EMCON 2008: 10th Annual National Conference of the Society for Emergency Medicine in India
نویسندگان
چکیده
Background: In the context of today’s critical care, many patients require prolonged intubation and tracheostomy care. Though these are life-saving procedures, they are not totally devoid of complications. Suctioning of secretions via the ET tube/tracheostomy tube with a suction catheter is associated with trauma to the passages owing to the structure and material of catheters. To avoid the traumatic complications associated with the suction catheter, we wanted to use Foley’s catheter instead of suction catheter (since the former is softer and structurally advantageous than the latter). Aim: The aim of the study was to compare the advantages of using Foley’s catheter vs. suction catheter for suctioning through the endotracheal tube/tracheostomy tube. Methods: This was a prospective study done over a period of one and half years from Feb 2007 to Aug 2008. All the patients who underwent tracheostomy were included in the study. Patients with bleeding disorders, coagulation profile abnormalities, and ICU stay less than a week were excluded from the study. Every alternate patient was suctioned using Foley’s catheter. All the patients were followed till the time of discharge for any complications developed during the study. Data were collected from 363 patients of whom 181 were randomized to Foley’s catheter group and 182 to the suction catheter group. Results: The data obtained from the trial have shown that only 2% of the patients developed bleeding when Foley’s catheter was used as compared to 23% when the suction catheter was used. Adequate suctioning was obtained in both groups and there was no other significant complication related to the suctioning noted in both methods. Conclusion: Foley’s catheter is superior to conventional suction catheter in preventing tracheal bleed during endotracheal suctioning.
منابع مشابه
Advances in emergency medicine research in India: abstracts from the EMCON 2014 international conference
Within India, Emergency Medicine (EM) is a rapidly evolving and expanding specialty. EM has received increased recognition by the national government the past few years with the accreditation of training positions through the Medical Council of India and the National Board of Examinations. These recent advances have been gained through more than a decade of efforts by the Society for Emergency ...
متن کاملEstonian Experience on Establishment of a Modern National Poison Information Centre: One-year Profile of Phone Calls in 2012
Background: Initiating a National Poisoning Information Centre (PIC) in Estonia took about 12 years of challenging work on research, training and attracting governmental support and funding. In this study we described the establishment process and the profile of phone calls in the first year which the PIC started to be available full time (24h/day 7days/week). Methods: This was a descriptive ...
متن کاملThe Making of a New Medical Specialty: A Policy Analysis of the Development of Emergency Medicine in India
Background Medical specialization is an understudied, yet growing aspect of health systems in low- and middleincome countries (LMICs). In India, medical specialization is incrementally, yet significantly, modifying service delivery, workforce distribution, and financing. However, scarce evidence exists in India and other LMICs regar...
متن کاملThe role of biological factors in social withdrawal and avoidance of treatment for major depressive disorder: A path analysis.
Abstract of a presentation at the 45th Annual Meeting of the International Society of Psychoneuroendocrinology Stress and the Brain: From Fertility to Senility John McIntyre Conference Centre, Edinburgh, 8th 10th September 2015. Disciplines Medicine and Health Sciences | Social and Behavioral Sciences Publication Details Thomas, S., Larkin, T. & Leeson, P. (2015). The role of biological factors...
متن کامل