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Pressure of laryngoscope blade on anterior teeth during direct laryngoscopic examination
https://osaka-dent.repo.nii.ac.jp/records/22
https://osaka-dent.repo.nii.ac.jp/records/2288bdf5bd-028b-4911-97e1-7f0ad8769660
名前 / ファイル | ライセンス | アクション |
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学位論文 (452.6 kB)
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論文内容要旨・審査結果要旨 (172.0 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-08-01 | |||||
本文言語 | ||||||
言語 | eng | |||||
タイトル | ||||||
タイトル | Pressure of laryngoscope blade on anterior teeth during direct laryngoscopic examination | |||||
著者 |
柴田, 啓貴
× 柴田, 啓貴× Shibata, Hiroki |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pressure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Anterior teeth | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Laryngoscope blade | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Pressure | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Anterior teeth | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Laryngoscope blade | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
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 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | One possible complication of tracheal intubation is injury to the anterior teeth by the laryngoscope blade. We measured pressure where the anterior teeth contacted the blade, and investigated differences in this pressure using six different laryngoscope blades (German design, US design, UK design, English Channel type, reduced flange type and flange-less type). We used a mannequin for intubation training (Laerdal Airway Management Trainer; Laerdal Medical, Tokyo, Japan) and a German bite pressure meter (Nihon Kohden Corporation, Tokyo, Japan). Each laryngoscope blade was used 30 times to perform direct laryngoscopic exposure, and we measured the maximum pressure of the laryngoscope blade on the contact site of the anterior teeth when a Cormack Grade I larynx field of vision had been secured. Because the field of vision of the larynx could be obtained with the flange-less type laryngoscope blade without any contact with the anterior teeth, it was excluded from this analysis. Statistical analysis performed using multiple comparisons (Tukey-Kramer method, p<0.05) showed that contact pressure with the reduced flange type laryngoscope was significantly less than with the other types. These results suggest that laryngoscopes with a narrow blade width cause less pressure and therefore a smaller burden on the contact site of the anterior teeth. | |||||
学位名 | ||||||
学位名 | 博士(歯学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 34408 | |||||
学位授与機関名 | 大阪歯科大学 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2015-03-06 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲第762号 |