トラウマと非トラウマの患者における病院前の気管管挿管前のグラスゴー昏睡スケールスコア: 多中心の遡及的観察研究

Urs Pietsch1, Benedick Satari, Julian Klug

  • 1From the Division of Perioperative Intensive Care Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland (UP, JK, RA), Swiss Air-Rescue, Schweizerische Rettungsflugwacht Rega, Zurich, Switzerland (UP, RA, AF), Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (UP, BS, MM, RA), Department of Anaesthesiology, Pain and Emergency Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland (BS), Faculty of Medicine, University of Geneva, Geneva, Switzerland (JK), Institute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland (PDW-G), Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (LW, AF), Faculty of Medicine, University of Bern, Bern, Switzerland (RG), and Department of Surgical Science, University of Torino, Torino, Italy (RG).

PubMed
まとめ

トラウマ患者および医療従事者における病院前の気管管内挿管は,グラスゴー昏睡スケール (GCS) のスコアが8以下でしばしば発生します. 現在のガイドラインは,GCSだけではインチューベーションの決定には不十分であるため,修正が必要かもしれません.

関連する概念動画

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
1.4K
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
93
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
82