Capnography and "major" accident and emergency departments in East Anglia.

Florance, Robert; Griffiths, R; Cope, A

doi:10.1136/emj.16.2.159-b

Cited by 5 publications

(3 citation statements)

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“…In our survey, 74% of units held an end‐tidal carbon dioxide detector. This figure is somewhat higher than the 13% observed in a survey of general anasthesia practice in UK accident and emergency departments in 1991 [ 13] and that of 50% in a recent survey of East Anglian accident and emergency units [ 14]. This may well reflect an increased awareness of the benefit of these devices in detecting incorrect tracheal tube placement and their role in determining prognosis during cardiopulmonary resuscitation [ 15].…”

Section: Discussionmentioning

confidence: 89%

Difficult airway equipment in English emergency departments

Morton¹,

Brady²,

Clancy³

2000

Anaesthesia

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The need for tracheal intubation in the emergency department is often unpredictable and precipitous in nature. When compared with the operating room, a higher incidence of difficult intubation is observed. There are currently no accepted guidelines with respect to the stocking of difficult airway equipment in the emergency department. We have conducted a telephone survey to determine the availability of equipment for the management of the difficult airway in English emergency departments. Overall, the majority of units held a curved laryngoscope blade (100%), gum elastic bougie (99%) and surgical airway device (98%). Of alternative devices for ventilation, a laryngeal mask airway was kept by 65% of departments, a needle cricothyroidostomy kit by 63% and an oesophageal-tracheal twin-lumen airway (Combitube) by 18%. Of alternative devices for intubation, fewer than 10% held a retrograde intubating kit, intubating laryngeal mask, bronchoscope or lighted stylet. Seventy-four per cent of departments held an end-tidal carbon dioxide detector.

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Section: Discussionmentioning

confidence: 89%

Difficult airway equipment in English emergency departments

Morton¹,

Brady²,

Clancy³

2000

Anaesthesia

View full text Add to dashboard Cite

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“…In our survey, 74% of units held an end-tidal carbon dioxide detector. This ®gure is somewhat higher than the 13% observed in a survey of general anaesthesia practice in UK accident and emergency departments in 1991 [13] and that of 50% in a recent survey of East Anglian accident and emergency units [14]. This may well re¯ect an increased awareness of the bene®t of these devices in detecting incorrect tracheal tube placement and their role in determining prognosis during cardiopulmonary resuscitation [15].…”

Section: Discussionmentioning

confidence: 85%

“…With an awake patient, there is a de®nite indication for insertion of the shunt À namely neurological changes following carotid cross-clamping. There is a ®nite risk of stroke associated with the use of a shunt [14], and thus their use should be avoided if possible. In large series of patients undergoing carotid endartectomy under regional anaesthesia, shunt insertion rates are of the order of 10% [10].…”

Section: Discussionmentioning

confidence: 99%

Carotid endarterectomyA survey of UK anasthetic practice

Knighton

Stoneham

2000

Anaesthesia

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SummaryWe conducted a postal questionnaire survey of the members of the Vascular Anaesthesia Society of Great Britain and Ireland, asking questions about the provision of anaesthesia for carotid endartectomy. Of 215 respondents, 187 were currently providing anaesthesia for carotid endarterectomy. The majority of respondents (69%) always use general anaesthesia for this operation but 99/215 (46%) had some experience of regional anaesthesia for carotid endartectomy. Amongst those currently using regional anaesthesia, combined deep and super®cial cervical plexus block was the technique used by 71%. Other regional techniques used included local in®ltration and super®cial block alone. During regional anaesthesia, most (66%) anaesthetists used cerebral monitoring techniques such as stump pressure or transcranial Doppler as well as keeping the patient awake. However, in a signi®cant proportion of cases (37%) under general anaesthesia no cerebral monitoring was used. Reported surgical shunt insertion rates were lower in awake (mean 42%) patients than those receiving general anaesthesia (61%). Respondents using regional anaesthesia were more likely to feel that their technique was appropriate than those using general anaesthesia.

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

Walsh

Cummins

2004

Eur J Anaesthesiol

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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.

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Capnography and "major" accident and emergency departments in East Anglia.

Cited by 5 publications

References 0 publications

Difficult airway equipment in English emergency departments

Difficult airway equipment in English emergency departments

Carotid endarterectomyA survey of UK anasthetic practice

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

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