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- Title
Emergency tracheostomy management cognitive aid.
- Authors
Graham, Jonathan M; Fisher, Caleb M; Cameron, Tanis S; Streader, Trevor G; Warrillow, Stephen J; Chao, Caroline; Chong, Christine Knee; Ellard, Louise; Hamoline, Jerome L; McMurray, Kristy A; Phillips, Damien J; Ross, Jacqueline M; Vu, Quevy
- Abstract
Tracheostomies may be inserted to assist weaning from ventilation or to aid airway management.[1] Complications occur in up to 40% of patients, with tube displacement, tube obstruction, pneumothorax and haemorrhage most common.[1][2]-[3] Prevention and management of tracheostomy emergencies requires multidisciplinary teamwork, a standardised approach, education, equipment, patient and carer involvement, and effective clinical governance.[1],[3],[4] The use of clinical decision supports such as cognitive aids also improves performance, supports education, and guides quality improvement.[1],[5] The British National Tracheostomy Safety Project has developed extensive resources including emergency algorithms and bedhead signs.[6] We report on the development of an emergency tracheostomy management (ETM) cognitive aid at our institution (Figure 1). Two state services, the Victorian Respiratory Support Service (VRSS) and the Victorian Spinal Cord Service (VSCS), also based at Austin Health, provide care to tracheostomy patients with complex ventilation needs and spinal injuries, respectively. The intensive care unit (ICU), Department of Anaesthesia, and several surgical units including maxillofacial, thoracic, and ear nose and throat (ENT) provide care for patients with tracheostomies.
- Subjects
PNEUMOTHORAX; CLINICAL governance; EMERGENCY management; POSITIVE pressure ventilation
- Publication
Anaesthesia & Intensive Care, 2021, Vol 49, Issue 3, p227
- ISSN
0310-057X
- Publication type
letter
- DOI
10.1177/0310057X21989722