Document Detail


Practice patterns for predicted difficult airway management and access to airway equipment by anaesthetists in Queensland, Australia.
MedLine Citation:
PMID:  20191773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A postal survey was conducted to investigate difficult airway management, training and equipment availability among Fellows of the Australian and New Zealand College of Anaesthetists in Queensland. The survey aimed to determine practise patterns for predicted difficult airways and investigate equipment availability. Participants were asked to nominate an induction method, intubation method and airway adjunct for each of the five difficult airway scenarios. The cases consisted of one elective and four emergency scenarios. Availability of difficult airway devices in their institution was also assessed, as well as demographics of practice and airway-related maintenance of professional standards participation. There were 454 surveys distributed and 250 returned (response rate 55%). Direct laryngoscopy and flexible fibreoptic intubation were the most commonly selected techniques for all five cases. Difficult intubation trolleys were available to 98% of responders. Certain types of equipment (such as fibreoptic bronchoscopes and cricothyroidotomy kits) were available less frequently in private institutions. We recommend a standardisation of difficult airway management equipment and an on-going training program to provide support for anaesthetists in all locations.
Authors:
B M Zugai; V Eley; K A Mallitt; K B Greenland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  38     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-03-02     Completed Date:  2010-03-19     Revised Date:  2010-08-18    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  27-32     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Inhalation / instrumentation*,  methods*
Australia
Emergency Medical Services
Female
Health Care Surveys
Humans
Intubation, Intratracheal / adverse effects,  instrumentation
Laryngoscopes / supply & distribution
Male
Middle Aged
Physician's Practice Patterns*
Questionnaires
Respiration, Artificial / instrumentation*,  methods*
Comments/Corrections
Comment In:
Anaesth Intensive Care. 2010 Jul;38(4):772; author reply 772-3   [PMID:  20715747 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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