Document Detail


The use of capnography and the availability of airway equipment on Intensive Care Units in the UK and the Republic of Ireland.
MedLine Citation:
PMID:  20337619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
At least 20% of reported major adverse airway events occur on the intensive care unit. This study surveyed 315 (96%) of all general, satellite, hepatobiliary, cardiac and neuro-intensive care units in the UK and the Republic of Ireland, finding that only 100 (32%) units always use capnography for tracheal intubation while only 80 (25%) always use capnography for continuous monitoring of patients requiring controlled ventilation. Three hundred and ten (98%) units utilise a checklist of airway equipment, 311 (99%) check its functionality on a daily basis and 296 (94%) units have access to a bronchoscope. Whilst 297 (94%) ICUs have an airway trolley, sufficient equipment for unanticipated difficult intubation was only seen on 33 (10%) of units. Guidelines addressing minimum standards for monitoring and airway safety on ICU are not being met and remain below the standard expected.
Authors:
Andrew P Georgiou; S Gouldson; A M Amphlett
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2010-03-19
Journal Detail:
Title:  Anaesthesia     Volume:  65     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-04     Completed Date:  2010-06-30     Revised Date:  2010-07-09    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  462-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK. andypgeorgiou@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Capnography / utilization*
Great Britain
Guideline Adherence
Humans
Intensive Care Units / standards*,  statistics & numerical data
Intubation, Intratracheal / instrumentation*,  standards
Ireland
Monitoring, Physiologic / instrumentation,  standards
Practice Guidelines as Topic
Respiration, Artificial / standards
Safety Management / methods,  standards
Comments/Corrections
Erratum In:
Anaesthesia. 2010 Jun;65(6):658

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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