| Difficult airway management practice patterns among anesthesiologists practicing in the United States: have we made any progress? | |
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MedLine Citation:
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PMID: 14652117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To determine the extent instruction and practice in the use of airway devices and techniques varies among anesthesiologists practicing in the United States. DESIGN: Survey questionnaire. SETTING: University medical center. MEASUREMENTS: Questionnaires were completed by American-trained anesthesiologists who attended the 1999 American Society of Anesthesiologists (ASA) Annual Meeting. Data collected included demographics, education, skills with airway devices/techniques, management of clinical difficult airway scenarios, and the use of the ASA Difficult Airway Algorithm. MAIN RESULTS: 1) Demographics: 452 questionnaires were correctly completed; 62% attending anesthesiologists, 70% <50 years, 81% males, 44% from academic institutions, 63% >10 years of practice, 81% night duty, 77% board certified. 2) Education: 71% had at least one educational modality: difficult airway rotation, workshops, conferences, books, and simulators. 3) Skills: Miller blade 61%, Bullard laryngoscope 32%, LMA 86%, Combitube 43%, bougie 43%, exchangers 47%, cuffed oropharyngeal airway (COPA) 34%, retrograde 41%, transtracheal needle jet ventilation 34%, cricothyrotomy 21%, fiberoptics 59%, and blind nasal intubation 78%. The average reported use of special airway devices/techniques was 47.5%. 4) Management choices: failed intubation/ventilation: LMA (81%) and for all other situations: fiberoptic intubation. Use of ASA Difficult Airway Algorithm in clinical practice (86%). CONCLUSION: Fiberoptic intubation and the LMA are most popular in management of the difficult airway. |
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Authors:
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Tiberiu Ezri; Peter Szmuk; R David Warters; Jeffrey Katz; Carin A Hagberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 15 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-12-03 Completed Date: 2004-04-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 418-22 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, The University of Texas-Houston Medical School, 6431 Fannin, Houston, TX 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Conduction* Anesthesia, General* Anesthesiology / statistics & numerical data* Data Collection Female Humans Intubation, Intratracheal* / instrumentation, methods, statistics & numerical data Laryngeal Masks Laryngoscopy Male Middle Aged Respiration, Artificial* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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