Training experts in difficult airway management: Evaluation of a continuous professional development program

Brisard, Laurent; Péan, D.; Bourgain, Jean-Louis; Winer, Arnaud; Combes, X.; Langeron, Olivier; Fischler, Marc; Lejus, C.

doi:10.1016/j.accpm.2015.09.005

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…In most current settings, the best option is peer‐feedback with two anaesthesiologists planning and performing airway management together. A promising alternative is the training of dedicated departmental airway management experts to facilitate local training, feedback and implementation of new devices and guidelines . This is in keeping with the key recommendation in the NAP4 report to appoint departmental Airway Leads, which is now implemented in the UK and New Zealand.…”

Section: Discussionmentioning

confidence: 81%

Maintaining competence in airway management

Bessmann

Rasmussen

Konge

et al. 2020

Acta Anaesthesiol Scand

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Background Airway management is a defining skill for anaesthesiologists. Anaesthesiologists must maintain and update these crucial skills throughout their career, but how this is best achieved remains unclear. This study aimed to clarify anaesthesiologists’ procedural volume, confidence in airway management and their current and preferred future educational strategies. Methods A questionnaire was developed consisting of 28 items exploring essential skills in airway management. All anaesthesiologists in the Capital Region of Denmark were invited to participate. Results The response rate was 84% (240/285). Most anaesthesiologists felt competent to a high or very high degree in basic airway management. Anaesthesiologists from anaesthesia felt confident to a significantly higher degree than those working in the intensive care unit (ICU) regarding the practical aspects of airway management in both the anticipated difficult airway (93% vs 73%, P < .001) and the unanticipated difficult airway (81% vs 61%, P = .002). Both groups performed most of the key advanced techniques ≤4 times yearly, whereas anaesthesiologists from the ICU had a lower and less diverse procedural volume than those working in anaesthesia. The anaesthesiologists preferred training through their daily clinical work, hands‐on workshops, and scenario‐based simulation training. However, a large discrepancy was identified between the current and the desired level of training. Conclusion The anaesthesiologists felt competent to a high or very high degree in basic airway management but the current procedural volume in advanced airway management causes concern for skill maintenance. Furthermore, we found a gap between the current and the desired level of supplemental training.

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Section: Discussionmentioning

confidence: 81%

Maintaining competence in airway management

Bessmann

Rasmussen

Konge

et al. 2020

Acta Anaesthesiol Scand

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“…Of note is fact that the actual occurrence of problems arising from difficult airways may be greater than it is reported in the official reports [24]. The risks related to difficult airways may be minimised by the use of the approriate equipment and training that includes simulation techniques [25][26][27].…”

mentioning

confidence: 82%

Postępowanie w niespodziewanych trudnych drogach oddechowych u dzieci — stanowisko Sekcji Anestezjologii i Intensywnej Terapii Dziecięcej, Sekcji Przyrządowego Udrażniania Dróg Oddechowych Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii oraz Po

Walas¹,

Aleksandrowicz²,

Borszewska−Kornacka³

et al. 2017

Anaesthesiol Intensive Ther

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“…5,[9][10][11][12][13] Seminars and training that focus on managing difficult airways are commonly conducted in most institutes. [14][15][16] Despite the effectively decreased incidence of unexpectedly difficult airways, the outcomes related to difficult airways remain poor. 5 The consequent claims are gradually increasing, whereas the incidence of nonspecific airway adverse events continues to decrease.…”

Section: Referencesmentioning

confidence: 99%

“…Guidelines for difficult airway management have been developed and continuously updated regularly 5,9–13 . Seminars and training that focus on managing difficult airways are commonly conducted in most institutes 14–16 . Despite the effectively decreased incidence of unexpectedly difficult airways, the outcomes related to difficult airways remain poor 5 .…”

mentioning

confidence: 99%

Current Status of Difficult Airway Information Dissemination at a Tertiary Pediatric Hospital

Shi,

Lan,

Zhang

et al. 2024

Journal of Craniofacial Surgery

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Objective: Difficult airway is one of the most common potential risk factors for increased fatality in craniofacial/plastic surgery patients. To date, there is no well-established and all-around difficult airway notification system in China, which has recently been recommended by existing guidelines to improve the care of patients with known difficult airways. This study aimed to investigate the current status of critical information communication concerning difficult airway management in our institute. Methods: Vital information required to establish a difficult airway registry and notification system was collected through a literature review and expert suggestions. After approval by the Research Ethics Board, 3 online questionnaires were developed and sent to surgeons, anesthesiologists, and proxies of the patients. Knowledge of difficult airways, the willingness to be involved in the difficult airway notification system, and the way to disseminate the information were investigated in the 3 groups. The specific information that was disseminated, required, and available was investigated in the anesthesiologist group. Results: Compared with the surgeons and anesthesiologists, significantly fewer patients knew the definition of a difficult airway and thought it was a potential risk factor. There were no significant differences in the willingness to be informed of the difficulty encountered during airway management. Significant differences were detected in the willingness and way to disseminate the airway information when the participants communicated with different groups. Significantly more patients would disseminate the information to the surgeon and significantly more surgeons would disseminate the information to the patient and the other surgeon. Significantly more anesthesiologists would disseminate the information to the patient and the other anesthesiologists. A significant difference was observed between what was expected and what was available for the anesthesiologist to retrieve the airway information of a patient with known airway difficulty. Significantly more anesthesiologists would notify only the patient of the diagnosis of a difficult airway both oral and written, whereas significantly more anesthesiologists would notify the other anesthesiologist of the specific difficulties in oral only. Most participants agreed to be involved in the difficult airway notification system despite the significantly lower percentage in the patient group (89%). Conclusions: Difficult airway information dissemination is, at the time of this writing, ineffective, which leads to a large gap between the expectation and practice of the anesthesiologist when caring for a patient with a difficult airway. Thus, a difficult airway registry and notification system should be developed, that has a solid foundation in all the participants.

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Training experts in difficult airway management: Evaluation of a continuous professional development program

Cited by 8 publications

References 23 publications

Maintaining competence in airway management

Maintaining competence in airway management

Postępowanie w niespodziewanych trudnych drogach oddechowych u dzieci — stanowisko Sekcji Anestezjologii i Intensywnej Terapii Dziecięcej, Sekcji Przyrządowego Udrażniania Dróg Oddechowych Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii oraz Po

Current Status of Difficult Airway Information Dissemination at a Tertiary Pediatric Hospital

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