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Difficult airway management patterns among attending anaesthetists practising in Israel

Published online by Cambridge University Press:  12 July 2005

T. Ezri ,
S. Konichezky ,
D. Geva ,
R. D. Warters ,
P. Szmuk  and
C. Hagberg
T. Ezri
Affiliation:
Wolfson Medical Center, Department of Anesthesia, Holon, Israel
S. Konichezky
Affiliation:
Kaplan Medical Center, ICU, Rehovot, Israel
D. Geva
Affiliation:
Kaplan Medical Center, Department of Anesthesia, Rehovot, Israel
R. D. Warters
Affiliation:
University of Texas Medical School at Houston, Operating Rooms, Houston, TX, USA
P. Szmuk
Affiliation:
UT Medical School at Houston, PACU, Houston, TX, USA
C. Hagberg
Affiliation:
UT Medical School at Houston, Neuroanesthesia Unit & Difficult Airway Management Program, Houston, TX, USA
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Abstract

Summary

Background and objective: In recent years, a large number of airway devices have been introduced into clinical practice as adjuncts to the management of the difficult airway. The purpose of this study was to evaluate the practices of Israeli anaesthetists in specific clinical situations and their familiarity with the use of a variety of airway devices and techniques.

Methods: A survey developed in our institution was sent to 300 attending anaesthetists representing all board-certified anaesthetists practising in Israel.

Results: Of the 153 respondents, 75% belonged to university hospitals. Ninety-six percent were skilled with laryngeal mask airways and 73% with fibreoptics. Seventy percent preferred regional anaesthesia with anticipated difficult intubation, continuation of anaesthesia with a laryngeal mask with failed intubation and a laryngeal mask for impossible mask ventilation. For the airway scenarios, awake fibreoptic, awake direct laryngoscopy, intubation under inhalation anaesthesia and tracheostomy were shared equally.

Conclusions: There is a high degree of adherence by Israeli anaesthetists to the American Society of Anesthesiologists' difficult airway algorithm. Current airway management practice patterns in Israel are presented.

Keywords

AIRWAY OBSTRUCTIONMASKS, airway devices, laryngeal masks
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 20 , Issue 8 , September 2003 , pp. 619 - 623
Copyright
2003 European Society of Anaesthesiology

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