Saracoglu, Ayten; Saracoglu, Kemal T; Sorbello, Massimiliano; Kurdi, Raghad; Greif, Robert (2022). A view on pediatric airway management: a cross sectional survey study. Minerva anestesiologica, 88(12), pp. 982-993. Minerva Medica 10.23736/S0375-9393.22.16445-X
Full text not available from this repository. (Request a copy)BACKGROUND
This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine.
METHODS
A 20-question multiple-choice questionnaire with the possibility to provide open text answers was developed and sent. The survey was sent to the members of European Airway Management Society via a web-based platform. Responses were analysed thematically. Only the answers from one representative of the pediatric service of each hospital was included into the analysis.
RESULTS
Among the members, 143 physicians responded the survey, being anesthesiologists (83.2%), intensivists (11.9%), emergency medicine physicians (2.1%), and (2.8%) pain medicine practitioners. A straight blade was preferred by 115 participants (80.4%) in newborns, whereas in infants 86 (60.1%) indicated a curved blade and 55 (38.5%) a straight blade. Uncuffed tracheal tube were preferred by 115 participants (80.4%) in newborns, whereas 24 (16.8%) used cuffed tubes. Approximately 2/3 of the participants, (89=62.2%) reported not to use routinely a cuff manometer in their clinical practice, whereas 54 participants (37.8%) use it routinely in pediatric patients. Direct laryngoscopy for routine pediatric tracheal intubation was reported by 127 participants (88.8%), while 16 (11.2%) reported using videolaryngoscopes routinely. Interestingly, 39 (27.3%) had never performed neither videolaryngoscopy nor flexible bronchoscopy in children. These results were significantly less in hospitals with a dedicated pediatric anesthesiologists.
CONCLUSIONS
This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy |
UniBE Contributor: |
Greif, Robert |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0375-9393 |
Publisher: |
Minerva Medica |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
19 Jul 2022 07:38 |
Last Modified: |
12 May 2023 07:18 |
Publisher DOI: |
10.23736/S0375-9393.22.16445-X |
PubMed ID: |
35833855 |
Additional Information: |
Member of European Airway Management Society: Alexander Fuchs |
URI: |
https://boris.unibe.ch/id/eprint/171326 |
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