PMID- 34453552
OWN - NLM
STAT- MEDLINE
DCOM- 20221221
LR  - 20221222
IS  - 2731-6866 (Electronic)
IS  - 2731-6858 (Print)
IS  - 2731-6858 (Linking)
VI  - 71
IP  - Suppl 2
DP  - 2022 Dec
TI  - Current practice of German anesthesiologists in airway management : Results of 
      a national online survey.
PG  - 190-197
LID - 10.1007/s00101-021-01025-3 [doi]
AB  - BACKGROUND: There is a worldwide consensus among experts that guidelines and 
      algorithms on airway management contribute to improved patient safety in 
      anesthesia. The present study aimed to determine the current practice of airway 
      management of German anesthesiologists and assess the safety gap, defined as the 
      difference between observed and recommended practice, amongst these 
      practitioners. OBJECTIVE: To determine the effect of implementing the guidelines 
      on airway management practice in Germany amongst anesthesiologists and identify 
      potential safety gaps. METHODS: A survey was conducted in September 2019 by 
      contacting all registered members of the German Society of Anaesthesiology and 
      Intensive Care Medicine (DGAI) via email. The participants were asked about their 
      personal and institutional background, adherence to recommendations of the 
      current German S1 guidelines and availability of airway devices. RESULTS: A total 
      of 1862 DGAI members completed the questionnaire (response rate 17%). The main 
      outcome was that anesthesiologists mostly adhered to the guidelines, yet certain 
      recommendations, particularly pertaining to specifics of preoxygenation and 
      training, showed a safety gap. More than 90% of participants had a video 
      laryngoscope and half had performed more than 25 awake intubations using 
      a flexible endoscope; however, only 81% had a video laryngoscope with 
      a hyperangulated blade. An estimated 16% of all intubations were performed with 
      a video laryngoscope, and 1 in 4 participants had performed awake intubation with 
      it. Nearly all participants had cared for patients with suspected difficult 
      airways. Half of the participants had already faced a "cannot intubate, cannot 
      oxygenate" (CICO) situation and one in five had to perform an emergency front of 
      neck access (eFONA) at least once. In this case, almost two thirds used 
      puncture-based techniques and one third scalpel-based techniques. CONCLUSION: 
      Current practice of airway management showed overall adherence to the current 
      German guidelines on airway management, yet certain areas need to be improved.
CI  - (c) 2021. The Author(s).
FAU - Pirlich, Nina
AU  - Pirlich N
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany. pirlich@uni-mainz.de.
FAU - Dutz, Matthias
AU  - Dutz M
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany.
FAU - Wittenmeier, Eva
AU  - Wittenmeier E
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany.
FAU - Kriege, Marc
AU  - Kriege M
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany.
FAU - Didion, Nicole
AU  - Didion N
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany.
FAU - Ott, Thomas
AU  - Ott T
AD  - Department of Anaesthesiology, Medical Centre of the Johannes 
      Gutenberg-University, Mainz, Germany.
FAU - Piepho, Tim
AU  - Piepho T
AD  - Department of Anaesthesiology and Intensive Care, Brothers of Mercy Hospital, 
      Trier, Germany.
LA  - eng
PT  - Journal Article
TT  - Aktuelle Praxis des Atemwegsmanagements deutscher Anasthesisten : Ergebnisse 
      einer nationalen Online-Umfrage.
DEP - 20210828
PL  - Germany
TA  - Anaesthesiologie
JT  - Die Anaesthesiologie
JID - 9918384886806676
SB  - IM
MH  - Humans
MH  - Anesthesiologists
MH  - Airway Management/methods
MH  - Intubation, Intratracheal
MH  - *Anesthesiology/education
MH  - *Anesthesia
PMC - PMC9763150
OTO - NOTNLM
OT  - Difficult airway
OT  - Education
OT  - Guidelines
OT  - Patient safety
OT  - Video laryngoscopy
COIS- N. Pirlich, M. Dutz, E. Wittenmeier, M. Kriege, N. Didion, T. Ott and T. Piepho 
      declare that they have no competing interests.
EDAT- 2021/08/29 06:00
MHDA- 2022/12/22 06:00
PMCR- 2021/08/28
CRDT- 2021/08/28 12:07
PHST- 2021/01/04 00:00 [received]
PHST- 2021/07/23 00:00 [accepted]
PHST- 2021/07/07 00:00 [revised]
PHST- 2021/08/29 06:00 [pubmed]
PHST- 2022/12/22 06:00 [medline]
PHST- 2021/08/28 12:07 [entrez]
PHST- 2021/08/28 00:00 [pmc-release]
AID - 10.1007/s00101-021-01025-3 [pii]
AID - 1025 [pii]
AID - 10.1007/s00101-021-01025-3 [doi]
PST - ppublish
SO  - Anaesthesiologie. 2022 Dec;71(Suppl 2):190-197. doi: 10.1007/s00101-021-01025-3. 
      Epub 2021 Aug 28.