A Survey of Airway Management Practice Patterns in Paediatric Anaesthesia by Anaesthesiologists in Different European Hospitals
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Proportion of anaesthesiologist with paediatric experience using intravenous induction compared to those without paediatric experience.
研究概览
简要总结
Respiratory adverse events continue to be the leading reason for perioperative critical events in children. It is crucial for the anaesthesiologist to anticipate, recognize and treat these respiratory adverse events. Respiratory adverse events are one of the major causes of morbidity and mortality during paediatric anaesthesia. To avoid trouble, one must be prepared for trouble: if a difficult airway is very likely, anaesthesia should be administered by experienced anaesthesiologists and should only be performed in a protected well-equipped area where the personnel adequately trained.
This survey focuses on assessment and management of paediatric airway and highlights the unique challenges encountered in children.
详细描述
Airway management is one of the key areas of paediatric anaesthesia practice. The paediatric patients have significant anatomical and physiological differences compared with adults, which impact on the techniques and tools that the anaesthesiologist might choose to provide safe and effective control of the airway. Furthermore, there are a number of pathological processes, typically seen in the paediatric population, which present unique anatomical or functional difficulties in airway management. The presence of one of these syndromes or conditions can predict a "difficult airway".
Respiratory adverse events continue to be the leading reason for perioperative critical events in children. New developments in airway management in paediatric patients can only improve perioperative outcome if anaesthesiologists who are fully acquainted with these fundamental aspects of paediatric anaesthesia care for these children.
This survey was taken out within members of the Community of European Anaesthesiologists, to describe and explore current patterns of their airway management in paediatric anaesthesia.
The purpose of the study was to see whether there are more uniform practice patterns among anaesthesiologist with paediatric experience than those without paediatric experience.
Secondarily, the survey also explored anaesthetists'' knowledge about the risks of respiratory adverse events and, and about national organizations' recommendations.
研究设计
- 研究类型
- Observational
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Anaesthesiologists currently working in the operating rooms.
排除标准
- •unwilling to join the study
结局指标
主要结局
Proportion of anaesthesiologist with paediatric experience using intravenous induction compared to those without paediatric experience.
时间窗: A time of survey; generally less than 20 minutes
The primary objective will be to compare anaesthesiologists with and without paediatric experience in terms of proportion of anaesthesiologists adopting "standard" practice.
次要结局
- Proportion of anaesthesiologist with paediatric experience measuring cuff pressure with pressure manometer compared to those without paediatric experience.(A time of survey; generally less than 20 minutes)
- Proportion of participants correctly identifying predictability of difficult airway in children.(A time of survey; generally less than 20 minutes)
- Proportion of participants correctly answering questions about the use of (modified) rapid sequence induction in the paediatric population.(A time of survey; generally less than 20 minutes)
- Proportion of anaesthesiologist correctly identifying national organisations difficult airway recommendations.(A time of survey; generally less than 20 minutes)
研究者
Thekla Niebel, MD PhD
MD
Fondazione IRCCS Policlinico San Matteo di Pavia