An evaluation of documentation of endotracheal intubation in Cape Town emergency centres

Master Thesis

2010

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University of Cape Town

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Abstract
We undertook a retrospective case review of medical records in two regional hospitals in Cape Town. All adult patients intubated in the EC during the 6 months 1 July to 31 December 2008 were included. A single researcher assessed the case notes to assess documentation of specific procedural criteria: indication for intubation, drugs & doses, endotracheal tube size, laryngoscopy, insertion depth, securing method, position confirmation, ventilator settings and complications. General medical documentation including demographics and legibility of physician name were also assessed. Results are presented using basic descriptive statistics of the 32 criteria analysed.
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