The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
| dc.contributor.advisor | Van Hoving, Daniel Jacobus | en_ZA |
| dc.contributor.author | Jooste, Willem Johannes Lodewyk | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. | en_ZA |
| dc.date.accessioned | 2017-09-07T09:13:43Z | |
| dc.date.accessioned | 2017-12-11T10:24:04Z | |
| dc.date.available | 2017-09-07T09:13:43Z | |
| dc.date.available | 2017-12-11T10:24:04Z | |
| dc.date.issued | 2017-12 | |
| dc.description | The published article is available in this repository at http://hdl.handle.net/10019.1/125681 | en_ZA |
| dc.description | Thesis (MMed)--Stellenbosch University, 2017. | en_ZA |
| dc.description.abstract | ENGLISH SUMMARY: Background: The failed or difficult airway is a rare, but life-threatening situation. Alternative airway devices to direct laryngoscopy are essential aids to manage these scenarios successfully. Objective: To determine which alternative airway devices are currently available in public emergency centres in the Western Cape Province, South Africa. Methods: A cross sectional study was conducted in 15 emergency centres. Data regarding the availability of different classes of alternative airway devices was documented on a standardised data collection sheet by a single investigator via direct observation. Incomplete or non-functional equipment was classified as ‘unavailable’. Summary statistics were used to describe the data. Results: Twenty-six different types of alternative airway devices were documented. Three centres (20%) had no alternative airway device. Five centres (33.3%) stocked only one device, three centres (20%) had two devices and four centres (26.7%) had more than two devices. Most centres (n=12, 80%) stocked supraglottic airways (only one centre (6.7%) had paediatric sizes). Tracheal tube introducers were available in five centres (33.3%). Four centres (26.7%) had video-laryngoscopes, but none had optical laryngoscopes. Retroglottic devices and needle cricothyroidotomy equipment were available in two centres (13.3%). Although surgical cricothyroidotomy equipment was available, the equipment was widely dispersed and only three centres (20%) had pre-packed sets available. None of the specialised paediatric centres had needle cricothyroidotomy equipment readily available. Conclusion: The study demonstrated that Western Cape public emergency centres are currently inadequately stocked with regards to alternative airway devices. A guideline regarding the procurement and implementation of these devices is needed. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. | af_ZA |
| dc.description.uri | https://www.sciencedirect.com/science/article/pii/S2211419X14001372 | |
| dc.description.version | Masters | |
| dc.format.extent | 60 pages : includes annexures | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/102550 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | |
| dc.rights.holder | Stellenbosch University | |
| dc.subject | Respiratory organs -- Obstructions -- Western Cape (South Africa) | en_ZA |
| dc.subject | Respiratory emergencies -- Western Cape (South Africa) | en_ZA |
| dc.subject | Airway (Medicine) -- Western Cape (South Africa) | en_ZA |
| dc.subject | UCTD | |
| dc.title | The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape | en_ZA |
| dc.type | Thesis | en_ZA |