The Anesthesiologist’s Role in Teaching Airway Management to Nonanesthesiologists

Grissom, Thomas E.; Samet, Ron E.

doi:10.1016/j.aan.2020.08.002

Cited by 7 publications

(5 citation statements)

References 106 publications

(132 reference statements)

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“…The fact that anesthesia and emergency medical services (EMS) were the most canceled rotations is a particularly powerful message. Anesthesia exposure aids in resident training on critical airway management, 2 and EMS aids in crucial resident understanding of prehospital care (eg, EMS protocols and operations). 3 All programs adopted virtual platforms and curricula for weekly conferences, which requires institutional investment and guidance.…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Waseem

Garg

Acosta

et al. 2022

WestJEM

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Introduction: The 2019 novel coronavirus pandemic has caused significant disruptions in the clinical operations of hospitals as well as clinical education, training, and research at academic centers. New York State was among the first and largest epicenters of the pandemic, resulting in significant disruptions across its 29 emergency medicine (EM) residency programs. We conducted a cross-sectional observational study of EM residency programs in New York State to assess the impact of the pandemic on resident education and training programs. Methods: We surveyed a cross-sectional sample of residency programs throughout New York State in June 2020, in the timeframe immediately after the state’s first “wave” of the pandemic. The survey was distributed to program leadership and elicited information on pandemic-prompted curricular modifications and other educational changes. The survey covered topics related to disruptions in medical education and sought details on solutions to educational issues encountered by programs. Results: Of the 29 accredited EM residency programs in New York State, leadership from 22 (76%) responded. Of these participating programs, 11 (50%) experienced high pandemic impact on clinical services, 21 (95%) canceled their own trainees’ off-service rotations, 22 (100%) canceled or postponed visiting medical student rotations, 22 (100%) adopted virtual conference formats (most within the first week of the pandemic wave), and 11 (50%) stopped all prospective research (excluding COVID-19 research), while most programs continued retrospective research. Conclusion: This study highlights the profound educational impact of the pandemic on residency programs in one of the hardest- and earliest-hit regions in the United States. Specifically, it highlights the ubiquity of virtual conferencing, the significant impact on research, and the concerns about canceled rotations and missed training opportunities for residents, as well as prehospital and non-physician practitioner trainees. This data should be used to prompt discussion regarding the necessity of alternate educational modalities for pandemic times and the sequelae of implementing these plans.

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Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Waseem

Garg

Acosta

et al. 2022

WestJEM

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“…When I picture the ideal way to prepare ED trainees for emergency anaesthesia and airway management it would be through a structured training programme provided by the ED in conjunction with anaesthesia. This programme would include a significant amount of time in the OT with anaesthetists who have agreed and prepared to provide relevant experience and teaching 5 . It would be combined with didactic teaching on topics such as pharmacology, focussed respiratory physiology, haemodynamic and respiratory optimisation.…”

Section: Competing Interestsmentioning

confidence: 99%

“…This programme would include a significant amount of time in the OT with anaesthetists who have agreed and prepared to provide relevant experience and teaching. 5 It would be combined with didactic teaching on topics such as pharmacology, focussed respiratory physiology, haemodynamic and respiratory optimisation. This teaching would specifically address the physiological challenges of emergency anaesthesia in critically sick and injured patients.…”

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confidence: 99%

Anaesthetists in emergency medicine training and emergency department anaesthesia

Donohue

2023

Emerg Medicine Australasia

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“…Furthermore, airway management is undertaken by clinicians from multiple specialties, including anesthesiology, emergency medicine, surgery, interventional pulmonary, and sometimes by respiratory therapists. 52 Thus, the need for a readily deployable, time-insensitive method of developing and reinforcing routine as well as advanced skills is essential. Unfortunately, few postresidency structured training opportunities for airway management skill practice exist.…”

Section: Anesthesia and Analgesiamentioning

confidence: 99%

Teaching Airway Management Using Virtual Reality: A Scoping Review

Duffy

Bass

et al. 2023

Anesthesia &Amp; Analgesia

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Airway management, a defined procedural and cognitive skillset embracing routine tracheal intubation and emergency airway rescue, is most often acquired through an apprenticeship model of opportunistic learning during anesthesia or acute care residency training. This training engages a host of modalities to teach and embed skill sets but is generally time- and location-constrained. Virtual reality (VR)-based simulation training offers the potential for reproducible and asynchronous skill acquisition and maintenance, an advantage that may be important with restricted trainee work hours and low frequency but high-risk events. In the absence of a formal curriculum from training bodies—or expert guidance from medical professional societies—local initiatives have filled the VR training void in an unstructured fashion. We undertook a scoping review to explore current VR-based airway management training programs to assess their approach, outcomes, and technologies to discover programming gaps. English-language publications addressing any aspect of VR simulation training for airway management were identified across PubMed, Embase, and Scopus. Relevant articles were used to craft a scoping review conforming to the Scale for quality Assessment of Narrative Review Articles (SANRA) best-practice guidance. Fifteen studies described VR simulation programs to teach airway management skills, including flexible fibreoptic bronchoscopic intubation (n = 10), direct laryngoscopy (n = 2), and emergency cricothyroidotomy (n = 1). All studies were single institution initiatives and all reported different protocols and end points using bespoke applications of commercial technology or homegrown technologic solutions. VR-based simulation for airway management currently occurs outside of a formal curriculum structure, only for specific skill sets, and without a training pathway for educators. Medical educators with simulation training and medical professional societies with content expertise have the opportunity to develop consensus guidelines that inform training curricula as well as specialty technology use.

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The Anesthesiologist’s Role in Teaching Airway Management to Nonanesthesiologists

Abstract: Once unquestioned airway experts, anesthesiologists now find themselves operating in an environment where multiple specialties, including emergency medicine (EM), critical care, and surgery, have accessed and practice an

Cited by 7 publications

References 106 publications

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Anaesthetists in emergency medicine training and emergency department anaesthesia

Teaching Airway Management Using Virtual Reality: A Scoping Review

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