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Larygeal dysfunction during peri-operative period

Research Project

Project/Area Number 24592327
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionChiba University

Principal Investigator

ISHIKAWA Teruhiko  千葉大学, 医学(系)研究科(研究院), 准教授 (30272305)

Co-Investigator(Kenkyū-buntansha) ISONO Shiroh  千葉大学, 大学院医学研究院, 教授 (80212968)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2012: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords喉頭機能不全 / 気管チューブ抜管 / カフリーク圧 / 決定木分析 / 喉頭機能 / 気管チューブ / 抜管 / 内視鏡 / カフリークテスト / 咽頭喉頭内視鏡 / 反回神経 / 換気の維持
Outline of Final Research Achievements

Dysfunction of the larynx, especially dysfunction as the airway and in protective reflex from aspiration, may cause sever ventilatory insufficiency. Therefore, it is clinically important to establish a method how to evaluate the laryngeal function at the tracheal extubation. We used cuff-leak pressure measurement as well as endoscopic findings from the larynx, anesthetic time, and type of surgical procedure, to judge whether the extubation was appropriate. However, our method was not supported statistically enough; the attempt of constructing decision tree resulted in failure even a low leak pressure was suggested to be indicative of successful tracheal extubation.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (6 results)

All 2015 2014 2013 2012

All Journal Article (4 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (1 results) (of which Invited: 1 results) Book (1 results)

  • [Journal Article] Submental negative pressure application decreases collapsibility of the passive pharyngeal airway in nonobese women2015

    • Author(s)
      Kato S, Isono S, Amemiya M, Sato S, Ikeda A, Okazaki J, Sato Y, Ishikawa T
    • Journal Title

      J Appl Physiol (1985)

      Volume: 118 Issue: 7 Pages: 912-920

    • DOI

      10.1152/japplphysiol.00158.2014

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Evaluation of the upper airway function at tracheal extubation2014

    • Author(s)
      Ishikawa, T.
    • Journal Title

      Journal of Clinical Anesthesia (Japan)

      Volume: 38 Pages: 873-80

    • Related Report
      2014 Annual Research Report
  • [Journal Article] How can we improve mask ventilation in patients with obstructive sleep apnea during anesthesia induction?2013

    • Author(s)
      Sato, Y. Ikeda, A. Ishikawa, T. Isono, S.
    • Journal Title

      Journal of anesthesia

      Volume: 27 Issue: 1 Pages: 152-6

    • DOI

      10.1007/s00540-012-1520-5

    • NAID

      10031165405

    • Related Report
      2012 Research-status Report
  • [Journal Article] Effects of muscle relaxants on mask ventilation in anesthetized persons with normal upper airway anatomy2012

    • Author(s)
      Ikeda, A. Isono, S. Sato, Y. Yogo, H. Sato, J. Ishikawa, T. Nishino, T.
    • Journal Title

      Anesthesiology

      Volume: 117 Issue: 3 Pages: 487-93

    • DOI

      10.1097/aln.0b013e3182668670

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 抜管しても大丈夫?喉頭機能不全が疑われる場合2012

    • Author(s)
      石川輝彦
    • Organizer
      日本麻酔科学会第59回学術集会
    • Place of Presentation
      神戸市
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] 全身麻酔時気道管理の新戦略 新戦略に基ずく麻酔・周術期管理2013

    • Author(s)
      磯野史朗、石川輝彦、雨宮めぐみ、奥山陽太、斉藤渓、稲田梓
    • Publisher
      中山書店
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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