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A SURVEY OF PERIOPERATIVE ASTHMATIC ATTACK AMONG PATIENTS WITH BRONCHIAL ASTHMA UNDERWENT GENERAL ANESTHESIA
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- Ie Kenya
- Department of Respirology, International Medical Center of Japan
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- Yoshizawa Atsuto
- Department of Respirology, International Medical Center of Japan
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- Hirano Satoru
- Department of Respirology, International Medical Center of Japan
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- Izumi Sinyuu
- Department of Respirology, International Medical Center of Japan
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- Hojo Masaaki
- Department of Respirology, International Medical Center of Japan
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- Sugiyama Haruhito
- Department of Respirology, International Medical Center of Japan
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- Kobayasi Nobuyuki
- Department of Respirology, International Medical Center of Japan
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- Kudou Kouichirou
- Disease Control and Prevention Center, International Medical Center of Japan
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- Maehara Yasuhiro
- Department of Anesthesiology, International Medical Center of Japan
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- Kawachi Masaharu
- Department of Anesthesiology, International Medical Center of Japan
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- Miyakoshi Kouichi
- Department of rehabilitation, Kameda Medical Center
Bibliographic Information
- Other Title
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- 気管支喘息合併全身麻酔症例の周術期発作に関する検討
- キカンシ ゼンソク ガッペイ ゼンシン マスイ ショウレイ ノ シュウジュツキ ホッサ ニ カンスル ケントウ
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Description
Background: We investigated the risk factor of perioperative asthmatic attack and effectiveness of preventing treatment for asthmatic attack before operation. Methods: We performed retrospective chart review of one hundred eleven patients with asthma underwent general anesthesia and surgical intervention from January 2006 to October 2007 in our hospital. Results: The rate of perioperative asthmatic attack were as follows; 10.2% (5 in 49 cases) in no pretreatment group, 7.5% (3 in 40 cases) in any pretreatments except for systemic steroid, and 4.5% (1 in 22 cases) in systemic steroid pretreatment group. Neither preoperative asthma severity nor duration from the last attack had significant relevancy to perioperative attack rate. The otolaryngological surgery, especially those have nasal polyp and oral surgery had high perioperative asthma attack rate, although there was no significant difference. Conclusion: We recommend the systemic steroid pretreatment for asthmatic patients, especially when they have known risk factor such as administration of the systemic steroid within 6 months, or possibly new risk factor such as nasal polyp, otolaryngological and oral surgery.
Journal
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- Japanese Journal of Allergology
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Japanese Journal of Allergology 59 (7), 831-838, 2010
Japanese Society of Allergology
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Details 詳細情報について
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- CRID
- 1390282679968777472
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- NII Article ID
- 110007681756
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- NII Book ID
- AN00012583
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- ISSN
- 13477935
- 00214884
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- NDL BIB ID
- 10804510
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- CiNii Articles
- Crossref
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- Abstract License Flag
- Disallowed