局所麻酔下に施行した気管切開術の検討

• 成尾 一彦

  奈良県立医科大学耳鼻咽喉・頭頸部外科学教室

• 細井 裕司

  奈良県立医科大学耳鼻咽喉・頭頸部外科学教室

• 家根 旦有

  近畿大学医学部奈良病院耳鼻咽喉・頭頸部外科

• 宮原 裕

  大阪府立急性期・総合医療センター耳鼻咽喉・頭頸部外科

書誌事項

タイトル別名

• A study of tracheotomy performed under local anesthesia

抄録

We reviewed 41 cases of tracheotomy under local anesthesia. Thirty cases demonstrated malignant disease including laryngeal cancer (12 cases) and hypopharyngeal cancer (8 cases), whereas the remainder demonstrated benign disease. Twenty-eight cases underwent tracheotomy on the first hospital day, and 8 cases on the second hospital day. Reasons for tracheotomy included: to avoid asphyxia caused by airway narrowing (32 cases); preventional tracheotomy (4 cases); bleeding in the oral cavity or pharnx (4 cases); other reasons (1 case). Postoperative complications occurred in 5 cases which were however not serious. Clinical outcomes are that 17 patients currently remain alive, 19 patients have died and the current status of 5 patients is unknown. In this series, the average survival period of patients who died was 24.4 weeks after tracheotomy. Head and neck surgeons should have thorough knowledge and surgical techniques adapted to difficult tracheotomy procedures.

収録刊行物

• 頭頸部外科

  頭頸部外科 20 (3), 247-253, 2011

  特定非営利活動法人 日本頭頸部外科学会

キーワード

• 局所麻酔
• 気管切開
• 気道狭窄

詳細情報

• CRID: 1390001205279656064
• NII論文ID: 10029079053
• NII書誌ID: AN10374707
• DOI: 10.5106/jjshns.20.247
• ISSN: 1884474X
• ISSN: 1349581X
• Web Site: https://search.jamas.or.jp/link/ui/2011158652
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可