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The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape

The published article is available in this repository at http://hdl.handle.net/10019.1/125681

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Bibliographic Details
Main Author: Jooste, Willem Johannes Lodewyk
Other Authors: Van Hoving, Daniel Jacobus
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author Jooste, Willem Johannes Lodewyk
author2 Van Hoving, Daniel Jacobus
author_browse Jooste, Willem Johannes Lodewyk
Van Hoving, Daniel Jacobus
author_facet Van Hoving, Daniel Jacobus
Jooste, Willem Johannes Lodewyk
author_sort Jooste, Willem Johannes Lodewyk
collection Thesis
dc_rights_str_mv Stellenbosch University
description The published article is available in this repository at http://hdl.handle.net/10019.1/125681
format Thesis
id oai:scholar.sun.ac.za:10019.1/102550
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:45:20.375Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/102550 The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape Jooste, Willem Johannes Lodewyk Van Hoving, Daniel Jacobus Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Respiratory organs -- Obstructions -- Western Cape (South Africa) Respiratory emergencies -- Western Cape (South Africa) Airway (Medicine) -- Western Cape (South Africa) UCTD The published article is available in this repository at http://hdl.handle.net/10019.1/125681 Thesis (MMed)--Stellenbosch University, 2017. ENGLISH SUMMARY: Background: The failed or difficult airway is a rare, but life-threatening situation. Alternative airway devices to direct laryngoscopy are essential aids to manage these scenarios successfully. Objective: To determine which alternative airway devices are currently available in public emergency centres in the Western Cape Province, South Africa. Methods: A cross sectional study was conducted in 15 emergency centres. Data regarding the availability of different classes of alternative airway devices was documented on a standardised data collection sheet by a single investigator via direct observation. Incomplete or non-functional equipment was classified as ‘unavailable’. Summary statistics were used to describe the data. Results: Twenty-six different types of alternative airway devices were documented. Three centres (20%) had no alternative airway device. Five centres (33.3%) stocked only one device, three centres (20%) had two devices and four centres (26.7%) had more than two devices. Most centres (n=12, 80%) stocked supraglottic airways (only one centre (6.7%) had paediatric sizes). Tracheal tube introducers were available in five centres (33.3%). Four centres (26.7%) had video-laryngoscopes, but none had optical laryngoscopes. Retroglottic devices and needle cricothyroidotomy equipment were available in two centres (13.3%). Although surgical cricothyroidotomy equipment was available, the equipment was widely dispersed and only three centres (20%) had pre-packed sets available. None of the specialised paediatric centres had needle cricothyroidotomy equipment readily available. Conclusion: The study demonstrated that Western Cape public emergency centres are currently inadequately stocked with regards to alternative airway devices. A guideline regarding the procurement and implementation of these devices is needed. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. https://www.sciencedirect.com/science/article/pii/S2211419X14001372 Masters 2017-09-07T09:13:43Z 2017-12-11T10:24:04Z 2017-09-07T09:13:43Z 2017-12-11T10:24:04Z 2017-12 Thesis http://hdl.handle.net/10019.1/102550 en_ZA Stellenbosch University 60 pages : includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Respiratory organs -- Obstructions -- Western Cape (South Africa)
Respiratory emergencies -- Western Cape (South Africa)
Airway (Medicine) -- Western Cape (South Africa)
UCTD
Jooste, Willem Johannes Lodewyk
The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title_full The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title_fullStr The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title_full_unstemmed The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title_short The availability of alternative devices for the management of the difficult airway in public emergency centres in the Western Cape
title_sort availability of alternative devices for the management of the difficult airway in public emergency centres in the western cape
topic Respiratory organs -- Obstructions -- Western Cape (South Africa)
Respiratory emergencies -- Western Cape (South Africa)
Airway (Medicine) -- Western Cape (South Africa)
UCTD
url http://hdl.handle.net/10019.1/102550
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