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Difficult airway management patterns among attending anaesthetists practising in Israel

Published online by Cambridge University Press:  12 July 2005

T. Ezri ,
S. Konichezky ,
D. Geva ,
R. D. Warters ,
P. Szmuk  and
C. Hagberg
T. Ezri
Affiliation:
Wolfson Medical Center, Department of Anesthesia, Holon, Israel
S. Konichezky
Affiliation:
Kaplan Medical Center, ICU, Rehovot, Israel
D. Geva
Affiliation:
Kaplan Medical Center, Department of Anesthesia, Rehovot, Israel
R. D. Warters
Affiliation:
University of Texas Medical School at Houston, Operating Rooms, Houston, TX, USA
P. Szmuk
Affiliation:
UT Medical School at Houston, PACU, Houston, TX, USA
C. Hagberg
Affiliation:
UT Medical School at Houston, Neuroanesthesia Unit & Difficult Airway Management Program, Houston, TX, USA
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Abstract

Summary

Background and objective: In recent years, a large number of airway devices have been introduced into clinical practice as adjuncts to the management of the difficult airway. The purpose of this study was to evaluate the practices of Israeli anaesthetists in specific clinical situations and their familiarity with the use of a variety of airway devices and techniques.

Methods: A survey developed in our institution was sent to 300 attending anaesthetists representing all board-certified anaesthetists practising in Israel.

Results: Of the 153 respondents, 75% belonged to university hospitals. Ninety-six percent were skilled with laryngeal mask airways and 73% with fibreoptics. Seventy percent preferred regional anaesthesia with anticipated difficult intubation, continuation of anaesthesia with a laryngeal mask with failed intubation and a laryngeal mask for impossible mask ventilation. For the airway scenarios, awake fibreoptic, awake direct laryngoscopy, intubation under inhalation anaesthesia and tracheostomy were shared equally.

Conclusions: There is a high degree of adherence by Israeli anaesthetists to the American Society of Anesthesiologists' difficult airway algorithm. Current airway management practice patterns in Israel are presented.

Keywords

AIRWAY OBSTRUCTIONMASKS, airway devices, laryngeal masks
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 20 , Issue 8 , September 2003 , pp. 619 - 623
Copyright
2003 European Society of Anaesthesiology

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References

Practice Guidelines for Management of the Difficult Airway: A Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 1993; 78: 597–602.
Rosenblatt W, Wagner PJ, Ovassapian A, Kain Z. Practice patterns in managing the difficult airway by anesthesiologists in the United States. Anesth Analg 1998; 87: 153–157.Google Scholar
Dykes MHM, Ovassapian A. Dissemination of fiberoptic airway endoscopy skills by means of a workshop utilizing models. Br J Anaesth 1989; 63: 595–597.Google Scholar
Rose DK, Cohen MM: Has the practice of airway management changed? Can J Anaesth 1997; 44: A51, 3.Google Scholar
Stamer UM, Messerschmidt A, Wulf H, Hoeft A. Equipment for the difficult airway in obstetric units in Germany. J Clin Anesth 2000; 12: 151–156.Google Scholar
Benumof JL. The American Society of Anesthesiologists' Management of the Difficult Airway Algorithm and explanation/analysis of the algorithm. In: Benumof JL, ed. Airway Management Principles and Practice.St Louis, USA: Mosby, 1996: 147.
Davidson TM, Magit AE. Surgical airway. In: Benumof JL, ed. Airway Management Principles and Practice.St Louis, USA: Mosby, 1996: 514.
Smoot EC III, Jernigan JR, Kinsley E, Rey RM. A survey of operative airway management practices for midface fractures. J Craniofac Surg 1997; 8: 201–207.Google Scholar
Benumof JL. ASA Difficult airway algorithm: new thoughts and considerations. In: Hagberg C, ed. Handbook of Difficult Airway Management.Philadelphia, USA: Churchill Livingstone, 1996: 31–48.
Koppel JN, Reed AP. Formal instruction in difficult airway management. A survey of anesthesiology residency programs. Anesthesiology 1995; 83: 1343–1346.Google Scholar
Hagberg, CA, Chelly JE, Saad-Eddin HE. Instruction and learning of airway management skills. Anesthesiology 2000; A1208.Google Scholar
Cohen MM, Rose DK, Yee DA. Changing anesthesiologists' practice patterns. Can it be done? Anesthesiology 1996; 85: 260–269.Google Scholar
Dyson A, Harris J, Bhatia K. Rapidity and accuracy of tracheal intubation in a mannequin: comparison of the fiberoptic with the Bullard laryngoscope. Br J Anaesth 1990; 65: 268–270.Google Scholar