| A National Survey of Airway Management Training in U.S. Internal Medicine-Based Critical Care Fellowship Programs. | |
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MedLine Citation:
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PMID: 22273367 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Intensivists may be primarily responsible for airway management in non-operating room locations. Little is known of airway management training provided during fellowship. Our primary aim wasto describe the current state in airway education of internal medicine-based critical care fellowship programs. METHODS: Between February 1 and April 30, 2011, program directors of all three-year combined pulmonary/critical care and two-year multidisciplinary critical care medicine programs in the United States were invited to complete an online survey. Contact information was obtained via FRIEDA® online (https://freida.ama-assn.org). Non-responders were sent automated reminders, were contacted by email, or by telephone. RESULTS: The overall response proportion was 66% (111/168 programs). Sixty-four (58%) programs reported a designated airway rotation, chiefly occurring for 1 month during the first year of training. Thirty-five programs (32%) reported having a director of airway education and 78 (70%) reported incorporating simulation-based airway education. Nearly all programs (95%) reported provision of supervised airway experience during fellowship. Commonly used airway management devices including video laryngoscopes, intubating stylets, supraglottic airway devices, and fiberoptic bronchoscopes were reportedly available to trainees. However, 73% reported <10 uses of a supraglottic airway device, 60% < 25 uses of intubating stylets , 73% <30 uses of a video laryngoscope, and 65% reported <10 flexible fiberoptic intubations. Estimates of the required number of procedures to ensure competence varied widely. CONCLUSION: The majority of programs have a formal airway management program incorporating a variety of intubation techniques. Overall experience varies widely, however. |
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Authors:
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Aaron M Joffe; Elaine C Liew; Hernando Olivar; Armagan Dagal; Andreas Grabinsky; Matt Hallman; Miriam M Treggiari |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-23 |
Journal Detail:
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Title: Respiratory care Volume: - ISSN: 0020-1324 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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