Airway management practices in adult intensive care units in Israel: a national survey.
Summary of "Airway management practices in adult intensive care units in Israel: a national survey."
Timely and adequate management of normal and compromised airway is a crucial task facing medical teams taking care of patients in intensive care units. We investigated the airway management practices in the Israeli intensive care units (ICUs). A postal survey was sent to the 20 main ICUs in Israel. We investigated which medical specialty (ICU, anesthesiology or ENT) is involved with airway management in the ICUs and summarized the availability of airway equipment and medication necessary for endotracheal intubation, the use of dedicated airway management algorithms, the approaches to specific airway scenarios and education in airway management. The response rate was 70 % (14 out of the 20 units). Intubation with normal airway is performed mainly by ICU doctors (86 %). A difficult airway is most frequently cared for by anesthesiologists (79 %), while impossible intubation/mask ventilation is mainly managed by anesthesiologists and ENT surgeons (50-79 %). Airways in C-spine injury are mainly managed by anesthesiologists (70 %). Surgical airway is mainly performed by ENT surgeons (79 %). The ASA difficult airway algorithm is used in 71 % of the units. Fiberoptic intubation is used significantly more often than other methods in two scenarios: 78 % of the difficult airways and 64 % of the C-spine injuries (p < 0.0001). Only 43 % of the units reported holding quality assurance meetings. 69 % of the units' heads are satisfied with their airway management policies. Equipment and medications necessary for airway management are available in most of the units. Difficult airways in ICUs are mainly managed by anesthesiologists and ENT surgeons. Few ICUs have quality assurance meetings.
Department of General Intensive Care, Wolfson Medical Center, Affiliated to Tel Aviv University, Holon, Israel.
This article was published in the following journal.
Name: Journal of clinical monitoring and computing
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22614337
- DOI: http://dx.doi.org/10.1007/s10877-012-9368-7
Medical and Biotech [MESH] Definitions
Intensive Care Units, Pediatric
Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.
Intensive Care Units
Hospital units providing continuous surveillance and care to acutely ill patients.
Intensive Care Units, Neonatal
Hospital units providing continuing surveillance and care to acutely ill newborn infants.
Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.
Coronary Care Units
The hospital unit in which patients with acute cardiac disorders receive intensive care.
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