| Japanese |
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| Title | あたらしい中心静脈カテーテル留置キット(セーフ・ガイド(R))100症例の使用による有用性と問題点の検討 |
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| Subtitle | 原著 |
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| Authors | 金沢正浩, 鈴木利保, 杵渕嘉夫, 滝口守, 山本道雄 |
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| Authors(kana) | |
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| Organization | 東海大学医学部麻酔科学教室 |
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| Journal | 循環制御 |
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| Volume | 17 |
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| Number | 3 |
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| Page | 386-389 |
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| Year/Month | 1996/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」中心静脈穿刺を施行する際, 一般的には試験穿刺が行なわれる. 我々は試験穿刺針を抜かずにガイドワイヤーを挿入できる中心静脈カテーテルキットを作製し, これを全身麻酔下の成人の手術100症例に使用して有用性と問題点を検討した. 穿刺場所は右内頸静脈とし, 1回目の穿刺で中心静脈カテーテルが留置できた症例を成功とした. 全体の成功率は94%であったが, 麻酔科スタッフが54例穿刺し94.4%, 卒後1年目の研修医が46例穿刺して93.5%の成功率を得た. 安全, 迅速にカテーテル留置が行え, 中心静脈穿刺に不慣れな者でも高い成功率が得られた. 合併症は頸動脈誤穿刺が2例あったが穿刺針が22ゲージと細いため血腫の形成はなかった. カテーテル留置失敗例の原因はガイドワイヤーの血管外逸脱, ダイレーター挿入時のガイドワイヤーキンクであったが, 適切な対応で解決できた. この穿刺針の応用として, 乳幼児や出血性ショックの患者などが考えられる. またイントロデューサーシースの留置にもこの穿刺針は有効であろう. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | New central venous catheterization kit |
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| English |
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| Title | Clinical Evaluation of a New Central Venous Catheterization Kit in 100 Cases. |
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| Subtitle | |
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| Authors | Masahiro Kanazawa, Toshiyasu Suzuki, Yoshio Kinefuchi, Mamoru Takiguchi, Michio Yamamoto |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, School of Medicine, Tokai University |
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| Journal | Circulation Control |
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| Volume | 17 |
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| Number | 3 |
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| Page | 386-389 |
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| Year/Month | 1996/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We introduced a new central venous catheterization kit (Safe guide；Nippon Sherwood Medical In；dustries Ltd.) that allowed guide wire insertion without removing the needle for location. This catheterization kit was evaluated in 100 cases. The success rate was 94.4% by staff anesthesiologists and 93.5% by first year trainees. The overall success rate was 94%. We especially emphasize the point that the success rate was high and had no difference in skilled and unskilled doctors. This fact means that our new kit can be safely used and enables easy catheterization. It may be useful, in particular, for children and patients with hemorrhagic shock. Furthermore, it may be useful as a dilatorsheath introducer for a pulmonary artery catheter. There were six cases failed in catheterization；one was due to protrusion of the guide wire outside the vein and the others were due to bending of the guide wire during insertion of the dilator, but these were all resolved easily. (Circ Cont 17：386〜389, 1996) |
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| Practice | Basic medicine |
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| Keywords | New central venous catheterization kit |
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