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Tracheostomy and laryngectomy survey: do front-line emergency staff appreciate the difference?

Published online by Cambridge University Press:  24 April 2012

A Darr*
Affiliation:
Department of Respiratory Medicine, Solihull Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
K Dhanji
Affiliation:
Department of Respiratory Medicine, Solihull Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
J Doshi
Affiliation:
Department of Otolaryngology, Heartlands Hospital, Heart of England NHS Foundation Trust, Birmingham, UK
*
Address for correspondence: Dr Adnan Darr, Department of ENT, University Hospitals Birmingham NHS Trust, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UK E-mail: adnandarr@doctors.org.uk

Abstract

Background:

In an emergency scenario, it is vital to appreciate the difference between a laryngectomy and a tracheostomy so that oxygen can be administered in an appropriate manner. This survey aimed to ascertain the level of emergency healthcare personnel's knowledge with regards to distinguishing between a tracheostomy and a laryngectomy patient, and the emergency management of such patients.

Methods:

Forty-four accident and emergency staff (28 doctors, nine nurses and seven paramedics) within one Foundation Trust were invited to complete a questionnaire to ascertain (1) their confidence at differentiating between a laryngectomy and tracheostomy stoma; (2) knowledge of the appropriate site for oxygen delivery if needed; and (3) overall level of training on this subject.

Results:

There were significant gaps in knowledge, particularly with regards to fundamental differences between a tracheostomy and a laryngectomy; less than 5 per cent were able to describe the anatomical difference. Only 41 per cent correctly identified the route of oxygen administration in laryngectomy patients.

Conclusion:

In this cohort of emergency staff, the fundamental difference between a laryngectomy and a tracheostomy was poorly understood. This lack of awareness of front-line emergency staff needs to be addressed in order to maximise patient safety.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Bradley, PJ. Management of the obstructed airway and tracheostomy. In: Kerr, AG, Booth, JB, eds. Scott-Brown's Otolaryngology, 6th edn.London: Butterworth-Heinneman, 1997;5(7):119Google Scholar
2El-Sayed, IH, Ryan, S, Schell, H, Rappazini, R, Wang, SJ. Identifying and improving knowledge deficits of emergency airway management of tracheotomy and laryngectomy patients: a pilot patient safety initiative. Int J Otolaryngol 2010;638742CrossRefGoogle ScholarPubMed
3Casserly, P, Lang, E, Fenton, J E, Walsh, M. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. Br J Anaesth 2007;99:380–3CrossRefGoogle ScholarPubMed
4Clayton, RA, Henderson, J, McCracken, SE, Wigmore, SJ, Paterson-Brown, S. Practical experience and confidence in managing emergencies among preregistration house officers. Postgrad Med J 2005;81:396400CrossRefGoogle ScholarPubMed
5Awad, Z, Pothier, DD. Management of surgical airway emergencies by junior ENT staff: a telephone survey. J Laryngol Otol 2007;121:5760CrossRefGoogle Scholar
6Heafield, S, Rogers, M, Karnik, A. Tracheostomy management in ordinary wards. Hosp Med 1999;60:261–2CrossRefGoogle ScholarPubMed