AI Article Synopsis

  • - The survey on airway management in China involved 3,783 anesthesiologists and revealed that 34.84% had canceled or delayed surgeries due to difficult airways, with a trend towards more anesthesiologists choosing awake intubation techniques as compared to previous years.
  • - A significant majority (72.96%) of anesthesiologists reported having difficult airway training, with noticeable differences in training participation based on hospital tier, indicating varying levels of preparedness among medical facilities.
  • - The availability of advanced airway tools has increased, but the study highlights the need for continued focus on training and education to further reduce risks associated with difficult airways, as evidenced by a decrease in incidents of brain damage or death. *

Article Abstract

Apparently, understanding airway management status may help to reduce risk and improve clinical practice. Given these facts, our team conducted a second survey on the current status of airway management for mainland China following our 2016 national airway survey. The national survey was conducted from November 7 to November 28, 2022. An electronic survey was sent to the New Youth Anesthesia Forum, where Chinese anesthesiologists completed the questionnaire via WeChat. A total of 3783 respondents completed the survey, with a response rate of 72.14%. So far, in 2022, 34.84% of anesthesiologists canceled or delayed surgery at least once due to difficult airway. For the anticipated difficult airway management, 66.11% of physicians would choose awake intubation under sedation and topical anesthesia, while the percentage seeking help has decreased compared to the 2016 survey. When encountering an emergency, 74.20% of respondents prefer to use the needle cricothyrotomy, albeit less than a quarter have actually performed it. Anesthesiologists with difficult airway training experience reached 72.96%, with a significant difference in participation between participants in Tier 3 hospitals and those in other levels of hospitals (P < 0.001). The videolaryngoscope, laryngeal mask, and flexible intubation scope were equipped at 97.18%, 95.96%, and 62.89%, respectively. Additionally, the percentage of brain damage or death caused by difficult airways was significantly decreased. The study may be the best reference for understanding the current status of airway management in China, revealing the current advancements and deficiencies. The future focus of airway management remains on training and education.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11228041PMC
http://dx.doi.org/10.1038/s41598-024-66526-8DOI Listing

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