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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4773_Библиотеки_им_академика_М_И_Перельмана.pdf
Table of Contents
Personal Acknowledgements
Title Page
Copyright
NTSP Editorial board
Preface
Acknowledgements
Competing interests
Disclaimer
Contact details and further information
Updates
Executive summary key recommendations
Key issue
Action
Chapter 1: How the NTSP resources were developed
Chapter 2: What is a tracheostomy? What is a laryngectomy?
What is a tracheostomy?
What is a laryngectomy?
Chapter 3: Why and how a tracheostomy is performed
Indications for a tracheostomy
Anatomy relevant to tracheostomy
Types of tracheostomy
Techniques for inserting a tracheostomy
Performing a tracheostomy
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Chapter 4: Different types of tracheostomy tubes
Cuffed tubes
Uncuffed tubes
Fenestrated tubes
Single-cannula tubes
Double-cannula tubes
Tubes with sub-glottic suction
Adjustable flange tracheostomy tubes
Choice of tracheostomy tube
Factors influencing temporary tracheostomy tube choice
Tubes from different manufacturers
Chapter 5: Management of the day-to-day needs of the patient with a
tracheostomy and laryngectomy
Daily checks
Humidification
Suctioning
Stoma care and securing the tube
Management of the inner cannulae
Oral care and swallowing
Cuff management
Changing tracheostomy tubes
Equipment required for a tracheostomy tube change
Weaning, downsizing and planning for decannulation
Decannulation
Bedside equipment
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Humidification and speech after laryngectomy
Patient information sheets examples
Chapter 6: Complications
Complications associated with a tracheostomy
Chapter 7: Red flags
What should you do if you detect a red flag?
Chapter 8: Emergency management of the patient with a tracheostomy or
laryngectomy
Guideline development
Patent upper airway: the ‘Green algorithm’
Laryngectomy: the ‘Red algorithm’
Comparison with previously published guidelines
Chapter 9: Paediatric tracheostomy care (with Great Ormond Street
Hospital, London)
Background
Indications for tracheostomy in a child
Differences between adult and paediatric airways
Nursing and general care of the paediatric tracheostomy patient
Staff and carer competency guides
Emergency management of the child with a tracheostomy
Discharge from hospital with a paediatric tracheostomy
Chapter 10: Infrastructure considerations
Introduction
Hospital inpatient management
Draft tracheostomy policy outline
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Chapter 11: Competencies for staff caring for patients with tracheostomies
or laryngectomies
Tracheostomy care: competency assessment criteria
Chapter 12: Courses
Chapter 13: Human factors
Introduction
Human error
Error chains
Communication
Situation awareness
Fatigue
Decision making
Leadership: people, behaviours
Summary
Acknowledgement
Bibliography
Index
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Personal Acknowledgements
A great many people have put a lot of hard work into the production of
this book and the accompanying courses and resources.The authors would
like to thank all the contributors for their efforts. NTSP are now working
in partnership with the Advanced Life Support Group, ALSG. Our thanks
go to JaneMooney,Medical Editor at ALSG, and the staff atWiley for their
support and assistance in the production of this text.
For Emma, Cerys and Bethan-thanks for the love, support and patience.
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This edition first published 2014 © 2014 by John Wiley & Sons, Ltd.
Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate,
Chichester, West Sussex, PO19 8SQ, UK
Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
111 River Street, Hoboken, NJ 07030-5774, USA
Permission granted to reproduce for personal and educational use only.
Commercial copying, hiring, lending or sale is prohibited.
The NTSP is acknowledged as the author of this manual.
For details of our global editorial offices, for customer services and for
information about how to apply for permission to reuse the copyright
material in this book please see our website at www.wiley.com/
wiley-blackwell
The right of the author to be identified as the author of this work has been
asserted in accordance with the UK Copyright, Designs and Patents Act
1988.
All rights reserved. No part of this publication may be reproduced, stored
in a retrieval system, or transmitted, in any form or by any means,
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The contents of this work are intended to further general scientific
research, understanding, and discussion only and are not intended and
should not be relied upon as recommending or promoting a specific
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method, diagnosis, or treatment by health science practitioners for any
particular patient. The publisher and the author make no representations or
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Library of Congress Cataloging-in-Publication Data
Comprehensive tracheostomy care : the National Tracheostomy Safety
Project manual / edited by Dr. B.A. McGrath.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-79277-3 (cloth)
I. McGrath, B. A. (Brendan Anthony), 1974- editor of compilation. II.
National Tracheostomy Safety Project (Great Britain)
[DNLM: 1. National Tracheostomy Safety Project (Great Britain) 2.
Tracheostomy--Practice Guideline. 3. Laryngectomy--Practice Guideline.
4. Patient Safety--Practice Guideline. WF 490]
RF517
9
617.5′33– dc23
2013041262
Wiley also publishes its books in a variety of electronic formats. Some
content that appears in print may not be available in electronic books.
Cover image: Reproduced with permission from Shutterstock, Inc.
Cover design by www.hisandhersdesign.co.uk
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