Prevention and treatment of malignant hyperthermia in certified training hospitals in Japan: a questionnaire
Prevention and treatment of malignant hyperthermia in certified training hospitals in Japan: a questionnaire
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日本认证培训医院恶性高热的预防和治疗：调查问卷
DOI：
10.1007/s005400200026
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发表时间：
2002
影响因子：
2.8
通讯作者：
O. Yuge,
中科院分区：
文献类型：
--
作者：
H. Suyama;M. Kawamoto;O. Yuge,
目的： 评估日本医院对恶性高热(MH)病例的准备情况。
方法： 于2000年6月和7月向日本麻醉学会认证的884家培训医院发送了一份调查问卷。431个(48.8%)机构提供了有用的答复。
结果： 全麻、吸入麻醉药在283家医院广泛使用(65.7%)，琥珀胆碱是最常用的肌松药，270家医院(62.5%)使用琥珀胆碱。在病人监护方面，422家(97.9%)医院在所有全身麻醉病例中使用脉搏血氧仪。152家医院(35.3%)使用了二氧化碳测定仪，128家(29.7%)医院连续测量了体温。288家医院(66.8%)准备了6瓶以上的丹曲林供使用，13家(3.0%)没有。
结论： 调查结果显示，一些医院没有足够的监测方法，缺乏用于全麻下MH患者的丹曲林制剂。我们建议部署必要的监测仪，并保持丹曲林的充分准备，以便有效地早期诊断和治疗MH。
AbstractPurpose. To assess the preparedness of hospitals in Japan for cases of malignant hyperthermia (MH).
Method. A survey was sent to 884 training hospitals certified by the Japan Society of Anesthesiologists (JSA) in June and July 2000. Useful answers were received from 431 (48.8%) institutions.
Results. For general anesthesia, inhalation anesthetics were widely used in 283 (65.7%) hospitals, and succinylcholine was the most commonly used muscle relaxant, which was used in 270 hospitals (62.5%). For patient monitoring, 422 (97.9%) hospitals used a pulse oximeter for all general anesthesia cases. A capnogram was used in 152 (35.3%) hospitals, and continuous body temperature was measured in 128 (29.7%). Two hundred and eighty-eight (66.8%) hospitals had more than six vials of dantrolene prepared for use, whereas 13 (3.0%) had none.
Conclusion. The results of the survery revealed that some hospitals had inadequate monitoring methods and a lack of prepared dantrolene for cases of MH under general anesthesia. We recommend that essential monitors be deployed and adequate preparations of dantrolene be maintained for effective early diagnosis and treatment of MH.