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Surveillance and management practices in tracheotomy patients
Hannah Zhu1, Preety Das, Jean Brereton
1School of Clinical Medicine, University of Cambridge, Addenbrookes Hospital, Cambridge, United Kingdom.
The Laryngoscope
|December 21, 2011
Summary
Tracheotomy patient care shows significant variation in surveillance and management. Standardization of practices is needed to improve patient outcomes and care consistency.
Area of Science:
- Otolaryngology
- Surgical Patient Management
- Healthcare Quality Improvement
Background:
- Tracheotomy is a common procedure with complex post-operative care needs.
- Current surveillance and management practices for tracheotomy patients lack standardization.
Purpose of the Study:
- To investigate the current surveillance and management practices for tracheotomy patients.
- To identify areas for improvement in tracheotomy care.
Main Methods:
- An electronic survey was distributed to 478 healthcare professionals via the American Academy of Otolaryngology-Head and Neck Surgery Foundation.
- The survey assessed practices related to tracheotomy surveillance, tube changes, and decannulation.
Main Results:
- Significant variability exists in the frequency and methods of tracheotomy surveillance (immediate, postoperative, intermediate, long-term).
- Practices for tracheotomy tube changes and the use of decannulation algorithms also varied.
- While most respondents are comfortable with current practices, over half see value in a clinical practice guideline for standardization.
Conclusions:
- There is marked variability in the surveillance and management of tracheotomy patients.
- Standardization of care through clinical practice guidelines presents an opportunity to improve patient outcomes and care consistency.
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