a

g• T,03

• . 6 98 5 T%• V ,03

% P• g i B e d

C iB V I iBu P

• B 1: 6 n P or % n P o

• g i B e d T ia P- M C TG - w

V CP• 22

��

����� ����

������

����� ����

���� ����Per-Protocol Analysis

���� ����Per-Protocol Analysis

� ������ ��������

. 73 7 2 5 7 53673 6

•• M OP• BC• .

D % 86

I P 86 %

9

����� ����

• BE• OE••

• CM• CM•

P

����� ����

5 8 4B 9

- aO c mOV )) ) ( C e s )( )

37 162 % ., 02 ) ird

02O I rdOt To E rdP M

8 = B 5E

7581 R OSP ()- () C (., (- .04 293 ) , . 13 - - % 6 % %( IM

Va R OSP .) - . C ((( ( 04 293 ( , . 13 , , % (

-T Va R OSP ) C ) (04 293 % . 13 -

1; <AB< 4 < CB 1 EB B

• T IM - - B V V () ( )269 485 ) , . 35 , . 7 % %%) P

• IM . , B V V 269 485 ) . 35 - ) 7 0% %% P

• IM B V V , , 269 485 , , . 35 ) . % ) 0% %% P

OS 8• C R

2

•C 2

��

%

• n a gM f

8 4 2.

• M i .

3 d .

% 1 -

• s no u2 .- -

i p

• cO2 DC R C 2

R ch R s

h c

• 2 St9

• i mi o S

• a nO

• t nO RL o

C

2• 8

• 88

8

• SOR

C

top related