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The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia

Introduction Maintaining the airway is an essential element in the care of any ill or injured patient. Inadequate management of the airway may lead to hypoxia and hypercarbia with subsequent secondary brain injury, cardiopulmonary arrest, and ultimately death. The aim of the study was to identify...

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Main Author: Sikuvi, Kaveto Andreas
Other Authors: Welzel, Tyson B
Format: Thesis
Language:English
Published: Division of Emergency Medicine 2020
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access_status_str Open Access
author Sikuvi, Kaveto Andreas
author2 Welzel, Tyson B
author_browse Sikuvi, Kaveto Andreas
Welzel, Tyson B
author_facet Welzel, Tyson B
Sikuvi, Kaveto Andreas
author_sort Sikuvi, Kaveto Andreas
collection Thesis
description Introduction Maintaining the airway is an essential element in the care of any ill or injured patient. Inadequate management of the airway may lead to hypoxia and hypercarbia with subsequent secondary brain injury, cardiopulmonary arrest, and ultimately death. The aim of the study was to identify which airway devices are available in public emergency centres of referral hospitals in Namibia and to determine the perceived level of knowledge of use regarding these devices. Methods A cross-sectional study was conducted in four emergency centres of referral hospitals in Namibia. Data regarding the availability of airway devices were collected on a standardised data sheet by means of a site inspection. A questionnaire was also distributed to emergency centre doctors to assess their perceived knowledge of use of airway devices. Descriptive statistics of all variables are reported. Results Twenty-two different airway devices were documented at study hospitals. All centres had some form of basic airway devices. Only one (25%) had venturi-masks. Two centres (50%) had one type of introducer (Gum elastic bougie) whilst none of the centres had video laryngoscopes, surgical airway devices or laryngeal tubes. Twelve participants (32.4%) had received formal training on airway devices (senior clinicians n=6, junior clinicians n=6), and 25 (67.6%) had no formal training (senior clinicians n=11, junior clinicians n=12). Majority of the clinicians lacked perceived knowledge in the use of alternative airway devices which were not available in their respective emergency centres, with a frequency of 81.4%. Conclusion The study indicates that basic airway devices are available in referral emergency centres in Namibia, however most of the alternative airway devices are not adequately stocked in the sampled emergency centres. Furthermore, a large number of clinicians had perceived knowledge of the basic airway devices. However, the perceived level of knowledge of use in alternative airway devices was inadequate.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:45:21.112Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2020
publishDateRange 2020
publishDateSort 2020
publisher Division of Emergency Medicine
publisherStr Division of Emergency Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/31225 The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia Sikuvi, Kaveto Andreas Welzel, Tyson B van Hoving, DJ Emergency Medicine Introduction Maintaining the airway is an essential element in the care of any ill or injured patient. Inadequate management of the airway may lead to hypoxia and hypercarbia with subsequent secondary brain injury, cardiopulmonary arrest, and ultimately death. The aim of the study was to identify which airway devices are available in public emergency centres of referral hospitals in Namibia and to determine the perceived level of knowledge of use regarding these devices. Methods A cross-sectional study was conducted in four emergency centres of referral hospitals in Namibia. Data regarding the availability of airway devices were collected on a standardised data sheet by means of a site inspection. A questionnaire was also distributed to emergency centre doctors to assess their perceived knowledge of use of airway devices. Descriptive statistics of all variables are reported. Results Twenty-two different airway devices were documented at study hospitals. All centres had some form of basic airway devices. Only one (25%) had venturi-masks. Two centres (50%) had one type of introducer (Gum elastic bougie) whilst none of the centres had video laryngoscopes, surgical airway devices or laryngeal tubes. Twelve participants (32.4%) had received formal training on airway devices (senior clinicians n=6, junior clinicians n=6), and 25 (67.6%) had no formal training (senior clinicians n=11, junior clinicians n=12). Majority of the clinicians lacked perceived knowledge in the use of alternative airway devices which were not available in their respective emergency centres, with a frequency of 81.4%. Conclusion The study indicates that basic airway devices are available in referral emergency centres in Namibia, however most of the alternative airway devices are not adequately stocked in the sampled emergency centres. Furthermore, a large number of clinicians had perceived knowledge of the basic airway devices. However, the perceived level of knowledge of use in alternative airway devices was inadequate. 2020-02-21T13:17:47Z 2020-02-21T13:17:47Z 2017 2020-02-21T12:21:20Z Master Thesis Masters MMed http://hdl.handle.net/11427/31225 eng application/pdf Division of Emergency Medicine Faculty of Health Sciences
spellingShingle Emergency Medicine
Sikuvi, Kaveto Andreas
The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
thesis_degree_str Master's
title The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
title_full The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
title_fullStr The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
title_full_unstemmed The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
title_short The availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in Namibia
title_sort availability and perceived knowledge of use of airway management devices in emergency centres at referral hospitals in namibia
topic Emergency Medicine
url http://hdl.handle.net/11427/31225
work_keys_str_mv AT sikuvikavetoandreas theavailabilityandperceivedknowledgeofuseofairwaymanagementdevicesinemergencycentresatreferralhospitalsinnamibia
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