The Experts below are selected from a list of 2808 Experts worldwide ranked by ideXlab platform
A M Amphlett - One of the best experts on this subject based on the ideXlab platform.
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the use of capnography and the availability of Airway Equipment on intensive care units in the uk and the republic of ireland
Anaesthesia, 2010Co-Authors: Andrew P Georgiou, S Gouldson, A M AmphlettAbstract:Summary 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.
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use of capnography and the availability of Airway Equipment on uk intensive care units
Critical Care, 2010Co-Authors: A Georgiou, S Gouldson, A M AmphlettAbstract:Provisional data from the 4th National Audit Project of the Royal College of Anaesthetists has identified that at least 20% of major Airway events take place on the ICU and that these are more frequently fatal than events elsewhere (TM Cook, personal communication). Over 23% of these incidents relate to the instigation or maintenance of an artificial Airway [1]. Both the use of capnography and the immediate availability of Airway rescue devices to avert or manage such incidents have been recommended. This study seeks to determine the adherence to these recommendations, the availability of such Equipment on UK ICUs and to identify areas for safety improvement.
K. Walsh - One of the best experts on this subject based on the ideXlab platform.
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Difficult Airway Equipment in obstetric units in the republic of Ireland: results of a national survey.
European Journal of Anaesthesiology, 2004Co-Authors: A. Niazi, Fred Cummins, K. WalshAbstract:SummaryBackground and objective:Difficult intubation in obstetric units has been identified as a major contributory factor to anaesthesia related maternal morbidity and mortality. Availability of Equipment for management of a difficult Airway is associated with reduced maternal complications. The pu
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difficult Airway Equipment in departments of emergency medicine in ireland results of a national survey
European Journal of Anaesthesiology, 2004Co-Authors: K. Walsh, F CumminsAbstract:SummaryBackground 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 lea
S Gouldson - One of the best experts on this subject based on the ideXlab platform.
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the use of capnography and the availability of Airway Equipment on intensive care units in the uk and the republic of ireland
Anaesthesia, 2010Co-Authors: Andrew P Georgiou, S Gouldson, A M AmphlettAbstract:Summary 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.
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use of capnography and the availability of Airway Equipment on uk intensive care units
Critical Care, 2010Co-Authors: A Georgiou, S Gouldson, A M AmphlettAbstract:Provisional data from the 4th National Audit Project of the Royal College of Anaesthetists has identified that at least 20% of major Airway events take place on the ICU and that these are more frequently fatal than events elsewhere (TM Cook, personal communication). Over 23% of these incidents relate to the instigation or maintenance of an artificial Airway [1]. Both the use of capnography and the immediate availability of Airway rescue devices to avert or manage such incidents have been recommended. This study seeks to determine the adherence to these recommendations, the availability of such Equipment on UK ICUs and to identify areas for safety improvement.
C Frerk - One of the best experts on this subject based on the ideXlab platform.
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a national survey of the impact of nap4 on Airway management practice in united kingdom hospitals closing the safety gap in anaesthesia intensive care and the emergency department
BJA: British Journal of Anaesthesia, 2016Co-Authors: T M Cook, N M Woodall, C FrerkAbstract:Abstract Background The 4th National Audit Project of the Royal College of Anaesthetists' and Difficult Airway Society (NAP4) made recommendations to improve reliability and safety of Airway management in hospitals. This survey examines its impact. Methods A survey was sent to all UK National Health Service hospitals to examine changes in practice in response to NAP4. We performed a ‘gap analysis' to determine whether NAP4 had reduced the ‘safety gap' between actual and ideal practice. Results The response rate was 62% (192 of 307 hospitals), and 78% answered all questions. Most (97%) respondents reported changes in practice in response to NAP4 but these differed by specialty: 95% in anaesthesia; 80% in intensive care (ICU) and 59% in the emergency department (ED). Approximately 25% reported changes in organizational aspects of Airway and human factors teaching. Practice changes led to a median closure of the ‘safety gap' in anaesthesia of 39% (IQR 14–66%, range 11–83%), 59% in ICU (IQR 54–73%, range 31–81%) and 48% in ED (IQR 39–53%, range 35–53%). Conclusions Publication of NAP4 was followed by changes in practice in the majority of responding departments within two yr. Improvements included improved provision of difficult Airway Equipment and more widespread routine use of capnography. The biggest change occurred in ICU; the impact on training nursing and junior staff was modest and here, significant safety gaps remain.
Klaus Ellinger - One of the best experts on this subject based on the ideXlab platform.
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use of the laryngeal tube for out of hospital resuscitation
Resuscitation, 2002Co-Authors: H. V. Genzwuerker, S Dhonau, Klaus EllingerAbstract:Every physician involved in emergency medicine should be familiar with alternative techniques for managing the difficult Airway. We report a case of a patient who was successfully ventilated and oxygenated with a laryngeal tube, when tracheal intubation failed. Ventilation was possible even during continuous chest compressions. Airway Equipment, including one supraglottic alternative for patients of all ages and a set for cricothyroidotomy, for those experienced in its use, should be available on every ambulance equipped for advanced life support.