Difficult airway equipment in departments of emergency medicine in Ireland: results of a national survey.

Hdl Handle:
http://hdl.handle.net/10147/208965
Title:
Difficult airway equipment in departments of emergency medicine in Ireland: results of a national survey.
Authors:
Walsh, K; Cummins, F
Affiliation:
Cork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland., kenwalsh@ireland.com
Citation:
Eur J Anaesthesiol. 2004 Feb;21(2):128-31.
Journal:
European journal of anaesthesiology
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208965
PubMed ID:
14977344
Abstract:
BACKGROUND AND OBJECTIVE: Adverse effects associated with difficult airway management can be catastrophic and include death, brain injury and myocardial injury. Closed-malpractice claims have shown prolonged and persistent attempts at endotracheal intubation to be the most common situation leading to disastrous respiratory events. To date, there has been no evaluation of the types of difficult airway equipment currently available in Irish departments of emergency medicine. The objective of this survey was to identify the difficult airway equipment available in Irish departments of emergency medicine. METHODS: Departments of emergency medicine in the Republic of Ireland with at least one dedicated Emergency Medicine consultant were surveyed via telephone. RESULTS: All of the departments contacted held at least one alternative device on site for both ventilation and intubation. The most common alternative ventilation device was the laryngeal mask airway (89%). The most common alternative intubating device was the surgical airway device (100%). CONCLUSIONS: Irish departments of emergency medicine compare well with those in the UK and USA, when surveyed concerning difficult airway equipment. However, we believe that this situation could be further improved by training inexperienced healthcare providers in the use of the laryngeal mask airway and intubating laryngeal mask airway, by placing greater emphasis on the ready availability of capnography and by the increased use of portable difficult airway storage units.
Language:
eng
MeSH:
Airway Obstruction/complications/therapy; Emergency Medicine/instrumentation; Emergency Service, Hospital/standards/*statistics & numerical data; Equipment and Supplies, Hospital/supply & distribution; *Health Care Surveys; Humans; Interviews as Topic; Intubation, Intratracheal/adverse effects/*instrumentation; Ireland; Laryngeal Masks/*supply & distribution/utilization
ISSN:
0265-0215 (Print); 0265-0215 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorWalsh, Ken_GB
dc.contributor.authorCummins, Fen_GB
dc.date.accessioned2012-02-03T15:08:41Z-
dc.date.available2012-02-03T15:08:41Z-
dc.date.issued2012-02-03T15:08:41Z-
dc.identifier.citationEur J Anaesthesiol. 2004 Feb;21(2):128-31.en_GB
dc.identifier.issn0265-0215 (Print)en_GB
dc.identifier.issn0265-0215 (Linking)en_GB
dc.identifier.pmid14977344en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208965-
dc.description.abstractBACKGROUND AND OBJECTIVE: Adverse effects associated with difficult airway management can be catastrophic and include death, brain injury and myocardial injury. Closed-malpractice claims have shown prolonged and persistent attempts at endotracheal intubation to be the most common situation leading to disastrous respiratory events. To date, there has been no evaluation of the types of difficult airway equipment currently available in Irish departments of emergency medicine. The objective of this survey was to identify the difficult airway equipment available in Irish departments of emergency medicine. METHODS: Departments of emergency medicine in the Republic of Ireland with at least one dedicated Emergency Medicine consultant were surveyed via telephone. RESULTS: All of the departments contacted held at least one alternative device on site for both ventilation and intubation. The most common alternative ventilation device was the laryngeal mask airway (89%). The most common alternative intubating device was the surgical airway device (100%). CONCLUSIONS: Irish departments of emergency medicine compare well with those in the UK and USA, when surveyed concerning difficult airway equipment. However, we believe that this situation could be further improved by training inexperienced healthcare providers in the use of the laryngeal mask airway and intubating laryngeal mask airway, by placing greater emphasis on the ready availability of capnography and by the increased use of portable difficult airway storage units.en_GB
dc.language.isoengen_GB
dc.subject.meshAirway Obstruction/complications/therapyen_GB
dc.subject.meshEmergency Medicine/instrumentationen_GB
dc.subject.meshEmergency Service, Hospital/standards/*statistics & numerical dataen_GB
dc.subject.meshEquipment and Supplies, Hospital/supply & distributionen_GB
dc.subject.mesh*Health Care Surveysen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInterviews as Topicen_GB
dc.subject.meshIntubation, Intratracheal/adverse effects/*instrumentationen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshLaryngeal Masks/*supply & distribution/utilizationen_GB
dc.titleDifficult airway equipment in departments of emergency medicine in Ireland: results of a national survey.en_GB
dc.contributor.departmentCork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland., kenwalsh@ireland.comen_GB
dc.identifier.journalEuropean journal of anaesthesiologyen_GB
dc.description.provinceMunster-

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