scholarly journals Access to difficult airway equipment and training for rural GP-anaesthetists in Australia: results of a 2012 survey

2012 ◽  
Author(s):  
Tim Leeuwenburg
Keyword(s):  
Difficult Airway ◽  
Airway Equipment ◽  
And Training

scholarly journals The Availability of Advanced Airway Equipment and Experience with Videolaryngoscopy in the UK: Two UK Surveys

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Rachel L. Gill ◽  
Audrey S. Y. Jeffrey ◽  
Alistair F. McNarry ◽  
Geoffrey H. C. Liew
Keyword(s):  
Difficult Airway ◽  
High Frequency ◽  
Fibreoptic Intubation ◽  
Skill Levels ◽  
Teaching Competence ◽  
Equipment Availability ◽  
Fibreoptic Laryngoscopy ◽  
Advanced Airway ◽  
Airway Equipment ◽  
The Uk

Fibreoptic intubation, high frequency jet ventilation, and videolaryngoscopy form part of the Royal College of Anaesthetists compulsory higher airway training module. Curriculum delivery requires equipment availability and competent trainers. We sought to establish (1) availability of advanced airway equipment in UK hospitals (Survey I) and (2) if those interested in airway management (Difficult Airway Society (DAS) members) had access to videolaryngoscopes, their basic skill levels and teaching competence with these devices and if they believed that videolaryngoscopy was replacing conventional or fibreoptic laryngoscopy (Survey II). Data was obtained from 212 hospitals (73.1%) and 554 DAS members (27.6%). Most hospitals (202, 99%) owned a fiberscope, 119 (57.5%) had a videolaryngoscope, yet only 62 (29.5%) had high frequency jet ventilators. DAS members had variable access to videolaryngoscopes with Airtraq 319 (59.6%) and Glidescope 176 (32.9%) being the most common. More DAS members were happy to teach or use videolaryngoscopes in a difficult airway than those who had used them more than ten times. The majority rated Macintosh laryngoscopy as the most important airway skill. Members rated fibreoptic intubation and videolaryngoscopy skills equally. Our surveys demonstrate widespread availability of fibreoptic scopes, limited availability of videolaryngoscopes, and limited numbers of experienced videolaryngoscope tutors.

C-MAC© videolaryngoscopy: The anaesthetic assistant’s view

2018 ◽  
Vol 28 (4) ◽  
pp. 83-89 ◽  
Author(s):  
Lydia Jones ◽  
Kathleen Mulcahy ◽  
Jeremy Fox ◽  
Tim M Cook ◽  
Fiona E Kelly
Keyword(s):  
Patient Safety ◽  
Difficult Airway ◽  
Clinical Benefit ◽  
Response Rate ◽  
Force Application ◽  
Team Working ◽  
Working Practices ◽  
Laryngeal Anatomy ◽  
The Impact ◽  
And Training

Although videolaryngoscopy plays a major role in the 2015 Difficult Airway Society guidelines, the impact on anaesthetic assistant working practices and training has not previously been reported. We surveyed anaesthetic assistants in our hospital to document their experience with using the C-MAC© videolaryngoscope (48 practitioners, 100% response rate). Improvements in the following were reported: patient safety 100%; ability to see whether laryngoscopy is difficult 98%; ability to anticipate the ‘next step’ 98%; team-working and human factors 96%; ability to call a senior anaesthetist more quickly 94%; assessment or adjustment of cricoid force application 92%, understanding of laryngeal anatomy 92%; training in intubation 98%; training in cricoid force application 87%. Concerns were primarily about local issues such as decontamination and blade availability. Ninety percent reported that the clinical benefit outweighed any additional workload. In conclusion, the C-MAC© videolaryngoscope is judged by anaesthetic assistants to confer numerous advantages for their working practice and training.

scholarly journals Awareness of difficult airway equipment on the ICU

Critical Care ◽  
2012 ◽  
Vol 16 (S1) ◽  
Author(s):  
A Wozniak ◽  
A Iyer
Keyword(s):  
Difficult Airway ◽  
Airway Equipment

Availability and organization of difficult airway equipment in Swedish hospitals: A national survey of anaesthesiologists

2019 ◽  
Vol 63 (10) ◽  
pp. 1313-1320
Author(s):  
Martin F. Bjurström ◽  
Karolina Persson ◽  
Louise W. Sturesson
Keyword(s):  
Difficult Airway ◽  
National Survey ◽  
Airway Equipment

scholarly journals Difficult airway management and training

2017 ◽  
Vol 30 (6) ◽  
pp. 743-747 ◽  
Author(s):  
Bastian Grande ◽  
Michaela Kolbe ◽  
Peter Biro
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management ◽  
And Training

Management of the difficult airway

2016 ◽  
Author(s):  
Mary C. Mushambi ◽  
Rajesh Pandey
Keyword(s):  
Decision Making ◽  
Pregnant Woman ◽  
Difficult Airway ◽  
Cricoid Pressure ◽  
Careful Consideration ◽  
Situational Factors ◽  
Morbidity And Mortality ◽  
General Anaesthetic ◽  
Failed Intubation ◽  
Airway Equipment

Failed or difficult intubation is still a major cause of maternal morbidity and mortality. The management of the airway in the pregnant patient requires careful consideration of anatomical and physiological changes, training issues, and situational factors. Despite significant improvements in monitoring and airway equipment, and a reduction in anaesthetic-related maternal mortality, the incidence of failed intubation in the pregnant woman in many units has remained between 1/250 and 1/300. This may result from many factors such as the reduction of the number of caesarean deliveries performed under general anaesthesia which has resulted in limited opportunities to teach airway skills in obstetrics, the increased incidence of obesity, and the rise in maternal age and associated co-morbidities. Improved training and careful planning and performance of a general anaesthetic (i.e. reducing the risk of aspiration; optimum pre-oxygenation, patient positioning, and application of cricoid pressure; and availability of appropriate airway equipment) have the potential to reduce airway-related morbidity and mortality in the pregnant woman. Simple bedside tests such as Mallampati scoring, thyromental distance, neck movement, and ability to protrude the mandible may help to predict a potential difficult airway, particularly when used in combination. Management of a predicted difficult airway requires early referral to the anaesthetists, formulation of an airway management strategy, and involvement of the multidisciplinary team in decision-making. Fibreoptic equipment and skills should be readily available when required. Management of the unpredicted difficult airway should make maintenance of maternal and fetal oxygenation the primary goal. Decision-making during a failed intubation on whether to proceed or wake the patient should involve the obstetrician and ideally be planned in advance. The periods during extubation and recovery are high risk and require preparation and planning in advance.

scholarly journals How Well Equipped are ENT Wards for Airway Emergencies?

2006 ◽  
Vol 88 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Rupan Banga ◽  
Andrea Thirlwall ◽  
Rogan Corbridge
Keyword(s):  
Airway Management ◽  
Response Rate ◽  
Telephone Survey ◽  
Junior Doctors ◽  
National Guidelines ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Airway Equipment ◽  
Adequate Provision ◽  
And Training

INTRODUCTION With increased cross cover of specialities at night and more direct triaging of casualty patients to ENT wards, there is an increased need to ensure that there is adequate provision of emergency airway management. There are currently no national guidelines on what equipment should be available on ENT wards, and the authors have devised a portable airway box with all equipment deemed necessary to manage an acute airway. We believe that all junior doctors covering ENT should have airway training and access to an airway box. The aim of this study was to determine the provision of on-ward airway equipment and training on ENT wards in England. MATERIALS AND METHODS A telephone survey of all English hospitals with in-patient ENT services. RESULTS A total of 103 departments were contacted with 98% response rate. Most wards were covered by a combination of ENT and other specialties. Results indicated that only 18% of departments had an airway box and 28% had some training in airway management. CONCLUSIONS Results suggest poor provision of emergency airway equipment and training on wards. We recommend the use of an airway box, and list of minimal equipment required.

scholarly journals Emergency airway equipment and training

Anaesthesia ◽  
2005 ◽  
Vol 60 (3) ◽  
pp. 291-292 ◽  
Author(s):  
P. D. R. Berridge ◽  
K. M. Pollock ◽  
R. K. Longhorn ◽  
A. M. B. Heard
Keyword(s):  
Emergency Airway ◽  
Airway Equipment ◽  
And Training
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