Diminution de l’incidence d’intubation trachéale éveillée dans la pratique anesthésique : une étude de cohorte historique des années 2014-2020 dans un établissement de soins tertiaires

Abstract

Purpose Awake tracheal intubation (ATI) is recommended in airway management guidelines when significant difficulty is predicted with airway management. Use of the technique may be declining, which may have implications for patient safety or for skills acquisition and maintenance. This historical cohort database study sought to determine if the use of ATI was decreasing in our adult tertiary care center. Methods With institutional research ethics board approval, we queried our anesthesia information management system for cases with ATI descriptors for each year from 2014 to 2020. Records of the retrieved cases were independently reviewed by all three authors to verify they met inclusion criteria for the ATI cohort prior to analysis for the primary outcome. Secondary outcome measures included airway device and route used for ATI, first attempt and ultimate success rates, and reported adverse issues recorded in cases of failed ATI or those requiring more than one attempt.

Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak

“…A remarkable decrease in awake tracheal intubation from 2014 until December 2020 has also impacted the quality of training in this crucial skill [23].…”

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“…1 These days, it also appears that ATI is less commonly performed. 2 Australian and New Zealand College of Anaesthetists' training currently requires trainees to be present or perform five awake bronchoscopies or intubations. 3 Experts believe more hands-on time is required for proficiency.…”