ログイン
言語:

WEKO3

  • トップ
  • ランキング
To
lat lon distance
To

Field does not validate



インデックスリンク

インデックスツリー

メールアドレスを入力してください。

WEKO

One fine body…

WEKO

One fine body…

アイテム

{"_buckets": {"deposit": "d86c3a89-241d-444b-ae6c-65867d653fb4"}, "_deposit": {"created_by": 17, "id": "2001680", "owner": "17", "owners": [17], "owners_ext": {"displayname": "図書情報係", "username": "repository"}, "pid": {"revision_id": 0, "type": "depid", "value": "2001680"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:02001680", "sets": ["501"]}, "author_link": [], "control_number": "2001680", "item_1615768549627": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_ab4af688f83e57aa", "subitem_version_type": "AM"}]}, "item_1629683748249": {"attribute_name": "日付", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2021-12-07", "subitem_date_issued_type": "Available"}]}, "item_9_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2021-06", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "524", "bibliographicPageStart": "518", "bibliographicVolumeNumber": "48", "bibliographic_titles": [{"bibliographic_title": "Auris Nasus Larynx", "bibliographic_titleLang": "en"}]}]}, "item_9_description_4": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "Objective: Tracheostomy is an important surgical procedure for coronavirus disease-2019 (COVID-19) patients who underwent prolonged tracheal intubation. Surgical indication of tracheostomy is greatly affected by the general condition of the patient, comorbidity, prognosis, hospital resources, and staff experience. Thus, the optimal timing of tracheostomy remains controversial. Methods: We reviewed our early experience with COVID-19 patients who underwent tracheostomy at one tertiary hospital in Japan from February to September 2020 and analyzed the timing of tracheostomy, operative results, and occupational infection in healthcare workers (HCWs). Results: Of 16 patients received tracheal intubation with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, five patients (31%) received surgical tracheostomy in our hospital. The average consultation time for surgical tracheostomy was 7.4 days (range, 6 - 9 days) from the COVID-19 team to the otolaryngologist. The duration from tracheal intubation to tracheostomy ranged from 14 to 27 days (average, 20 days). The average time of tracheostomy was 27 min (range, 17 - 39 min), and post-wound bleeding occurred in only one patient. No significant differences in hemoglobin (Hb) levels were found between the pre- and postoperative periods (mean: 10.2 vs. 10.2 g/dl, p = 0.93). Similarly, no difference was found in white blood cell (WBC) count (mean: 12,200 vs. 9,900 cells /µl, p = 0.25). After the tracheostomy, there was no occupational infection among the HCWs who assisted the tracheostomy patients during the perioperative period. Conclusion: We proposed a modified weaning protocol and surgical indications of tracheostomy for COVID-19 patients and recommend that an optimal timing for tracheostomy in COVID-19 patients of 2 - 3 weeks after tracheal intubation, from our early experiences in Japan. An experienced multi-disciplinary tracheostomy team is essential to perform a safe tracheostomy in patients with COVID-19 and to minimize the risk of occupational infection in HCWs.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}, {"subitem_description": "Available online 19 November 2020", "subitem_description_language": "en", "subitem_description_type": "Other"}]}, "item_9_publisher_32": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Elsevier", "subitem_publisher_language": "en"}]}, "item_9_relation_43": {"attribute_name": "関連情報", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1016/j.anl.2020.11.004", "subitem_relation_type_select": "DOI"}}]}, "item_9_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/", "subitem_rights_language": "en"}]}, "item_9_source_id_7": {"attribute_name": "収録物識別子", "attribute_value_mlt": [{"subitem_source_identifier": "03858146", "subitem_source_identifier_type": "PISSN"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Nishio, Naoki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Hiramatsu, Mariko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Goto, Yukari", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Shindo, Yuichiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Yamamoto, Takanori", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Jingushi, Naruhiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Wakahara, Keiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Sone, Michihiko", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2021-12-07"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "covid-19_tracheostomy_strategy_20201024-3.pdf", "filesize": [{"value": "212 KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "application/pdf", "size": 212000.0, "url": {"objectType": "fulltext", "url": "https://nagoya.repo.nii.ac.jp/record/2001680/files/covid-19_tracheostomy_strategy_20201024-3.pdf"}, "version_id": "e3f838cd-a044-4e60-a0f3-703c75978291"}, {"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2021-12-08"}], "displaytype": "detail", "download_preview_message": "", "file_order": 1, "filename": "Fig.1.pdf", "filesize": [{"value": "102 KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "application/pdf", "size": 102000.0, "url": {"objectType": "dataset", "url": "https://nagoya.repo.nii.ac.jp/record/2001680/files/Fig.1.pdf"}, "version_id": "10473b86-1d46-442b-8a39-9183826e54af"}, {"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2021-12-08"}], "displaytype": "detail", "download_preview_message": "", "file_order": 2, "filename": "Fig.2.pdf", "filesize": [{"value": "1.7 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "application/pdf", "size": 1700000.0, "url": {"objectType": "dataset", "url": "https://nagoya.repo.nii.ac.jp/record/2001680/files/Fig.2.pdf"}, "version_id": "dc2c6413-589c-41fa-851e-bfd26b8ec1a0"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "Tracheostomy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "SARS-CoV-2", "subitem_subject_scheme": "Other"}, {"subitem_subject": "COVID-19", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Surgical strategy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Optimal timing", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan", "subitem_title_language": "en"}]}, "item_type_id": "40001", "owner": "17", "path": ["501"], "permalink_uri": "http://hdl.handle.net/2237/0002001680", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2021-12-07"}, "publish_date": "2021-12-07", "publish_status": "0", "recid": "2001680", "relation": {}, "relation_version_is_last": true, "title": ["Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan"], "weko_shared_id": -1}
  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan

http://hdl.handle.net/2237/0002001680
http://hdl.handle.net/2237/0002001680
0cab76af-e934-4224-828f-5435c612004d
名前 / ファイル ライセンス アクション
covid-19_tracheostomy_strategy_20201024-3.pdf covid-19_tracheostomy_strategy_20201024-3.pdf (212 KB)
Fig.1.pdf Fig.1.pdf (102 KB)
Fig.2.pdf Fig.2.pdf (1.7 MB)
Item type itemtype_ver1(1)
公開日 2021-12-07
タイトル
タイトル Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan
言語 en
著者 Nishio, Naoki

× Nishio, Naoki

en Nishio, Naoki

Search repository
Hiramatsu, Mariko

× Hiramatsu, Mariko

en Hiramatsu, Mariko

Search repository
Goto, Yukari

× Goto, Yukari

en Goto, Yukari

Search repository
Shindo, Yuichiro

× Shindo, Yuichiro

en Shindo, Yuichiro

Search repository
Yamamoto, Takanori

× Yamamoto, Takanori

en Yamamoto, Takanori

Search repository
Jingushi, Naruhiro

× Jingushi, Naruhiro

en Jingushi, Naruhiro

Search repository
Wakahara, Keiko

× Wakahara, Keiko

en Wakahara, Keiko

Search repository
Sone, Michihiko

× Sone, Michihiko

en Sone, Michihiko

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 © 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
キーワード
主題Scheme Other
主題 Tracheostomy
キーワード
主題Scheme Other
主題 SARS-CoV-2
キーワード
主題Scheme Other
主題 COVID-19
キーワード
主題Scheme Other
主題 Surgical strategy
キーワード
主題Scheme Other
主題 Optimal timing
内容記述
内容記述 Objective: Tracheostomy is an important surgical procedure for coronavirus disease-2019 (COVID-19) patients who underwent prolonged tracheal intubation. Surgical indication of tracheostomy is greatly affected by the general condition of the patient, comorbidity, prognosis, hospital resources, and staff experience. Thus, the optimal timing of tracheostomy remains controversial. Methods: We reviewed our early experience with COVID-19 patients who underwent tracheostomy at one tertiary hospital in Japan from February to September 2020 and analyzed the timing of tracheostomy, operative results, and occupational infection in healthcare workers (HCWs). Results: Of 16 patients received tracheal intubation with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, five patients (31%) received surgical tracheostomy in our hospital. The average consultation time for surgical tracheostomy was 7.4 days (range, 6 - 9 days) from the COVID-19 team to the otolaryngologist. The duration from tracheal intubation to tracheostomy ranged from 14 to 27 days (average, 20 days). The average time of tracheostomy was 27 min (range, 17 - 39 min), and post-wound bleeding occurred in only one patient. No significant differences in hemoglobin (Hb) levels were found between the pre- and postoperative periods (mean: 10.2 vs. 10.2 g/dl, p = 0.93). Similarly, no difference was found in white blood cell (WBC) count (mean: 12,200 vs. 9,900 cells /µl, p = 0.25). After the tracheostomy, there was no occupational infection among the HCWs who assisted the tracheostomy patients during the perioperative period. Conclusion: We proposed a modified weaning protocol and surgical indications of tracheostomy for COVID-19 patients and recommend that an optimal timing for tracheostomy in COVID-19 patients of 2 - 3 weeks after tracheal intubation, from our early experiences in Japan. An experienced multi-disciplinary tracheostomy team is essential to perform a safe tracheostomy in patients with COVID-19 and to minimize the risk of occupational infection in HCWs.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 Available online 19 November 2020
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.anl.2020.11.004
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 03858146
書誌情報 en : Auris Nasus Larynx

巻 48, 号 3, p. 518-524, 発行日 2021-06
ファイル公開日
日付 2021-12-07
日付タイプ Available
戻る
0
views
See details
Views

Versions

Ver.1 2021-12-07 04:11:44.970608
Show All versions

Share

Mendeley Twitter Facebook Print Addthis

Cite as

エクスポート

OAI-PMH
  • OAI-PMH JPCOAR
  • OAI-PMH DublinCore
  • OAI-PMH DDI
Other Formats
  • JSON
  • BIBTEX

Confirm


Powered by WEKO3


Powered by WEKO3