| Autor: |
Ebersole, Barbara, Moran, Kathleen, Gou, Jiangtao, Ridge, John, Schiech, Linda, Liu, Jeffrey C., Lango, Miriam |
| Předmět: |
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| Zdroj: |
Head & Neck; Sep2020, Vol. 42 Issue 9, p2453-2459, 7p |
| Abstrakt: |
Background: Tracheal dryness is a concern after total laryngectomy due to the potential for mucus plugs (MP). This study compared heat and moisture exchanger (HME) cassettes to external tracheal humidification (ETH) surrounding MP events. Methods: A retrospective comparative cohort study comparing outcomes before/after implementation of a patient safety initiative utilizing HME during post laryngectomy hospitalization. The number of MP events were compared with a pre‐implementation control group using ETH. Patient characteristics were analyzed for correlation with MP. Results: The rate of MP was significantly lower in the HME group than ETH (0.13 and 0.38 per 10 inpatient days, respectively, P =.02). The proportion of patients with one or more MP events was also significantly reduced in the HME group (50% ETH and 11% HME, P =.01). Method of humidification was the only significant variable associated with MP on logistic regression modeling (P =.008). Conclusions: HMEs were superior to ETH for prevention of MP. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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