title: [Anchor Fast endotracheal tube securing device for a pediatric patient during therapeutic hypothermia].
abstract: A 5-year-old girl was admitted to our hospital after resuscitation from cardiac arrest due to near-drowning accident in a river. On admission, Glasgow Coma Scale score was 7; arterial blood pressure was 113/73 mm Hg; heart rate was 157 beats x min(-1), and percutaneous oxygen saturation was 99% on 10 l x min(-1) of oxygen. The patient was intubated with a 5.0 mm internal diameter endotracheal tube, and therapeutic hypothermia was started for neural protection. Hypothermia in the target temperature of 34 degrees C was maintained for 24 hours using Arctic Sun System. Although the patient had been sedated with fentanyl 0.6-1.2 microg x kg(-1) x hr(-1), midazolam 0.2-0.4 mg x kg(-1) x hr(-1) and dexmedetomidine 0.6-1.0 mirog x kg(-1) x hr(-1), agitation increased during the rewarming period following hypothermia. To avoid accidental extubation, we used Anchor Fast as a device for securing oral endotracheal tube. Anchor Fast kept the tube position properly even though the patient was turned or moved. Seventy-two hours later, she was rewarmed and extubated as scheduled. Ten days after admission, she was discharged without any neurological deficits.
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yano
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Miyazato
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Masumi
authors.initials: M
authors.lastname: Nagahama
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Koshida
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Nagano
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Yonaha
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Oshikawa
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Taniguchi
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Shirasaka
authors.affiliation: Department of Anesthesiology and Critical Care, School of Medicine, University of Miyazaki, Miyazaki 889-1692.
authors.forename: Isao
authors.initials: I
authors.lastname: Tsuneyoshi
mesh_terms: D002675:Child, Preschool; D005260:Female; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D015701:Near Drowning / Q000150:complications*; D009422:Nervous System Diseases / Q000209:etiology / Q000517:prevention & control; D012151:Resuscitation; D016896:Treatment Outcome