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  1. Surveys
  2. 2012
  3. August
  4. M
  5. Myringotomy Tube Placement
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Dear Colleagues:

You are invited to participate in a survey regarding myringotomy tube placement in patients treated at your hyperbaric medicine center. I am requesting that you complete a short survey (10 questions) regarding this. It will take approximately 10 minutes or less to complete and It is very user friendly. No writing is involved.

Your participation with this gathering of information is completely voluntary.
Your survey responses will be strictly confidential and data will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey you may contact me at my office (914) 366-6665 or the hyperbaric center (914) 366-3690. Additionally you may email me at the email address specified below.

Thank you very much for your time, support and interest in improving patient care in our specialty! Please start with the survey now by clicking on the Continue button below.

Sincerely,

Owen Joseph O'Neill, MD, UHM/ACHM, FACHM, FAPWCA, CHT
 
 
 
What type of hyperbaric facility are your patients treated in?
 
Hospital Affiliated Multiplace
 
Hospital Affiliated Monoplace
 
Non-Hospital Affiliated Multiplace
 
Non-Hospital Affiliated Monoplace
 
 
 
How many patient treatments (compressions) do you perform annually ?
 
Less than 1500
 
1500 - 2000
 
2000-2500
 
Greater than 2500
 
 
 
During elective and routine compression of the chamber, which best describes your rate of descent to a treatment depth to 33 FSW ?
 
Less than 5 minutes
 
5-10 minutes
 
Greater than 10 minutes
 
 
 
During elective and routine compression of the chamber, which best describes your rate of descent to a treatment depth to 45 FSW ?
 
Less than 5 minutes
 
5-10 minutes
 
Greater than 10 minutes
 
 
 
Patients who experience difficulty equalizing, how many attempts ( "stops"/"holds") )will you give them to reach treatment depth before aborting their treatment?
 
One stop
 
Two stops
 
Three stops
 
More than three stops
 
 
 
For patients having difficulty equalizing on multiple days of therapy despite optimal medical management, how many failed compressions (daily attempts) do you require before suggesting that myringotomy tubes be placed?
 
One failed compression ( 1 day )
 
Two failed compressions ( 2 days )
 
Three failed compressions ( 3 days )
 
More than three failed daily compressions
 
 
 
For those patients having continued difficulty equalizing pressure on one side (unilateral ear pain) with no difficulty equalizing pressure on the opposite side, what do you recommend to the ENT surgeon regarding placement of myringotomy tubes?
 
Place myringotomy tubes bilaterally
 
Place a myringotomy tube only on the side that the patient is having difficulty equalizing (only one tube)
 
 
 
Regarding patients who require myringotomy tube placement; when the prescribed course of hyperbaric oxygen therapy is completed and the patient is discharged from your service, which best describes your action regarding the tubes?
 
No follow up, allow the tubes to fall out on their own as expected
 
Continue to follow the patient in hyperbaric clinic regularly until the tubes fall out
 
Refer the patient back to the ENT surgeon after hyperbaric discharge and let them care for the tubes
 
Refer the patient back to the ENT surgeon after hyperbaric discharge to remove the tubes immediately
 
 
 
Have you ever had to refer a myringotomy tube patient back to the ENT surgeon for any complications directly related to the tubes including but not limited to, infection, migration of the tube into the middle ear space, hearing loss, chronic perforation of the tympanic membrane following removal of the tubes, bleeding, or failure of tube function related to blood clot following the procedure?
 
Yes
 
No
 
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