Difficult airway equipment in English emergency departments

Morton, Terrence D.; Brady, Joanne E.; Clancy, Mike

doi:10.1046/j.1365-2044.2000.01362.x

Cited by 74 publications

(56 citation statements)

References 12 publications

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“…In addition, Silvestri et al (46) demonstrated that esophageal intubation decreased from 23% to 0% with the use of capnography for the verification of endotracheal tube placement. In one survey, emergency departments in the UK were reported to have capnography at rates of 74% (44). Although capnography is a required device that must be available in all third-level emergency departments, in our study, it was observed to be present in only 44% of emergency departments.…”

Section: Discussioncontrasting

confidence: 57%

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

Cevik¹,

Bilge²,

Çınar³

et al. 2015

EAJEM

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Aim: This study aims to assess the presence of alternative airway devices (AAD) in emergency departments (ED) of university and educational and research hospitals in Turkey. Thus, the instrument choices and application status and the qualifications of EDs were determined in this era. Materials and Methods:Survey forms were sent via emails to emergency physicians who were working in university and educational and research hospitals that provided specialized training in emergency medicine. These surveys comprised questions regarding intubation frequencies, name of AADs, application status, and capnography and ventilator presence. Data were evaluated with SPSS and Medcalc statistical packet programs.Results: Of a total of 51 hospitals that participated in this study, 47% were university hospitals and 53% were educational and research hospitals. The laryngeal mask airway was the most common AAD; only 13 (25.4%) EDs stored at least one supraglottic airway, one videoscopic imaging system, and surgical airway instrument. Conclusion:It was concluded that the rate of the presence of AAD and capnography in our EDs were low, and increasing the frequency of the presence of alternative airway devices is essential to reduce mortality and morbidity in EDs where difficult airway cases are frequently observed. (Eurasian J Emerg Med 2015; 14: 192-6)

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Section: Discussioncontrasting

confidence: 57%

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

Cevik¹,

Bilge²,

Çınar³

et al. 2015

EAJEM

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“…Previous surveys in the United Kingdom have indicated that commercial cricothyroidotomy kits are stocked by 36-63% of emergency departments (EDs) [3,4].…”

mentioning

confidence: 99%

Emergency cricothyroidotomy: a randomised crossover study of four methods

Dimitriadis

Paoloni

2008

Anaesthesia

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SummaryEmergency physicians and registrars performed emergency cricothyroidotomy on an artificial airway model using a standard surgical approach and three common commercial products, participants had received no refresher training. The order in which the methods were used was randomised to minimise any learning effect. Three methods (standard surgical, Minitrach II, and Quicktrach) were universally successful in obtaining ventilation within 150 s, whilst the Melker kit had a 26% failure rate and significantly longer median time to ventilation (126 s vs £ 48 s for other methods, p < 0.001). Despite success in using the surgical method, the Quicktrach and Minitrach II were rated as first or second preference by the majority of operators (78% and 70% respectively). Without refresher training emergency physicians and registrars successfully performed emergency cricothyroidotomy using the standard surgical method, Quicktrach and Minitrach II kits however the use of the Melker kit under these conditions resulted in significant delays or failure to establish an airway.

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“…LMA at 80% is the only other equipment, apart from curved blades and stylets, to have identical presence in routine and emergency DAM setting in ICUs. The presence of LMA and Combitubes in our survey compares favorably with that in UK hospitals [19].…”

mentioning

confidence: 42%

National survey to assess the content and availability of difficult-airway carts in critical-care units in the United States

2010

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We have surveyed the availability of equipment, content of difficult-airway carts (DAC), and training in the use of such equipment in intensive-care units (ICU). We devised a set of proposals regarding what constitutes the ideal DAC. We surveyed 300 ICU in the United States. The survey was conducted to inquire about the presence and content of a DAC. Only 70% of respondents had a DAC in their unit. 82% of units surveyed checked the contents of the cart daily. 80% of directors were aware of its location. 80% of units had an attached list of contents and 51% had an attached algorithm for management of a difficult airway. LMA was present in 80% followed by 35 and 30% for Combitube and pre-assembled needle cricothyroidotomy set. Under non-invasive airway devices, video laryngoscope with 48% was ahead of fibreoptic bronchoscope (38%) and lighted stylet (15%). 80% of units had a CO₂-detection device immediately available. Limited data are available on the impact of DAC in airway management in the ICU. It is strongly recommended that a DAC be present. What constitutes the ideal contents of a DAC is open to questions. We hope discussion will lead to consensus of what should or should not be included on the cart.

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Difficult airway equipment in English emergency departments

Cited by 74 publications

References 12 publications

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

Emergency cricothyroidotomy: a randomised crossover study of four methods

National survey to assess the content and availability of difficult-airway carts in critical-care units in the United States

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