Clinical Case Database / Category: Practical Procedure
Tracheostomy & Laryngectomy Emergency Care
Dr Richard Templeton, Dr Brendan McGrath
Foundation Years Journal, volume 6, issue 8, p.29 (123Doc Education, London, September 2012)
Dealing with airway emergencies in patients with tracheostomies and laryngectomies can be a daunting prospect for junior doctors. This case study demonstrates the importance of an understanding of tracheostomy and laryngectomy anatomy, different types of tracheostomy tube as well as potential causes of tracheostomy related emergencies. Employing a methodical, stepwise approach in these emergency situations allows simple, often lifesaving interventions to be carried out.
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Dr Richard Templeton
Specialist Registrar in Anaesthetics and Intensive Care, North West Deanery
Dr Brendan McGrath
Consultant in Anaesthetics and Intensive Care,
South Manchester University Hospital
2. Intensive Care Society. Standards of Care for Adult Patients With Temporary Tracheostomies. London: Intensive Care Society, 2008.
3. McGrath BA, Thomas AN. Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports to the UK National Patient Safety Agency. Postgrad Med J. 2010 Sep;86(1019):522-5.
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All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.