Clinical Consensus Statement

Autor: Cindy Dawson, Gavin Setzen, Albert L. Merati, Christopher J. Hartnick, Brian Nussenbaum, Kathleen Deakins, Ian N. Jacobs, Calvin A. Brown, Ron B. Mitchell, Cheryl Brandt, Heather M. Hussey
Rok vydání: 2012
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 148:6-20
ISSN: 1097-6817
0194-5998
Popis: Objective. This clinical consensus statement (CCS) aims to improve care for pediatric and adult patients with a tracheost- omy tube. Approaches to tracheostomy care are currently inconsistent among clinicians and between different institu- tions. The goal is to reduce variations in practice when manag- ing patients with a tracheostomy to minimize complications. Methods. A formal literature search was conducted to iden- tify evidence gaps and refine the scope of this consensus statement. The modified Delphi method was used to refine expert opinion and facilitate a consensus position. Panel members were asked to complete 2 scale-based surveys addressing different aspects of pediatric and adult tracheost- omy care. Each survey was followed by a conference call during which results were presented and statements discussed. Results. The panel achieved consensus on 77 statements; another 39 were dropped because of lack of consensus. Consensus was reached on statements that address initial tracheostomy tube change, management of emergencies and complications, prerequisites for decannulation, management of tube cuffs and communication devices, and specific patient and caregiver education needs. Conclusion. The consensus panel agreed on statements that address the continuum of care, from initial tube management to complications in children and adults with a tracheostomy. The panel also highlighted areas where consensus could not be reached and where more research is needed. This consen- sus statement should be used by physicians, nurses, and other stakeholders caring for patients with a tracheostomy.
Databáze: OpenAIRE
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