[abstract] A CASE STUDY OF AN OXYGEN DELIVERY SYSTEM TECHNIQUE FOR THE MULTIPLACE HYPERBARIC ENVIRONMENT IN A TRACHEOTOMY PATIENT

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[abstract] A CASE STUDY OF AN OXYGEN DELIVERY SYSTEM TECHNIQUE FOR THE MULTIPLACE HYPERBARIC ENVIRONMENT IN A TRACHEOTOMY PATIENT

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Title: [abstract] A CASE STUDY OF AN OXYGEN DELIVERY SYSTEM TECHNIQUE FOR THE MULTIPLACE HYPERBARIC ENVIRONMENT IN A TRACHEOTOMY PATIENT
Author: Everts, J
Abstract: BACKGROUND: Often hyperbaric specialists will be challenged with the method of delivering treatment gas to the client in other than standard methods. The options of using torso seal neckdams blow by T-piece tube connectors, or gel mask / tracheotomy tent devices are available. In this case-study the use of a gel seal CPAP mask modified for use deemed most appropriate. MATERIALS AND METHODS: Consultation with ACHRN Monica Skarban at St. Luke's in Milwaukee, WI took place after poor outcomes using a torso seal neck dam resulted in frequent oxygen leaks; a fire hazard in the multiplace arena. Based on previous research and UHMS abstract a respiratory equipment manufacturer (Respironics) provided a CPAP gel seal mask as a trial sample for the client in focus. The client was requested to report her experience for education and application towards future clients. The client in focus is a 56 year old female postoperative / radiation osteoradionecrosis with total laryngectomy related to a locally advanced squamous cell carcinoma of the larynx. The client presents to the hyperbaric medicine with PEG tube and trach-button and placed on the Miami Marx protocol for preoperative tooth extraction. RESULTS: Client reports successful delivery of oxygen through the method of gel mask device. Key outcomes recognized include flow rate and volume issues, avoidance of gastric distention, harness modification for appropriate leak proof seal, and patient comfort. These will be discussed in detail during presentation. CONCLUSIONS: Thanks to the ideas of others, new methods for better techniques blossom through use. The process of client case study and qualitative quasi-research methods result in process improvement. The results of the St. Luke's hyperbaric teams previous research and the product development from Respironics allowed the client in focus to better benefit from hyperbaric medicine
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1809
Date: 2005

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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