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体外式人工肺装置導入患者における便失禁管理システムの有用性に関する検討(Benefit of fecal incontinence management system during extracorporeal membrane oxygenation)

(Shota Kikuta), 菊田 正太

Nihon Kyūkyū Igakkai zasshi =: Journal of Japanese Association for Acute Medicine. Volume 28:Issue 11 (2017); pp 845-851 -- John Wiley & Sons

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  • Title:
    体外式人工肺装置導入患者における便失禁管理システムの有用性に関する検討(Benefit of fecal incontinence management system during extracorporeal membrane oxygenation)
  • Author: (Shota Kikuta), 菊田 正太;
    (Satoshi Ishihara), 石原 諭;
    (Yu Yamane), 山根 悠;
    (Tokito Koga), 古賀 聡人;
    (Soichiro Kai), 甲斐 聡一朗;
    (Akihiko Inoue), 井上 明彦;
    (Shinichi Nakayama), 中山 伸一
  • Found In: Nihon Kyūkyū Igakkai zasshi =: Journal of Japanese Association for Acute Medicine. Volume 28:Issue 11 (2017); pp 845-851
  • Journal Title: Nihon Kyūkyū Igakkai zasshi =: Journal of Japanese Association for Acute Medicine
  • Subjects: Critical care medicine--Periodicals; Intensive care units--Periodicals; extracorporeal cardiopulmonary resuscitation--out-of-hospital cardiac arrest--prognostic factor; 体外循環式心肺蘇生--院外心停止--予測因子; Dewey: 616.028
  • Rights: legaldeposit
  • Publication Details: John Wiley & Sons
  • Abstract: ABSTRACT:

    Cannulation site is often contaminated by feces because of incontinence. Few reports regarding fecal incontinence management system (FMS) have been discussed for preventing the contamination of intravascular catheters, so we clarify the effect of FMS. We retrospectively studied 63 patients undergoing extracorporeal membrane oxygenation (ECMO) on extracorporeal cardiopulmonary resuscitation (ECPR) for out–of–hospital cardiac arrest (OHCA) between January 2010 and December 2015. Patients were divided into two groups according to the use or no use of FMS. Patients who died within 48 hours or from whom cannulae for ECMO were removed within 48 hours were excluded. Among the 63 patients, 31 underwent FMS. No difference in age, sex, target temperature management, and prophylactic antibiotic use was observed between both the groups. The median duration of ECMO was 4 days in both the groups. The incidence of bacteremia was 0 in the FMS group and 6 (19%) in the no FMS group (P=0.024). FMS may affect the incidence of bacteremia in patients with OHCA undergoing ECMO on ECPR.


  • Identifier: System Number: LDEAvdc_100093794578.0x000001; Journal ISSN: 0915-924X; 10.1002/jja2.12233
  • Publication Date: 2017
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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