Member Contributions

Submitted by admin on Fri, 12/09/2008 - 19:58.


 

Member Contributions

 

The weekly contributions from ICUConnect members has been revived for 2009. In the past the weekly contributions from NSW ICUs have included case studies, policies & guidelines, quality activities, lectures and descriptions of innovative activities. These can be found in the Archives. This year these contributions will again be coming from the NSW ICUs however the wider ICUConnect community will also be contributing. These contributions will be posted here in the week they are submitted onto ICUConnect.

 

As usual if you are using these contributions please acknowledge the original author with the ICCMU website as the source

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 December

 

January 2009

  • Monitoring Delirium - Professor Claire Rickard [Research Centre for Clinical & Community Practice Innovation, Griffith University, Queensland, Australia]. This is a ppt presented at APCCM 2008 Sydney Australia [October 30-November 2 2008]
  • Sustaining Quality Care - Professor Sharon McKinley (University of Technology Sydney and Royal North Shore Hospital). Professor McKinely delievered this presentation on behalf of the RNSH ICU team who have undertaken a number of successful quality projects in the recent past. This is a pdf of the ppt presented at APCCM 2008 Sydney Australia [October 30-November 2 2008]

February 2009

March 2009

April

May

June


July

August

September

October

November

December

 

 

 

A Mystery Object from St George ICU

So to start off... some interesting facts about tracheostomy and tracheal intubations. Curtesy of Szmuk P et al (see reference below)

The earliest suggestions of surgical tracheostomies being performed on humans have been recorded as far back as 2000 BC. However the development of an oral endotracheal tube is thought to have occurred around the mid to late 1700's, when endotracheal tubes were said to used in the resuscitation of drowned persons. Despite oral endotracheal tubes being developed it appears tracheostomy procedures remained more common.


Up until the late 1800's all tubes were a very simple straight or curved ridged tube. It was not until 1869 that the German born Friedrich Trendelenburg manufactured the first cuffed tube, which was dubbed 'Trendelenburg's tampon'. (And some of you thought Trendelenburg was only interested in putting patient's in a head down and feet in the air position ! ). By the turn of the century (1900) inflatable cuffed tubes were being developed, and by the 1930's designs for double lumen bronchial tubes were being trailed.


The use of various laryngoscopy techniques to assist with intubation were develop around the turn of the century (1900). However the origins of the commonly used curved laryngoscopic blade which everyone would be familiar with today, can be attributed to Sir Robert Macintosh who developed the original blade in 1943.


For those wanting a more detailed historical account of the development of the tracheostomy and ETT, please refer to the following article which I used as a reference.
Szmuk P. Ezri T. Evron S. Roth Y. Katz J. A brief history of tracheostomy and tracheal intubation, from the Bronze Age to the Space Age. [Historical Article. Journal Article] Intensive Care Medicine. 34(2):222-8, 2008 Feb.

 

Now for something a little different... In the picture opposite, what is the man holding and what do you think it may be used for?

 

Answer can be found here

 

 



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