scholarly journals Airway management in the presence of cervical spine instability: A cross-sectional survey of the members of the Indian Society of Neuroanaesthesiology and Critical Care

2018 ◽  
Vol 62 (2) ◽  
pp. 115 ◽  
Author(s):  
Kamath Sriganesh ◽  
JasonW Busse ◽  
Harsha Shanthanna ◽  
VenkatapuraJ Ramesh
Keyword(s):  
Critical Care ◽  
Cervical Spine ◽  
Airway Management ◽  
Indian Society ◽  
Cross Sectional Survey ◽  
Cervical Spine Instability ◽  
Cross Sectional

Airway Management in Singers: A Cross-sectional Survey

2021 ◽  
Author(s):  
Stephanie E. Teng ◽  
Jacqueline R. Booth ◽  
Mark A. Fritz ◽  
Michael W. Groves ◽  
Gregory N. Postma
Keyword(s):  
Airway Management ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

2017 ◽  
Vol 5 (12) ◽  
pp. 5099
Author(s):  
Lucius C. Imoh ◽  
Onyedika G. Okoye ◽  
Audu C. Abimiku ◽  
Alex O. Abu ◽  
Solomon A. Asorose ◽  
...  
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Blood Gases ◽  
Biochemical Tests ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Urine Dipstick ◽  
Resource Setting ◽  
Emergency Units

Background: To determine the challenges in diagnostic support for adequate fluid and electrolyte (F/E) management in a poor-resource critical care setting.Methods: This cross-sectional survey was conducted between March and May 2017 in one hundred and four (104) doctors practicing in four tertiary hospitals in North-central Nigeria. These doctors were currently working in Accidents and Emergency Units (A/E), Intensive care Units (ICU) and Children Emergency Units and have worked for at least two months prior to the study. They were given a structured questionnaire to fill and return. The questionnaire among other things, addressed laboratory-related factors that affect management of F/E disturbances.Results: Unavailability of some laboratory tests, inaccuracy of laboratory results, incomplete test results and delay in obtaining results, hampered F/E management in critical care according to more than 75% of the surveyed doctors. About sixty percent of the doctors reported a turnaround time (TAT) of ≥3 hours for electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases). Also ≤25% of doctors responded that electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases) were offered in the ICU/Emergency unit laboratories. Ten percent or less of doctors reported that electrolytes and the emergency biochemical test were available by Point of care testing (POCT).Conclusions: There is an urgent need for the managers of healthcare in LMICs to establish functional laboratories in ICUs, explore the use of POCT and build capacity for diagnostic critical care.

Understanding critical care nurses’ autonomy in Jordan

2017 ◽  
Vol 30 (4) ◽  
pp. 432-442 ◽  
Author(s):  
Mahmoud Maharmeh
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Clinical Practice ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Critical Care Nurses ◽  
Cross Sectional Survey ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Content Type

Purpose The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice. Design/methodology/approach A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire. Findings A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings. Also, they were independent to develop their own knowledge. The study identified that their autonomy in action and acquired knowledge were influenced by a number of factors such as gender and area of practice. Practical implications Nurse’s autonomy could be increased if nurses are made aware of the current level of autonomy and explore new ways to increase empowerment. This could be offered through classroom lectures that concentrate on the concept of autonomy and its implication in practice. Nurses should demonstrate autonomous nursing care at the same time in the clinical practice. This could be done through collaboration between educators and clinical practice to help merge theory to practice. Originality/value Critical care nurses were more autonomous in action and knowledge base. This may negatively affect the quality of patient care and nurses’ job satisfaction. Therefore, improving nurses’ clinical decision-making autonomy could be done by the support of both hospital administrators and nurses themselves.

scholarly journals Use of personal protective equipment during infectious disease outbreak and nonoutbreak conditions: a survey of emergency medical technicians

CJEM ◽  
2009 ◽  
Vol 11 (01) ◽  
pp. 44-56 ◽  
Author(s):  
Laura M. Visentin ◽  
Susan J. Bondy ◽  
Brian Schwartz ◽  
Laurie J. Morrison
Keyword(s):  
Airway Management ◽  
Personal Protective Equipment ◽  
Intermediate Frequency ◽  
Emergency Medical Technicians ◽  
Protective Equipment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mandatory Training ◽  
Emergency Medical ◽  
Open Face

ABSTRACTObjective:We sought to assess the knowledge of, use of and barriers to the use of personal protective equipment for airway management among emergency medical technicians (EMTs) during and since the 2003 Canadian outbreak of Severe Acute Respiratory Syndrome (SARS).Methods:Using a cross-sectional survey, EMTs in Toronto, Ont., were surveyed 1 year after the SARS outbreak during mandatory training on the use of personal protective equipment in airway management during the outbreak and just before taking the survey. Practices that were addressed reflected government directives on the use of this equipment. Main outcome measures included the frequency of personal protective equipment use and, as applicable, why particular items were not always used.Results:The response rate was 67.3% (n= 230). During the SARS outbreak, an N95-type particulate respirator was reported to bealwaysused by 91.5% of respondents. Conversely, 72.9% of the respondents reported that theyneverused the open face hood. Equipment availability and vision impairment were often cited as impediments to personal protective equipment use. In nonoutbreak conditions, only the antimicrobial airway filter was most often reported to bealwaysused (52.0%), while other items were used at an intermediate frequency. The most common reason for notalwaysdonning equipment was that paramedics deemed it unnecessary for the situation.Conclusion:Personal protective equipment is not consistently employed as per medical directives. Reasons given for nonuse included nonavailability, judgment of nonnecessity or technical difficulties. There are important public health implications of noncompliance.

Knowledge, attitude and practice regarding gag-reflex in children among post-graduate students of paedodontics and preventive dentistry in India- An electronic cross-sectional survey

2019 ◽  
Author(s):  
Roshani Patel ◽  
Bhavna Dave ◽  
Seema Bargale ◽  
Poonacha KS ◽  
Vaishnavi Shah
Keyword(s):  
Graduate Students ◽  
Severity Index ◽  
Indian Society ◽  
Preventive Dentistry ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Graduate ◽  
Attitude And Practice ◽  
Gag Reflex ◽  
Knowledge Attitude And Practice

Introduction: The gag reflex is a usual response for patients, considered to shield the airway and eradicate irritants from the posterior oropharynx and the upper gastro-intestinal tract. Gag reflex is a annoying problem in various dental techniques and may result in a compromised management. If the dentist efforts to recognize the circumstances that trigger disruptive gagging, this may optimize patient care and operational success. Aim: To evaluate the knowledge, attitude and practice regarding gag-reflex in children among post-graduate students of paedodontics and preventive dentistry in India. Methodology: A list of registered Post graduate Students with Indian Society of Paedodontics & Preventive Dentistry was obtained from the office of Indian Society of Paedodontics & Preventive Dentistry. A questionnaire was sent to all the participants through e-mail whose information was obtained from the office of Indian Society of Paedodontics & Preventive Dentistry. The questionnaire was sent twice to each student. A response was awaited for a period of 3 months. Results: 127 Post graduate Students thought that Anxiety and fear was a main reason for gag reflex in children. 233 Post graduate Students thought that during gag reflex there is no change in Pulse Rate of the children. 69 Post graduate Students Always changed or modified their impression technique or impression material in children with gag reflex. 173 (58.2%) Post graduate Students agree with rubber-dam application is useful to prevent gag reflex in children. 275 (92.6%) Post graduate Students did not take gagging severity index (GSI)/gag prevention index (GPI) before treating a child with gag-reflex. Conclusion: The study revealed that Post graduate students of paedodontics and preventive dentistry in India have the knowledge regarding patient’s gag, but their attitude and practice toward the management of the children with gag-reflex is less.

scholarly journals A survey of moral distress in staff working in intensive care in the UK

2018 ◽  
Vol 20 (3) ◽  
pp. 196-203 ◽  
Author(s):  
GA Colville ◽  
D Dawson ◽  
S Rabinthiran ◽  
Z Chaudry-Daley ◽  
L Perkins-Porras
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Moral Distress ◽  
Female Gender ◽  
Intention To Leave ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Distress Scale

Elevated rates of burnout and post-traumatic stress have been found in staff working in critical care settings, but the aspect of moral distress has been harder to quantify until a recent revision of a scale previously designed for nurses, was adapted for use with a range of health professionals, including physicians. In this cross-sectional survey, n = 171 nurses and physicians working in intensive care in the United Kingdom completed the Moral Distress Scale-Revised in relation to their experiences at work. Mean (SD) Moral Distress Scale-Revised score was 70.2 (39.6). Significant associations were found with female gender (female 74.1 (40.2) vs. male 55.5 (33.8), p = 0.010); depression ( r = 0.165, p = 0.035) and with intention to leave job (considering leaving 85.5 (42.4) vs. not considering leaving 67.2 (38.6), p = 0.040). These results highlight the importance of considering the moral impact of work-related issues when addressing staff wellbeing in critical care settings.

scholarly journals The Subaxial Cervical AO Spine Injury Score

2020 ◽  
pp. 219256822097433
Author(s):  
Jose A. Canseco ◽  
Gregory D. Schroeder ◽  
Taylor M. Paziuk ◽  
Brian A. Karamian ◽  
Frank Kandziora ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Classification System ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Cross Sectional Survey ◽  
Injury Score ◽  
Cross Sectional ◽  
Severity Rating ◽  
Subaxial Cervical Spine ◽  
Injury Classification

Study Design: Global cross-sectional survey. Objective: To develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System. Methods: Respondents numerically graded each variable within the classification system for severity. Based on the results, and with input from the AO Spine Trauma Knowledge Forum, the Subaxial Cervical AO Spine Injury Score was developed. Results: An A0 injury was assigned an injury score of 0, A1 a score of 1, and A2 a score of 2. Given the significant increase in severity, A3 was given a score of 4. Based on equal severity assessment, A4 and B1 were both assigned a score of 5. B2 and B3 injuries were assigned a score of 6. Unstable C-type injuries were given a score of 7. Stable F1 injuries were assigned a score of 2, with a 2-point increase for F2 injuries. Likewise, F3 injuries received a score of 5, whereas more unstable F4 injuries a score of 7. Neurologic status severity rating scores increased stepwise, with scores of 0 for N0, 1 for N1, and 2 for N2. Consistent with the Thoracolumbar AO Spine Injury Score, N3 (incomplete) and N4 (complete) injuries were given a score of 4. Finally, case-specific modifiers M1 (PLC injury) received a score of 1, while M2 (critical disc herniation) and M3 (spine stiffening disease) received a score of 4. Conclusions: The Subaxial Cervical AO Spine Injury Score is an easy-to-use metric that can help develop a surgical algorithm to supplement the AO Spine Subaxial Cervical Spine Injury Classification System.

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