Swiss Latin Airway Guidelines: a holistic approach for improving airway management

Casso, Gabrièle; Savoldelli, G.; Balmer, Christian; Ravussin, P.; Schoettker, Patrick

doi:10.4414/smw.2022.w30225

Cited by 3 publications

(5 citation statements)

References 66 publications

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“…The user may select the learning objectives relevant to a particular training stage, that is, starting with basic airway training for beginners followed by advanced training in airway management for more senior trainees. Table 2 also includes a selection of useful references, generic to SBET and applicable to other domains, 23–25,29,30 and others specific to airway management 31–37 …”

Section: Resultsmentioning

confidence: 99%

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Integration of simulation-based education in anaesthesiology specialist training

Savoldelli,

Burlacu,

Lazarovici

et al. 2023

European Journal of Anaesthesiology

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BACKGROUND Despite its importance in education and patient safety, simulation-based education and training (SBET) is only partially or poorly implemented in many countries, including most European countries. The provision of a roadmap may contribute to the development of SBET for the training of anaesthesiologists. OBJECTIVE To develop a global agenda for the integration of simulation into anaesthesiology specialist training; identify the learning domains and objectives that are best achieved through SBET; and to provide examples of simulation modalities and evaluation methods for these learning objectives. DESIGN Utstein-style meeting where an expert consensus was reached after a series of short plenary presentations followed by small group workshops, underpinned by Kern's six-step theoretical approach to curriculum development. SETTING Utstein-style collaborative meeting. PARTICIPANTS Twenty-five participants from 22 countries, including 23 international experts in simulation and two anaesthesia trainees. RESULTS We identified the following ten domains of expertise for which SBET should be used to achieve the desired training outcomes: boot camp/initial training, airway management, regional anaesthesia, point of care ultrasound, obstetrics anaesthesia, paediatric anaesthesia, trauma, intensive care, critical events in our specialty, and professionalism and difficult conversations. For each domain, we developed a course template that defines the learning objectives, instructional strategies (including simulation modalities and simulator types), and assessment methods. Aspects related to the practical implementation, barriers and facilitators of this program were also identified and discussed. CONCLUSIONS We successfully developed a comprehensive agenda to facilitate the integration of SBET into anaesthesiology specialist training. The combination of the six-step approach with the Utstein-style process proved to be extremely valuable in supporting content validity and representativeness. These results may facilitate the implementation and use of SBET in several countries. TRIAL REGISTRATION Not applicable.

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Section: Resultsmentioning

confidence: 99%

“…[23][24][25]29,30 and others specific to airway management. [31][32][33][34][35][36][37] Regional anaesthesia…”

Section: Learning Objectives Educational Strategies Assessment and Ev...mentioning

confidence: 99%

Integration of simulation-based education in anaesthesiology specialist training

Savoldelli,

Burlacu,

Lazarovici

et al. 2023

European Journal of Anaesthesiology

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Section: Case Presentationmentioning

confidence: 99%

“…In the bronchoscopy room a trolley with the necessary equipment for the management of an eventual difficult airway was available according to the FLAVA algorithm, the local protocol applied in Southern Switzerland [2] . The patient scheduled for elective EBUS was fasted and made to lie down in the ramped and optimized sniffing position.…”

Section: Case Presentationmentioning

confidence: 99%

“…Various guidelines address the management of anticipated or unanticipated difficult airways in emergency medicine [ 1 , 2 ] . This case report concerns the application of the “can’t intubate, can’t oxygenate” (CICO) protocol for an elective patient scheduled for endobronchial ultrasound bronchoscopy and the necessity to revert to emergency procedures rarely practised, in this case an emergency intubation requiring cricothyroidotomy.…”

Section: Introductionmentioning

confidence: 99%

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“Can’t intubate can’t oxygenate” situation in an elective patient in suspected sarcoidosis: a case report

Gerli,

Koetsier,

Ledingham

et al. 2023

European Journal of Case Reports in Internal Medicine

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Anaesthetists and pulmonologists are well trained to follow the “can’t intubate, can’t oxygenate” (CICO) protocol but the procedure is rarely practised. This case report concerns an elective patient scheduled for endobronchial ultrasound bronchoscopy (EBUS) because of suspected sarcoidosis. Based on known medical history, anaesthesia for EBUS procedure was initiated with a laryngeal mask. The airway turned out to be difficult and the patient was not ventilable despite several efforts including curarization and orotracheal intubation. Rapid desaturation imposed to apply the CICO protocol with emergency cricothyroidotomy as extreme measure but also failed. 6-handed face mask ventilation was continued. Eventually, introduction of a microlaryngeal tube of the 3rd generation laryngeal mask, placed on the fibrescope, allowed endotracheal intubation. The patient fell into pulseless electrical activity, and the CICO protocol was started. Immediate cardiopulmonary resuscitation totally recovered vital functions. In the post-operative follow-up, no temporary or permanent cardiological and neurological sequels were found, but new medical history such as inconstant use of C-PAP (Continuous Positive Airway Pressure) and a significant weight gain since the last notable difficult intubation were uncovered, which explained the patient’s compromised airways. Had this information been available prior to the scheduled operation, it would have indicated awake intubation with a local anaesthesia of the oropharynx and appropriate sedation of the patient.

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Retrograde tracheal intubation using the S‐guide intubation guide after emergent tracheotomy: A case report

Ollier,

Eichenberger,

Savoldelli

et al. 2024

Clinical Case Reports

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Swiss Latin Airway Guidelines: a holistic approach for improving airway management

Cited by 3 publications

References 66 publications

Integration of simulation-based education in anaesthesiology specialist training

Integration of simulation-based education in anaesthesiology specialist training

“Can’t intubate can’t oxygenate” situation in an elective patient in suspected sarcoidosis: a case report

Retrograde tracheal intubation using the S‐guide intubation guide after emergent tracheotomy: A case report

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