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歯科用ラリンジアルマスクエアーウェイに関する研究
https://hsuh.repo.nii.ac.jp/records/8149
https://hsuh.repo.nii.ac.jp/records/81497d758ed7-d717-4d0c-880b-c646d6cc499d
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
歯科用ラリンジアルマスクエアーウェイに関する研究 (848.6 kB)
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| Item type | 紀要論文(ELS) / Departmental Bulletin Paper(ELS)(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 1996-06-30 | |||||
| タイトル | ||||||
| タイトル | 歯科用ラリンジアルマスクエアーウェイに関する研究 | |||||
| 言語 | ja | |||||
| タイトル | ||||||
| タイトル | A Study using a Laryngeal Mask Airway for Dental treatment | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Laryngeal Mask Airway | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Dental Anesthesia | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Dental Outpatient | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Dental Treatment | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Mental Retardation | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| ページ属性 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | P(論文) | |||||
| 言語 | ja | |||||
| 記事種別(日) | ||||||
| ja | ||||||
| 原著 | ||||||
| 記事種別(英) | ||||||
| en | ||||||
| ORIGINAL ARTICLE | ||||||
| 著者名(日) |
工藤, 勝
× 工藤, 勝× 新家, 昇× 河合, 拓郎× 渡辺, 一史× 國分, 正廣 |
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| 著者所属(日) | ||||||
| ja | ||||||
| 北海道医療大学歯学部 | ||||||
| 著者所属(英) | ||||||
| en | ||||||
| Department of Dental Anesthesiology, School of Dentistry, Health Sciences University of Hokkaido | ||||||
| 抄録(英) | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Laryngeal Mask Airways (LM) have not often been used in the dental field. One reason is that the hard silicone tube of a LM is positioned at the middle of a patient's mouth where it is an obstacle to the dental treatment. Movement of the LM tube will interfere with a uniform contact between the mucous membrane and the cuff part resulting in leaks that cause secretions in the oral cavity to flow into the mask. Moreover, the tube part impedes occlusion so that the occlusion condition cannot be known, or it is not possible for it to take an intercuspal position. Our remodeled LM (FLM) was using a flexible pathway in the tube portion. LM with aready-made tube of hard silicone(HLM), with a recently developed soft silicone tube of stainless steel wire (WLM). This reports the results of comparisons and examinations of LMs, the facility and time for insertion, changes in blood pressure, and the ease of the dental treatment for the patients. Using three types of LM we performed general dental anesthesia on 27 patients from 7 to 61 years of age with ASA classification I or II. All patients were mentally retarded or suffered from Down's syndrome. For the anesthesia, we inserted the LM and the nasotracheal tube without using muscle relaxants. We inserted the LM as instructed in the manual. Insome cases where the insertion was difficult, we used a laryngoscope. We kept applying anesthesia so that spontaneous or assisted respiration could be maintained for all groups. The time required for the LM or the endotracheal tube to secure the airway was measured from the start of inhalation of the anesthetic gas (Sevoflurane) through the facial mask to the air injection into the cuff of the LM or the endotracheal tube. The time required for the insertion of FLM was an average of 15.3±3.5 (mean±S. D.) minutes, for WLM an average of 14.2±4.1 (mean±S. D.) minutes and for HLM an average of 12.0±3.9 (mean±S. D.) minutes. The time forinsertion of the HLM was significantly shorter than nasotracheal intubation. LM in each time was not significantly different. The anesthesiologist felt the HLM to be the easiest to insert and the FLM the most difficult because of the long time needed to insert. Ease of Achievement for the dental treatment: 3 cases using HLM were found difficult, all the others cases were ordinary. The systolic blood pressure was increased by nasotracheal intubation when compared with preintubation, and the difference was statistical significantly (P <0-05). There ware no change in the systolic blood pressure by the insertion of the LM (mean of HLM, WLM, and FLM). We performed general dental anesthesia on outpatients using FLM, WLM, HLM. Our new FLM showed the greatest ease of treatment as it was possible to achieve an interrcuspal position. | |||||
| 雑誌書誌ID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN0008135X | |||||
| 書誌情報 |
ja : 東日本歯学雑誌 巻 15, 号 1, p. 1-8, 発行日 1996-06-30 |
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| 出版タイプ | ||||||
| 出版タイプResource | VoR | |||||
