Anticipated difficult airway management among anaesthesiologists
- Conditions
- Healthy practicing Anaesthesiologists
- Registration Number
- CTRI/2014/12/005342
- Lead Sponsor
- Raghu S Thota
- Brief Summary
Airway management is an important aspect in the practice of anaesthesia. There are many surveys conducted across the world1-6 assessing difficult airway management, training and equipment availability. While, India has not published its own data and has no algorithms for management of difficult airway, we have adopted American society of anaesthesiologists (ASA) and Difficult Airway Society (DAS) algorithms for the training and management of airways. We plan to evaluate the current practice patterns of the Indian anaesthesiologists with special interest in Airway management, in management of predicted difficult airway and the available airway equipments as advised by the ASA. We survey anaesthesiologists who are members of Indian society of Anaesthesiologist (ISA) and All India difficult airway association (AIDiAA).
**MATERIALS& METHODS:**
TheDelphi survey methodology will be used. A panel of 5 senior physicians who are practicinganaesthesiologists will be involved directly in formulating the questionnaire.The first step in designing the survey will be to prepare a questionnaire withclinical relevance to the aims of the survey. We will be preparing a set of fourcase scenarios (2 emergency and 2 elective) keeping in mind the difficultairway possibilities at Supraglottic, periglottic and subglottic region, aswell as a cervical spine injury along with elective case scenario. Re-evaluationof the questions will be made for the second time and answer options will beevaluated for their relevance to the aim of the survey. Multiple choice optionswill be created with an easy to use “check the box†system to provideresponses. As the clinical practices will be expected to be different fordifferent group of patients, multiple options of standard difficult airwaymanagement will be provided.
The setof questions will be formatted into two sections, i.e. the first section willconsist of questions on personal details (i.e. demographic information including workpractice (location and full-time equivalent percentage), age, duration ofpractice, anaesthesia qualifications, etc.) of the participants. The second part will coveravailability of difficult airway equipment and will be based on the ASA’ssuggested contents of a portable storage unit for difficult airway management. Thethird part consists of four case scenarios describing patients requiring trachealintubation, as will be outlined in the Appendix. In all cases the airway willbe predicted to be difficult. There will be 2 emergencies and 2 elective case scenarios.Of the emergency cases, there will be one case of suspected Supraglotticpathology, one involved periglottic pathology, subglottic and a trauma patient withunknown cervical spine status. Practitioners will be asked to select a methodof induction, method of intubation and preferred adjunct device for each scenario.
**STUDYPROCEDURE:**
***Conduct of survey***
The database of the registered members of All India Difficult AirwayAssociation (AIDiAA) whose members are distributed across the country, will beobtained after due permission. Also, delegates and faculties attending theNational Airway conference to be held during 28th Nov – 30thNov 2014 will be surveyed. The time period allotted to complete the survey willbe 2 months. 3 reminders to complete the survey will be sent through e-mail tothe non-responders during the study period.
Received data will be entered into an Excelâ„¢ (Microsoft Office 2003)spreadsheet by two independent operators and cross-checked. Partiallyincomplete forms will be included with blank responses coded as missing data.If two options are selected, then data will coded as missing.
**STATISTICALANALYSIS:**
Data willbe analysed using SPSS version 14.0 (SPSS Inc., Chicago, IL, USA). Frequenciesand cross-tabulations will be used to describe the data. Descriptive statisticswill be used to present demographic data and to present the results ofworkplace scenarios and available equipment.
**REFERENCES:**
1. Ortega R, Mehio AK, Woo A, Hafez DH:Videos in clinical medicine: Positive-pressure ventilation with a face mask anda bag-valve device. N Engl J Med 2007; 357:e4
2. Adnet F: Difficult mask ventilation:An underestimated aspect of the problem of the difficult airway? Anesthesiology2000; 92:1217-1218.
3. SoleimanpourH, Gholipouri C, Golzari SE, Rahmani F, Sabahi M. Capnography in the emergencydepartment. Emerg Med. 2012; 2:e123.
4. SokoutiM, Montazeri V. Acute nonpenetrating tracheobronchial injuries: What isimportant in the mortality? J Cardiovasc Thorac Res. 2009; 1:5–8.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- All
- Target Recruitment
- 100
All Practicing Anaesthesiologists with focussed interest in Airway Management.
Not provided
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method This is a Observational study where the approach of the anesthesiologist to anticipated difficult airway management is recorded 3 months after the first time the survey is sent to the anaesthesiologist
- Secondary Outcome Measures
Name Time Method twoo reminder 30 days and 15 days apart will be given during this two months 3 months. No secondary outcomes
Trial Locations
- Locations (1)
Department of Anaesthesiology, Critical Care & Pain, Room 19 to 33, Tata memorial Hospital
🇮🇳Mumbai, MAHARASHTRA, India
Department of Anaesthesiology, Critical Care & Pain, Room 19 to 33, Tata memorial Hospital🇮🇳Mumbai, MAHARASHTRA, IndiaRaghu S ThotaPrincipal investigator9769077764ragstho24@rediffmail.com