| Item type |
文献 / Documents(1) |
| 公開日 |
2023-07-10 |
| アクセス権 |
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アクセス権 |
open access |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版社版DOI |
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|
関連識別子 |
https://doi.org/10.2152/jmi.70.301 |
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関連名称 |
10.2152/jmi.70.301 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
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|
タイトル |
Repetitive postoperative extubation failure due to dynamic inspiratory airway collapse concomitant with subglottic stenosis in a patient who previously underwent tracheostomy. |
| タイトル別表記 |
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その他のタイトル |
extubation failure due to subglottic stenosis |
| 著者 |
ナカノ, ユウキ
上野, 義豊
イシタニ, エミ
佐藤, 功志
佐藤, 裕紀
百田, 和貴
板東, 夏生
秋本, 雄祐
布村, 俊幸
石原, 学
田根, なつ紀
板垣, 大雅
北村, 嘉章
大藤, 純
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| 抄録 |
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内容記述 |
Background : This report describes a case of dynamic inspiratory airway collapse concomitant with subglottic stenosis in a patient who previously underwent tracheostomy that led to repeated post-operative extubation failure. Case presentation : A 43-year-old woman who had undergone tracheostomy 25 years previously was admitted to our intensive-care unit (ICU) after coronary artery bypass graft surgery. On postoperative day (POD) 0, she was extubated, but stridor was observed. We suspected upper airway obstruction and she was therefore reintubated. Before reintubation, urgent laryngotracheoscopy revealed dynamic inspiratory airway collapse and obstruction concomitant with subglottic stenosis. Preoperative computed tomography showed mild subglottic stenosis. Although intravenous corticosteroids were administered to prevent tracheal mucosal edema and a cuff leak test was confirmed to be negative, she developed extubation failure on POD6. On POD12, we performed tracheostomy to reduce mechanical irritation from the endotracheal tube. Mechanical ventilation was withdrawn and she discharged from the ICU. On POD33, her tracheostomy tube was removed and she remained clinically asymptomatic. Conclusions : We should be aware of the history of tracheostomy, especially at high tracheostomy sites, even in the absence of respiratory symptoms as risk factors for dynamic inspiratory airway collapse concomitant with subglottic stenosis contributing to repeated respiratory failure after extubation. |
| キーワード |
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主題 |
subglottic stenosis |
| キーワード |
|
|
主題 |
tracheostomy |
| キーワード |
|
|
主題 |
postoperative extubation failure |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 70,
号 1-2,
p. 301-305,
発行日 2023-02
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13496867 |
| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 出版者 |
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|
出版者 |
Tokushima University Faculty of Medicine |
| EID |
|
|
識別子 |
396760 |
| 言語 |
|
|
言語 |
eng |
jmi_70_1-2_301.pdf (391 KB)
