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BJA Advance Access originally published online on July 3, 2007
British Journal of Anaesthesia 2007 99(3):380-383; doi:10.1093/bja/aem167
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy{dagger}

P. Casserly1,*, E. Lang2, J. E. Fenton1 and M. Walsh2

1 Mid-Western Regional Hospital, Limerick, Ireland
2 Beaumont Hospital, Dublin, Ireland

* Corresponding author: 16 Newbridge Avenue, Sandymount, Dublin 4, Ireland. E-mail: paulacasserly{at}hotmail.com

Background: Ear, nose, and throat (ENT) surgeons perform the majority of surgical tracheostomies. Intensive care anaesthetists are increasingly performing bedside percutaneous tracheostomy. The objectives of this study were to characterize emergency complications of tracheostomy and to ascertain healthcare professionals’ knowledge of life-saving strategies for the patient with a tracheostomy.

Methods: Seventy staff members in two large teaching hospitals completed an interview questionnaire, comprising a simple clinical scenario and unambiguous questions regarding the emergency management of patients with a tracheostomy.

Results: There were significant gaps in knowledge among healthcare professionals regarding the management of specific tracheostomy-related emergencies.

Conclusions: Knowledge of tracheostomy-related emergencies appears to be insufficient among non-ENT healthcare professionals. This needs to be addressed in order to maximize patient safety.

Keywords: airway, complications; complications, airway obstruction; education, junior staff; equipment, tubes tracheostomy; surgery, tracheotomy

{dagger} Presented at the IIOHNS, Royal Academy of Medicine in Ireland, April 2006.


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