An international survey of airway management education in 61 countries†

Armstrong, Laura Marie; Harding, Fleur; Critchley, Julia; McNarry, Alistair F.; Myatra, Sheila Nainan; Cooper, Richard M.; Baker, Paul

doi:10.1016/j.bja.2020.04.051

Cited by 25 publications

(15 citation statements)

References 29 publications

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“…The recent Cochrane review highlighted the benefits of videolaryngoscopy in performing successful tracheal intubation [33••]. However, surveys have revealed that not every hospital institution has access to these devices even in highand upper middle-income countries [34][35][36]. Even when videolaryngoscopes are widely available, attitudes to their regular use vary among anesthetists in the same country [37,38].…”

Section: Evidence-guided Practicementioning

confidence: 99%

Airway Leads and Airway Response Teams: Improving Delivery of Safer Airway Management?

Smith

McNarry

2020

Curr Anesthesiol Rep

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Purpose of Review Airway management remains a source of significant morbidity and mortality. This review considers recent summaries of complications and looks toward strategies to improve practice using a coordinated approach. Recent Findings A safety gap can exist between national recommendations and local practice. A lack of attention to end tidal carbon dioxide has repeatedly contributed to airway mismanagement. Clinicians must be trained in newer airway devices (videolaryngoscopes or supraglottic airways) to use them effectively. Time must be found to teach rarely performed skills (e.g., front-of-neck access). Both larger and smaller hospitals have benefitted from an airway lead or response team, coordinating education programs, ensuring the adoption of guidelines, standardizing equipment, and recognizing the role of human factors and ergonomics. Summary Even in the twenty-first century, the incidence of airway-related morbidity and mortality can be reduced, by an institutionally supported, coordinated approach to the whole process of airway care.

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Section: Evidence-guided Practicementioning

confidence: 99%

Airway Leads and Airway Response Teams: Improving Delivery of Safer Airway Management?

Smith

McNarry

2020

Curr Anesthesiol Rep

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“…Quality assurance is restricted in possibly life-saving skills. 14 We recommend the role of otorhinolaryngologist in quality training of all doctors and paramedical staff. Small group (5-14 participants) workshops on both skills should be performed after 1-2 months in every medical institution of the world.…”

Section: Discussionmentioning

confidence: 99%

Ent Surgeons as Master Trainers of Cricothyroidotomy Will Save Precious Lives in Emergencies

Bukhari¹,

Aslam²,

Riaz³

et al. 2021

PAFMJ

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Objective: To train young doctors and paramedical staff on needle cricothyroidotomy and surgical cricothyroidotomy and provision of kits in trauma centers, main operation theatres and medical reception centers of the hospitals. Study Design: Quasi experimental study. Place and Duration of Study: Combined Military Hospital Peshawar and Pakistan Naval Ship Shifa, Karachi Pakistan, from Nov 2017 to Oct 2020. Methodology: Doctors and paramedical staff were selected on volunteer basis. Small groups were trained in 2-3hours. The participants were shown two videos of two procedures in Urdu language first and then were trained on mannequin. Results: A total of 345 participants including 205 males and 140 females were trained with mean age was 28.2667 ± 6.24 (SD) years. Out of 61 residents, 54 medical officers, 143 house officers, 35 nurses and 52 paramedical staff were participants. Conclusion: ENT surgeons must arrange mannequins and conduct training sessions of small groups after every 1 to 2 months.

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“…French Society of Anaesthesia and Intensive Care Medicine (SFAR) recommend initial theoretical introduction followed by practice on manikins and simulators until achieving proficiency [ 25 ]. Although VL as a skill is easily learned, performance outcome is influenced by the quality of training, access to the device and deliberate practice to achieve expertise [ 26 ]. Even though necessary, skill assessment for VL is difficult because competencies for various devices are still not well defined [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Croatian national audit on videolaryngoscopes and alternative intubation devices in the era of COVID-19 pandemic

et al. 2023

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Introduction Videolaryngoscopy (VL) is the recommended strategy for airway management in COVID-19 patients and guidelines recommends that all anesthesiologists should be trained to use and have immediate access to the device. However, the availability of VL in hospitals and its use may vary, as well as the choice of the device and necessary training. Our primary aim was to investigate data on availability of VL in Croatia, its use, the choice of the device and its implementation, with special consideration of COVID-19 management. Materials and methods An electronic survey was sent to all Croatian hospitals that have anesthesiology service available. The survey was designed to examine data on availability and use of VL with special consideration of COVID-19 wards. The survey was conducted between 1.03.2021 and 30.08.2021. Results Response rate was 83%. VL was available in 86% of hospitals and the best supplied areas were intensive care units, general surgery and gynecology/obstetrics. The most common VL devices were Bonfils, C-MAC and C-MAC D-blade. The choice of VL was mainly based on centralized hospital procurement and informal introduction was found to be the most frequent training method. The VL was mainly used in Croatian hospitals in cases of difficult airway or as a backup method after failed intubation. Only 16% of hospitals reported regular use in everyday practice. Even though, VL was available in 64% of COVID-19 wards, only 21% of hospitals reported routine use. Conclusion Although VL is available in the majority of Croatian hospitals, its use is still mainly restricted to difficult airway scenarios. Use of VL in COVID-19 management is also low and education on the method is still mainly informal. Based upon our results better implementation in practice should be targeted, as well as formal skill trainings especially regarding COVID-19 care.

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An international survey of airway management education in 61 countries†

Cited by 25 publications

References 29 publications

Airway Leads and Airway Response Teams: Improving Delivery of Safer Airway Management?

Airway Leads and Airway Response Teams: Improving Delivery of Safer Airway Management?

Ent Surgeons as Master Trainers of Cricothyroidotomy Will Save Precious Lives in Emergencies

Croatian national audit on videolaryngoscopes and alternative intubation devices in the era of COVID-19 pandemic

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