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National Survey of Airway Management Practices and Training Among Emergency Medicine Residency Programs in the United States.
Perm J
December 2024
Department of Emergency Medicine, Kaiser Permanente San Diego Medical Center, San Diego, CA, USA.
Article Synopsis
- A study was conducted to analyze airway management training in emergency medicine residency programs across the U.S., highlighting the need for residents to receive extensive training due to evolving practices.
- The study surveyed 258 residency program directors, with 63 responding, primarily from university-based hospitals, revealing that residents typically perform 50-100 intubations, but few pediatric intubations.
- The results indicate a rising use of video laryngoscopy and varied teaching methods to enhance resident exposure to advanced airway management techniques in emergency medicine.
A survey of practice in the anesthetic management of adolescent idiopathic scoliosis spine fusion by the North American Pediatric Spine Anesthesiologists Collaborative.
Paediatr Anaesth
July 2024
Anesthesia Services Medical Group, Rady Children's Hospital of San Diego, San Diego, California, USA.
Background: Adolescent Idiopathic Scoliosis (AIS) affects 2%-4% of the general pediatric population. While surgical correction remains one of the most common orthopedic procedures performed in pediatrics, limited consensus exists on the perioperative anesthetic management.
Aims: To examine the current state of anesthetic management of typical AIS spine fusions at institutions which have a dedicated pediatric orthopedic spine surgeon.
Current practice of Rapid Sequence Induction (RSI) in pediatric anesthesia: A survey from India.
J Anaesthesiol Clin Pharmacol
March 2022
Department of Anesthesiology, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Background And Aims: Rapid Sequence Induction (RSI) is an established technique to secure the airway in patients who are at risk of aspiration. The practice of RSI in the pediatric population is highly variable due to numerous patient factors. We conducted a survey to find the prevalent practices and adherence of anesthesiologists to the practice of RSI in different pediatric age groups and whether it differs with the experience of the anesthesiologist or the age of the child.
View Article and Find Full Text PDFPeri-operative management of neuromuscular blockade: A guideline from the European Society of Anaesthesiology and Intensive Care.
Eur J Anaesthesiol
February 2023
From the Department of Anaesthesiology, Intensive Care and Peri-operative Medicine, CHRU de Nancy, Nancy, France (TF-B), Department of Anesthesia and Critical Care, Consorcio Hospital General Universitario de Valencia, Methodology Department, Universidad Europea de Valencia, Valencia, Spain (C-S.R), Department of Anesthesiology and Intensive Care, Technical University of Munich, Munich, Germany (HL), Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates (ML), Department of Paediatric and Obstetric Anaesthesia, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark (AA), Department of Anaesthesiology & Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (A-MH), Department of Anesthesiology, CUB Hôpital Erasme, Bruxelles, Belgium (DS), Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany (JH), Department of Anesthesia and Intensive Care, Hôpital Bichat-Claude Bernard, Université de Paris, Paris, France (DL), Department of Anaesthesia, Critical Care Medicine, Emergency Medicine and Pain Medicine, University Hospitals of Wuerzburg, Wuerzburg, Germany (MP, PK), Department of Anesthesiology Pain Medicine & Procedural Sedation and Analgesia Martini General Hospital Groningen, Groningen, The Netherlands (HDDB), Anesthesia and Intensive Care, AOU Policlinico - San Marco, Catania, Italy (MS), Clinic for Anesthesiology and Intensive Therapy, University Clinical Center Nis, School of Medicine, University of Nis, Nis, Serbia (RJ).
Recent data indicated a high incidence of inappropriate management of neuromuscular block, with a high rate of residual paralysis and relaxant-associated postoperative complications. These data are alarming in that the available neuromuscular monitoring, as well as myorelaxants and their antagonists basically allow well tolerated management of neuromuscular blockade. In this first European Society of Anaesthesiology and Intensive Care (ESAIC) guideline on peri-operative management of neuromuscular block, we aim to present aggregated and evidence-based recommendations to assist clinicians provide best medical care and ensure patient safety.
View Article and Find Full Text PDFShould rocuronium and sugammadex replace succinylcholine for airway emergencies in class B ambulatory anesthesia settings?
Minerva Anestesiol
March 2023
Department of Anesthesiology and Perioperative Medicine, Penn State Health, Hershey, PA, USA.
Introduction: In class B surgical facilities, where only oral or intravenous (IV) sedation is employed without the administration of volatile anesthetics, laryngospasm is among the most common airway complications. However, these facilities generally do not stock succinylcholine to avoid the cost of storing dantrolene for the treatment of malignant hyperthermia (MH). High dose IV rocuronium with sugammadex reversal has been suggested as an alternative to succinylcholine for airway emergencies.
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