Tracheal stenosis: Preventable morbidity on the increase in our intensive care units

dc.contributor.authorRaynham, O W
dc.contributor.authorLubbe, D E
dc.contributor.authorFagan, J J
dc.date.accessioned2017-04-12T07:08:06Z
dc.date.available2017-04-12T07:08:06Z
dc.date.issued2009
dc.date.updated2016-01-07T09:07:22Z
dc.description.abstractFollowing a marked increase in patients with tracheal stenosis at Groote Schuur Hospital, we re-examined this problem to identify new trends. Practitioners should be aware of this problem and that tracheal stenosis is an avoidable complication of endotracheal (ET) intubation. It is invariably difficult to treat, a heavy treatment burden and has an associated significant morbidity and reduction in quality of life. A 10-year retrospective review of patients that presented with or were referred to our service with tracheal stenosis showed no new patterns to be responsible for the increase incidence of stenosis. Therefore we conducted a survey of endotracheal tube (ETT) cuff pressures and cuff monitoring practises in local intensive care units (ICUs). This revealed that cuff pressures were dangerously elevated in 30% of all intubated patients surveyed in the ICUs. We are concerned that poor cuff pressure monitoring practises may be responsible for the increase in tracheal stenosis.
dc.identifierhttp://dx.doi.org/10.7196/SAMJ.3144
dc.identifier.apacitationRaynham, O. W., Lubbe, D. E., & Fagan, J. J. (2009). Tracheal stenosis: Preventable morbidity on the increase in our intensive care units. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24185en_ZA
dc.identifier.chicagocitationRaynham, O W, D E Lubbe, and J J Fagan "Tracheal stenosis: Preventable morbidity on the increase in our intensive care units." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24185en_ZA
dc.identifier.citationRaynham, O., Lubbe, D., & Fagan, J. (2009). Tracheal Stenosis: Preventable morbidity on the increase in our intensive care units. South African Medical Journal, 99(9), 645.
dc.identifier.ris TY - Journal Article AU - Raynham, O W AU - Lubbe, D E AU - Fagan, J J AB - Following a marked increase in patients with tracheal stenosis at Groote Schuur Hospital, we re-examined this problem to identify new trends. Practitioners should be aware of this problem and that tracheal stenosis is an avoidable complication of endotracheal (ET) intubation. It is invariably difficult to treat, a heavy treatment burden and has an associated significant morbidity and reduction in quality of life. A 10-year retrospective review of patients that presented with or were referred to our service with tracheal stenosis showed no new patterns to be responsible for the increase incidence of stenosis. Therefore we conducted a survey of endotracheal tube (ETT) cuff pressures and cuff monitoring practises in local intensive care units (ICUs). This revealed that cuff pressures were dangerously elevated in 30% of all intubated patients surveyed in the ICUs. We are concerned that poor cuff pressure monitoring practises may be responsible for the increase in tracheal stenosis. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Tracheal stenosis: Preventable morbidity on the increase in our intensive care units TI - Tracheal stenosis: Preventable morbidity on the increase in our intensive care units UR - http://hdl.handle.net/11427/24185 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24185
dc.identifier.vancouvercitationRaynham OW, Lubbe DE, Fagan JJ. Tracheal stenosis: Preventable morbidity on the increase in our intensive care units. South African Medical Journal. 2009; http://hdl.handle.net/11427/24185.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Otorhinolaryngologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleTracheal stenosis: Preventable morbidity on the increase in our intensive care units
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Raynham_2009.pdf
Size:
363.33 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Collections