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Current practice of difficult airway management: A survey

BACKGROUND AND AIMS: Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA mana...

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Autores principales: Rajesh, MC, Suvarna, K, Indu, S, Mohammed, Taznim, Krishnadas, A, Pavithran, Priyanka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743304/
https://www.ncbi.nlm.nih.gov/pubmed/26903674
http://dx.doi.org/10.4103/0019-5049.171571
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author Rajesh, MC
Suvarna, K
Indu, S
Mohammed, Taznim
Krishnadas, A
Pavithran, Priyanka
author_facet Rajesh, MC
Suvarna, K
Indu, S
Mohammed, Taznim
Krishnadas, A
Pavithran, Priyanka
author_sort Rajesh, MC
collection PubMed
description BACKGROUND AND AIMS: Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA management was also assessed. METHODS: A questionnaire was distributed in a continuing medical education (CME) programme dedicated to DA and responses were noted and analysed, using Statistical Package for Social Sciences (SPSS) version 18. RESULTS: The response rate was 73%. Airway assessment was performed by majority. Sixty eight percent consultants and 47% residents were well aware of the American Society of Anesthesiologists' DA algorithm. 67% consultants and 65% residents attended at least one CME on DA in the previous 5 years. There was an overall deficiency of video laryngoscopes, retrograde intubation and cricothyrotomy sets. Most of the respondents were comfortable in using supraglottic airway devices (SGADs). In anticipated DA, the preferred choice of management for junior doctors was attempting conventional method once and awake fibreoptic bronchoscopy (FOB) for the experienced. In unanticipated DA, most of the residents and consultants opted for SGAD. Extubation strategy was similar for both. Thirty four percent of respondents experienced a ‘cannot intubate-cannot ventilate’ situation at least once. CONCLUSION: Our survey showed that most respondents performed routine pre-operative airway assessment. A good armamentarium of airway gadgets should be made available in hospitals. Further training in techniques like video laryngoscopy, FOB or cricothyrotomy are essential.
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spelling pubmed-47433042016-02-22 Current practice of difficult airway management: A survey Rajesh, MC Suvarna, K Indu, S Mohammed, Taznim Krishnadas, A Pavithran, Priyanka Indian J Anaesth Evidence Based Data BACKGROUND AND AIMS: Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA management was also assessed. METHODS: A questionnaire was distributed in a continuing medical education (CME) programme dedicated to DA and responses were noted and analysed, using Statistical Package for Social Sciences (SPSS) version 18. RESULTS: The response rate was 73%. Airway assessment was performed by majority. Sixty eight percent consultants and 47% residents were well aware of the American Society of Anesthesiologists' DA algorithm. 67% consultants and 65% residents attended at least one CME on DA in the previous 5 years. There was an overall deficiency of video laryngoscopes, retrograde intubation and cricothyrotomy sets. Most of the respondents were comfortable in using supraglottic airway devices (SGADs). In anticipated DA, the preferred choice of management for junior doctors was attempting conventional method once and awake fibreoptic bronchoscopy (FOB) for the experienced. In unanticipated DA, most of the residents and consultants opted for SGAD. Extubation strategy was similar for both. Thirty four percent of respondents experienced a ‘cannot intubate-cannot ventilate’ situation at least once. CONCLUSION: Our survey showed that most respondents performed routine pre-operative airway assessment. A good armamentarium of airway gadgets should be made available in hospitals. Further training in techniques like video laryngoscopy, FOB or cricothyrotomy are essential. Medknow Publications & Media Pvt Ltd 2015-12 /pmc/articles/PMC4743304/ /pubmed/26903674 http://dx.doi.org/10.4103/0019-5049.171571 Text en Copyright: © 2015 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Evidence Based Data
Rajesh, MC
Suvarna, K
Indu, S
Mohammed, Taznim
Krishnadas, A
Pavithran, Priyanka
Current practice of difficult airway management: A survey
title Current practice of difficult airway management: A survey
title_full Current practice of difficult airway management: A survey
title_fullStr Current practice of difficult airway management: A survey
title_full_unstemmed Current practice of difficult airway management: A survey
title_short Current practice of difficult airway management: A survey
title_sort current practice of difficult airway management: a survey
topic Evidence Based Data
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743304/
https://www.ncbi.nlm.nih.gov/pubmed/26903674
http://dx.doi.org/10.4103/0019-5049.171571
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