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Emergency airway management: Training and experience of chief residents in otolaryngology and anesthesiology.
MedLine Citation:
PMID:  22287361     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Resident training in emergency airway management is not well described. We quantified training and exposure to airway emergencies among graduating Otolaryngology-Head and Neck Surgery and Anesthesiology residents. METHODS: The methods used for this study were a national web-based survey of chief residents. RESULTS: The response rate was 52% (otolaryngology) and 60% (anesthesiology). More otolaryngology residents rotated on anesthesiology than anesthesia residents on otolaryngology (33% vs 8%). More anesthesiology chiefs never performed an emergency surgical airway than otolaryngology (92% vs 18%). The most common self-rating of competency was "9," with 82% overall self-rating "8" or higher (10 = "totally competent"). CONCLUSION: Otolaryngology and anesthesiology emergency airway management experience/training is heterogeneous and nonstandardized. Many chief residents graduate with little exposure to airway emergencies, especially surgical airways. Resident confidence levels are high despite minimal experience. This high confidence-low experience dichotomy may reflect novice overconfidence and suggests the need for improved training methods. © 2012 Wiley Periodicals, Inc. Head Neck, 2012.
Authors:
James D Andrews; Cheryl C Nocon; Stephen M Small; Jayant M Pinto; Elizabeth A Blair
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-27
Journal Detail:
Title:  Head & neck     Volume:  -     ISSN:  1097-0347     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Alaska Native Medical Center, Anchorage, Alaska.
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