Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I

Gómez-Ríos, M.Á.; Sastre, J.A.; Onrubia-Fuertes, X.; López, T.; Abad-Gurumeta, A.; Casans-Francés, R.; Gómez-Ríos, D.; Garzón, J.C.; Martínez-Pons, V.; Casalderrey-Rivas, M.; Fernández-Vaquero, M.Á.; Martínez-Hurtado, E.; Martín-Larrauri, R.; Reviriego-Agudo, L.; Gutierrez-Couto, U.; García-Fernández, J.; Serrano-Moraza, A.; Rodríguez Martín, L.J.; Camacho Leis, C.; Espinosa Ramírez, S.; Fandiño Orgeira, J.M.; Vázquez Lima, M.J.; Mayo-Yáñez, M.; Parente-Arias, P.; Sistiaga-Suárez, J.A.; Bernal-Sprekelsen, M.; Charco-Mora, P.

doi:10.1016/j.redar.2023.08.002

Revista Española de Anestesiología y Reanimación

2024

DOI: 10.1016/j.redar.2023.08.002

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Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I

M.Á. Gómez-Ríos,

J.A. Sastre,

X. Onrubia-Fuertes

et al.

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Cited by 5 publications

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Is it time to add the letter E to the airway management guidelines?

Roca de Togores López,

Onrubia Fuertes

2024

European Journal of Anaesthesiology

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Is it time to add the letter E to the airway management guidelines?

Roca de Togores López,

Onrubia Fuertes

2024

European Journal of Anaesthesiology

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Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Chen,

Liu,

Chi

et al. 2024

Medicine

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Tracheal intubation poses a high risk of infection to medical staff due to Coronavirus disease 2019 (COVID-19) highly infectious nature. To mitigate this risk, various medical devices, including video laryngoscopy, have been developed to assist intubation. This study compared conventional laryngoscopy (Macintosh) and disposable video laryngoscopes (Medcaptain VS-10s and Honestmc Laryngoscope_LA10000) in terms of their use and operation processes. We designed a questionnaire to assess the operator perception of performing intubation with the devices, and statistical analysis was performed on 50 clinical staff members from 2 hospitals who had performed intubation or had learned intubation techniques. The primary outcomes were time to glottic visualization, intubation time, intubation success rate, distance between the operator and training model, and time from glottic visualization to tube insertion. The secondary outcomes were as follows: overall laryngoscope quality, operative feel, maneuverability, ease of use, and video quality. This study showed that video laryngoscopes were superior to conventional laryngoscopes in terms of quality, operative feel, and ease of use. When LA10000 was employed, the intubation success rate was higher, and the operator risk of infection was lower because of the greater distance from the training model. However, the use of video laryngoscopes requires appropriate education and training use of the devices. This study also demonstrated that when participants viewed a simple operation video prior to using video laryngoscopes, tube insertion time was shorter. Overall, video laryngoscopy can provide a safer and more convenient option for clinical medical personnel during pandemics.

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Assessing the efficacy of difficult airway alerts in electronic medical records: a quality improvement study

Lee,

Fletcher,

Tosif

et al. 2024

BMC Anesthesiol

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Study design Retrospective analysis of difficult airway alerts in a major tertiary centre. Objective To investigate the completeness, utility and efficacy of difficult airway alerts and their impact on future airway management episodes. Design, data sources and methods Patients who had a “difficult airway” entry on electronic medical records (EMR) from 2011 to 2021 were included. Each alert was analyzed by a team of anesthetists with expertise in difficult airway management for its quality, appropriateness, and impact on future airway management episodes. Alert quality was defined as to whether the content of the alert contained pertinent information for emergent airway management. Alert appropriateness was defined as to whether the experts would be unhappy to perform a rapid sequence induction and intubation, if required, following review of all available documentation. Results 141 patients were included for this study, with a mean age of 58.6 +/- 15.3 years. Ninety-three (66%) alerts were created by medical staff, of which 52 were recorded by consultant anesthetists. 117 alerts (83%) were deemed to be appropriate by the airway expert team, but only 40 alerts (28%) were found to have sufficient quality to be helpful in emergent airway management. Sixty-five patients (47%) had at least one subsequent airway management episode, of which 35 patients (56%) underwent a change of management following alert creation. We proceeded to modify 103 alerts (73%) to improve their quality to aid future encounters. Conclusion Difficult Airway encounters are an uncommon event in anesthesia, but clear, comprehensive and effectively communicated documentation is required to minimize the risk in future encounters. In our institution, while most difficult airway alerts were appropriate, we found significant heterogeneity in the quality of this documentation, which limits the clinical utility of the alert system. We have taken measures to improve local processes of difficult airway documentation and considered the implications of our project for the broader airway management community. Trial registration Not applicable. Supplementary Information The online version contains supplementary material available at 10.1186/s12871-024-02747-8.

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Cited by 5 publications

References 306 publications

Is it time to add the letter E to the airway management guidelines?

Is it time to add the letter E to the airway management guidelines?

Optimizing intubation technique using a single-use video laryngoscope: A comparative study in a simulation model

Assessing the efficacy of difficult airway alerts in electronic medical records: a quality improvement study

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