Background: Difficult airway management is a critical aspect of anesthesiology training and practice. A survey was conducted of American anesthesia residency programs to determine the prevalence of a specific airway rotation and its curriculum.
Methods: A questionnaire was sent by both e-mail and fax to all 132 directors of American anesthesiology residency programs.
Results: Of the 132 programs surveyed, 79 (60%) responded. Of the responders, 26 programs (33%) have a difficult airway rotation. The rotation was offered throughout the years of clinical training in 13 (49%) of the programs and was of 1-week duration in 16 (61%) of these programs who had a rotation. Formal instruction was administered before the rotation in 18 (69%) of the programs. Instruction was usually performed on surgical patients in 22 (85%) of the program, ASA status I and II patients in 20 (77%) of the programs, and taught by selected faculty in 20 (78%) of the programs. There was a 2- to 5-minute time limitation or a number of maximum attempts when using any of these devices in 16 (62%) programs. There was a case number requirement regarding the use of the devices in 5 (19%) of the programs. Residents were evaluated by both skills testing and written evaluation in 63% of these programs.
Discussion: Of the programs with an airway rotation, the flexible fiberoptic bronchoscope and the laryngeal mask airway represent the most frequently used devices, excluding the standard laryngoscopes. There is minimum emphasis on more invasive techniques. Traditional methods of instruction continue to be utilized more frequently than nontraditional methods.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0952-8180(02)00503-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The regional ventilation distribution monitored by electrical impedance tomography during anesthesia induction with head-rotated mask ventilation.
Physiol Meas
January 2025
Department of Anesthesiology, Fudan University Shanghai Cancer Center, 270 Dong An Road, Xuhui, Shanghai, 200032, China, Shanghai, Shanghai, 200032, CHINA.
Abstract Objective: Abnormal regional lung ventilation can lead to undesirable outcomes during the induction of anesthesia. Head rotated ventilation has proven to change the airflow of upper airway tract and be effective in increasing the tidal volume. This study aimed to investigate the influence of head rotated mask ventilation on regional ventilation distribution during the induction phase of anesthesia.
View Article and Find Full Text PDFComparison of upper airway volume and hyoid position after camouflage orthodontic or orthodontic-orthognathic treatment in patients with skeletal class Ⅲ malocclusion with normal-angle vertical pattern.
Hua Xi Kou Qiang Yi Xue Za Zhi
February 2025
Stomatological College of Nanjing Medical University, Nanjing 210029, China.
Objectives: This study aims to compare the effects of two orthodontic treatment modalities for skeletal class Ⅲ malocclusion on specific changes in airway volume, morphology, palatal angle, mandibular rotation, and bone displacement. Results provide scientific evidence for the selection of orthodontic treatment plans and reduce the risk of developing obstructive sleep apnea hypopnea syndrome (OSAHS).
Methods: Thirty-six patients diagnosed with skeletal class Ⅲ malocclusion at the Department of Orthodontics, the Affiliated Stomatological Hospital of Nanjing Medical University from September 2018 to December 2023 were divided into two groups: orthodontic-orthognathic treatment group (18 patients) and camouflage orthodontic treatment group (18 patients).
Postpneumonectomy Syndrome: A Rare Case of Indolent Airway Collapse.
JACC Case Rep
December 2024
Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, Bakersfield, California, USA.
Postpneumonectomy syndrome (PPS) is a rare postoperative phenomenon characterized by dynamic airway obstruction and circulatory collapse resulting from excessive mediastinal shifting and rotation of critical structures. This paper presents a novel case of PPS manifesting approximately 3 decades after pneumonectomy in an acutely symptomatic 28-year-old man with clinical findings concerning for impending airway collapse. Cardiac computed tomography and pulmonary function testing were used as alternative, noninvasive means of monitoring for disease advancement.
View Article and Find Full Text PDFCoaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial.
BMJ
December 2024
Department of Anesthesia, Harvard Medical School, Boston, MA 02115, USA.
Objective: To assess whether training provided to an inexperienced clinician just before performing a high stakes procedure can improve procedural care quality, measuring the first attempt success rate of trainees performing infant orotracheal intubation.
Design: Randomized clinical trial.
Setting: Single center, quaternary children's hospital in Boston, MA, USA.
Evaluating a specialized workshop on otorhinolaryngology emergencies for junior doctors: Empowering the next generation of healers.
Medicine (Baltimore)
November 2024
Birat Medical College Teaching Hospital, Morang, Nepal.
Article Synopsis
- Otorhinolaryngology (ORL) emergencies, like airway obstructions and foreign body removal, require immediate medical attention, but junior doctors often lack sufficient training in this area.
- A study evaluated a specialized workshop aimed at improving the knowledge of ORL emergencies among 41 junior doctors, revealing a significant increase in posttest scores after the training.
- The results indicate that targeted training can effectively enhance junior doctors' preparedness for managing urgent ORL cases, addressing gaps in their medical education.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!