A view on pediatric airway management: a cross sectional survey study

The European Airway Management Society; Ayten Saracoglu; Kemal Tolga Saracoglu; Massimiliano Sorbello; Raghad Kurdi; Robert Greif; Suheyla Abitagaoglu; Mine Akin; Ahmet Aksu; Ebru Aladag; Ali Alagoz; Zekeriyya Alanoglu; Zeliha Alicikus Tuncel; Hatice B. Altinisik; Andrea L. Ambrosoli; Salvatore Amella; Andrej Andrašovský; Alberto Andreotti; Ayse G. Arici; James Armstrong; Baris Arslan; Elisa Ávila; Irem Aydogmus; Asude Ayhan; Hilal Ayoglu; Pinar Ayvat; Murat Bakis; Betul Basaran; Cagdas Baytar; Zekine Begec; Amare Belete; Rajeev Belludi; Marietta C. Bianco; Mehmet U. Bilgin; Ebru Biricik; Maren Kleine Brueggeney; Doruntina Bunjaku; Unase Buyukkocak; Jean Catineau; Consuelo García Cebrián; Surendra M. Chinnappa; Aruk Cicekci; Jose Corte-Ballester; Ana B. Cuéllar Martínez; Tugba Caglar; Feyza Calisir; Yesim Cokay Abut; Leman A. Delen; Ozlem Deligoz; Serdar Demirgan; Roberta Distefano; Dmytro Dmytriiev; Leticia Duarte; Cem Ece; Mohamed El-Tahan; Mohamed El-Hatib; Dilek Erdogan Ari; Kerem Erkalp; Derya Erol; Engin Erturk; Rita Frada; Alexander Fuchs; Eleana Garini; Mehmet E. Gecici; Mariachiara Giallongo; Cristina Gomes; Hande Gurbuz; Nazan Has Selmi; Antigona Hasani; Clara Hernandez Cera; Tatjana Hilker; Duenpen Horatanaruang; Johannes Huitink; Pelin Karaaslan; Arzu Karaveli; Marijana Karisik; Ayse D. Kavas; Ahmet Kaya; Pinar Kendigelen; Gökhan Kilinc; Suna Koc; Ozlem Dilmen; Betul Kozanhan; Ilke Kupeli; Ufuk Kuyrukluyildiz; Albert Lleshi; Marilia Loizou; Jutarat Luanpholcharoenchai; Vicente Martinez; Dafina Matoshi; Indubala Maurya; Basak C. Meco; Pavel Michalek; Morena Milic; Ileana Mitre; Fernando Montealegre; Abhijit Nair; Rajmonda Nallbani; Agnes Ng; Bahar Oc; Gulay Ok; Cimen Olguner; Derya Ozkan; Gözen Oksuz; Mustafa S. Ozcan; Eyyup S. Ozden; Derya Ozden Omaygenc; Yetkin Ozer; Handan Ozmenoglu Turker; Sengul Ozmert; Ekta Rai; Deepak Rangappa; Andrés Roca De Togores; Helena Salgado; Patricia Santos; Suleyman Sari; Aykut Saritas; Nalan Saygi Emir; Betul Sen; Nabil Shallik; Faisal Shamim; Biljana Shirgoska; Emin Silay; Tripiti Sinha; Thanaphon Srimueang; P. Sudarshan; Tayfun Sugur; Ismail Sumer; Zoltán Szucs; Tulay Sahin; Sema Sanal Bas; Josephine Tan; Lamia Tawfik; Serra Topal; Erol Toy; Ayse Z. Turan Civraz; Dilek Unal; Sedef G. Ural; Serpil Z. Ustalar Ozgen; Harun Uysal; Huri Yesildal; Canan Yilmaz; Vivian Yuen; Emine Yurt; Nureddin Yuzkat; Marko Zdravkovic; Mika Isohanni

doi:10.23736/S0375-9393.22.16445-X

A view on pediatric airway management: a cross sectional survey study

The European Airway Management Society, Ayten Saracoglu, Kemal Tolga Saracoglu, Massimiliano Sorbello, Raghad Kurdi, Robert Greif, Suheyla Abitagaoglu, Mine Akin, Ahmet Aksu, Ebru Aladag, Ali Alagoz, Zekeriyya Alanoglu, Zeliha Alicikus Tuncel, Hatice B. Altinisik, Andrea L. Ambrosoli, Salvatore Amella, Andrej Andrašovský, Alberto Andreotti, Ayse G. Arici, James ArmstrongBaris Arslan, Elisa Ávila, Irem Aydogmus, Asude Ayhan, Hilal Ayoglu, Pinar Ayvat, Murat Bakis, Betul Basaran, Cagdas Baytar, Zekine Begec, Amare Belete, Rajeev Belludi, Marietta C. Bianco, Mehmet U. Bilgin, Ebru Biricik, Maren Kleine Brueggeney, Doruntina Bunjaku, Unase Buyukkocak, Jean Catineau, Consuelo García Cebrián, Surendra M. Chinnappa, Aruk Cicekci, Jose Corte-Ballester, Ana B. Cuéllar Martínez, Tugba Caglar, Feyza Calisir, Yesim Cokay Abut, Leman A. Delen, Ozlem Deligoz, Serdar Demirgan, Roberta Distefano, Dmytro Dmytriiev, Leticia Duarte, Cem Ece, Mohamed El-Tahan, Mohamed El-Hatib, Dilek Erdogan Ari, Kerem Erkalp, Derya Erol, Engin Erturk, Rita Frada, Alexander Fuchs, Eleana Garini, Mehmet E. Gecici, Mariachiara Giallongo, Cristina Gomes, Hande Gurbuz, Nazan Has Selmi, Antigona Hasani, Clara Hernandez Cera, Tatjana Hilker, Duenpen Horatanaruang, Johannes Huitink, Pelin Karaaslan, Arzu Karaveli, Marijana Karisik, Ayse D. Kavas, Ahmet Kaya, Pinar Kendigelen, Gökhan Kilinc, Suna Koc, Ozlem Dilmen, Betul Kozanhan, Ilke Kupeli, Ufuk Kuyrukluyildiz, Albert Lleshi, Marilia Loizou, Jutarat Luanpholcharoenchai, Vicente Martinez, Dafina Matoshi, Indubala Maurya, Basak C. Meco, Pavel Michalek, Morena Milic, Ileana Mitre, Fernando Montealegre, Abhijit Nair, Rajmonda Nallbani, Agnes Ng, Bahar Oc, Gulay Ok, Cimen Olguner, Derya Ozkan, Gözen Oksuz, Mustafa S. Ozcan, Eyyup S. Ozden, Derya Ozden Omaygenc, Yetkin Ozer, Handan Ozmenoglu Turker, Sengul Ozmert, Ekta Rai, Deepak Rangappa, Andrés Roca De Togores, Helena Salgado, Patricia Santos, Suleyman Sari, Aykut Saritas, Nalan Saygi Emir, Betul Sen, Nabil Shallik, Faisal Shamim, Biljana Shirgoska, Emin Silay, Tripiti Sinha, Thanaphon Srimueang, P. Sudarshan, Tayfun Sugur, Ismail Sumer, Zoltán Szucs, Tulay Sahin, Sema Sanal Bas, Josephine Tan, Lamia Tawfik, Serra Topal, Erol Toy, Ayse Z. Turan Civraz, Dilek Unal, Sedef G. Ural, Serpil Z. Ustalar Ozgen, Harun Uysal, Huri Yesildal, Canan Yilmaz, Vivian Yuen, Emine Yurt, Nureddin Yuzkat, Marko Zdravkovic, Mika Isohanni

Division of General Anesthesia

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

BACKGROUND: This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine. METHODS: A 20-question multiple-choice questionnaire with the possibility to provide open text answers was developed and sent. The survey was sent to the members of European Airway Management Society via a web-based platform. Responses were analyzed thematically. Only the answers from one representative of the pediatric service of each hospital was included into the analysis. RESULTS: Among the members, 143 physicians responded the survey, being anesthesiologists (83.2%), intensivists (11.9%), emergency medicine physicians (2.1%), and (2.8%) pain medicine practitioners. Astraight blade was preferred by 115 participants (80.4%) in newborns, whereas in infants 86 (60.1%) indicated a curved blade and 55 (38.5%) a straight blade. Uncuffed tracheal tube were preferred by 115 participants (80.4%) in newborns, whereas 24 (16.8%) used cuffed tubes. Approximately 2/3 of the participants (89, 62.2%) reported not to use routinely a cuff manometer in their clinical practice, whereas 54 participants (37.8%) use it routinely in pediatric patients. Direct laryngoscopy for routine pediatric tracheal intubation was reported by 127 participants (88.8%), while 16 (11.2%) reported using videolaryngoscopes routinely. Interestingly, 39 (27.3%) had never performed neither videolaryngoscopy nor flexible bronchoscopy in children. These results were significantly less in hospitals with a dedicated pediatric anesthesiologist. CONCLUSIONS: This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.

Original language	English
Pages (from-to)	982-993
Number of pages	12
Journal	Minerva anestesiologica
Volume	88
Issue number	12
DOIs	https://doi.org/10.23736/S0375-9393.22.16445-X
State	Published - Dec 2022

Keywords

Airway management
Pediatris
Surveys and questionnaires

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10.23736/S0375-9393.22.16445-X

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The European Airway Management Society, Saracoglu, A., Saracoglu, K. T., Sorbello, M., Kurdi, R., Greif, R., Abitagaoglu, S., Akin, M., Aksu, A., Aladag, E., Alagoz, A., Alanoglu, Z., Alicikus Tuncel, Z., Altinisik, H. B., Ambrosoli, A. L., Amella, S., Andrašovský, A., Andreotti, A., Arici, A. G., ... Isohanni, M. (2022). A view on pediatric airway management: a cross sectional survey study. Minerva anestesiologica, 88(12), 982-993. https://doi.org/10.23736/S0375-9393.22.16445-X

@article{d3156eeb7f364f699377076a641185a9,

title = "A view on pediatric airway management: a cross sectional survey study",

abstract = "BACKGROUND: This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine. METHODS: A 20-question multiple-choice questionnaire with the possibility to provide open text answers was developed and sent. The survey was sent to the members of European Airway Management Society via a web-based platform. Responses were analyzed thematically. Only the answers from one representative of the pediatric service of each hospital was included into the analysis. RESULTS: Among the members, 143 physicians responded the survey, being anesthesiologists (83.2%), intensivists (11.9%), emergency medicine physicians (2.1%), and (2.8%) pain medicine practitioners. Astraight blade was preferred by 115 participants (80.4%) in newborns, whereas in infants 86 (60.1%) indicated a curved blade and 55 (38.5%) a straight blade. Uncuffed tracheal tube were preferred by 115 participants (80.4%) in newborns, whereas 24 (16.8%) used cuffed tubes. Approximately 2/3 of the participants (89, 62.2%) reported not to use routinely a cuff manometer in their clinical practice, whereas 54 participants (37.8%) use it routinely in pediatric patients. Direct laryngoscopy for routine pediatric tracheal intubation was reported by 127 participants (88.8%), while 16 (11.2%) reported using videolaryngoscopes routinely. Interestingly, 39 (27.3%) had never performed neither videolaryngoscopy nor flexible bronchoscopy in children. These results were significantly less in hospitals with a dedicated pediatric anesthesiologist. CONCLUSIONS: This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.",

keywords = "Airway management, Pediatris, Surveys and questionnaires",

author = "{The European Airway Management Society} and Ayten Saracoglu and Saracoglu, {Kemal Tolga} and Massimiliano Sorbello and Raghad Kurdi and Robert Greif and Suheyla Abitagaoglu and Mine Akin and Ahmet Aksu and Ebru Aladag and Ali Alagoz and Zekeriyya Alanoglu and {Alicikus Tuncel}, Zeliha and Altinisik, {Hatice B.} and Ambrosoli, {Andrea L.} and Salvatore Amella and Andrej Andra{\v s}ovsk{\'y} and Alberto Andreotti and Arici, {Ayse G.} and James Armstrong and Baris Arslan and Elisa {\'A}vila and Irem Aydogmus and Asude Ayhan and Hilal Ayoglu and Pinar Ayvat and Murat Bakis and Betul Basaran and Cagdas Baytar and Zekine Begec and Amare Belete and Rajeev Belludi and Bianco, {Marietta C.} and Bilgin, {Mehmet U.} and Ebru Biricik and Brueggeney, {Maren Kleine} and Doruntina Bunjaku and Unase Buyukkocak and Jean Catineau and Cebri{\'a}n, {Consuelo Garc{\'i}a} and Chinnappa, {Surendra M.} and Aruk Cicekci and Jose Corte-Ballester and {Cu{\'e}llar Mart{\'i}nez}, {Ana B.} and Tugba Caglar and Feyza Calisir and {Cokay Abut}, Yesim and Delen, {Leman A.} and Ozlem Deligoz and Serdar Demirgan and Roberta Distefano and Dmytro Dmytriiev and Leticia Duarte and Cem Ece and Mohamed El-Tahan and Mohamed El-Hatib and {Erdogan Ari}, Dilek and Kerem Erkalp and Derya Erol and Engin Erturk and Rita Frada and Alexander Fuchs and Eleana Garini and Gecici, {Mehmet E.} and Mariachiara Giallongo and Cristina Gomes and Hande Gurbuz and {Has Selmi}, Nazan and Antigona Hasani and {Hernandez Cera}, Clara and Tatjana Hilker and Duenpen Horatanaruang and Johannes Huitink and Pelin Karaaslan and Arzu Karaveli and Marijana Karisik and Kavas, {Ayse D.} and Ahmet Kaya and Pinar Kendigelen and G{\"o}khan Kilinc and Suna Koc and Ozlem Dilmen and Betul Kozanhan and Ilke Kupeli and Ufuk Kuyrukluyildiz and Albert Lleshi and Marilia Loizou and Jutarat Luanpholcharoenchai and Vicente Martinez and Dafina Matoshi and Indubala Maurya and Meco, {Basak C.} and Pavel Michalek and Morena Milic and Ileana Mitre and Fernando Montealegre and Abhijit Nair and Rajmonda Nallbani and Agnes Ng and Bahar Oc and Gulay Ok and Cimen Olguner and Derya Ozkan and G{\"o}zen Oksuz and Ozcan, {Mustafa S.} and Ozden, {Eyyup S.} and {Ozden Omaygenc}, Derya and Yetkin Ozer and {Ozmenoglu Turker}, Handan and Sengul Ozmert and Ekta Rai and Deepak Rangappa and {Roca De Togores}, Andr{\'e}s and Helena Salgado and Patricia Santos and Suleyman Sari and Aykut Saritas and {Saygi Emir}, Nalan and Betul Sen and Nabil Shallik and Faisal Shamim and Biljana Shirgoska and Emin Silay and Tripiti Sinha and Thanaphon Srimueang and P. Sudarshan and Tayfun Sugur and Ismail Sumer and Zolt{\'a}n Szucs and Tulay Sahin and {Sanal Bas}, Sema and Josephine Tan and Lamia Tawfik and Serra Topal and Erol Toy and {Turan Civraz}, {Ayse Z.} and Dilek Unal and Ural, {Sedef G.} and {Ustalar Ozgen}, {Serpil Z.} and Harun Uysal and Huri Yesildal and Canan Yilmaz and Vivian Yuen and Emine Yurt and Nureddin Yuzkat and Marko Zdravkovic and Mika Isohanni",

year = "2022",

month = dec,

doi = "10.23736/S0375-9393.22.16445-X",

language = "English",

volume = "88",

pages = "982--993",

journal = "Minerva anestesiologica",

issn = "0375-9393",

number = "12",

}

The European Airway Management Society, Saracoglu, A, Saracoglu, KT, Sorbello, M, Kurdi, R, Greif, R, Abitagaoglu, S, Akin, M, Aksu, A, Aladag, E, Alagoz, A, Alanoglu, Z, Alicikus Tuncel, Z, Altinisik, HB, Ambrosoli, AL, Amella, S, Andrašovský, A, Andreotti, A, Arici, AG, Armstrong, J, Arslan, B, Ávila, E, Aydogmus, I, Ayhan, A, Ayoglu, H, Ayvat, P, Bakis, M, Basaran, B, Baytar, C, Begec, Z, Belete, A, Belludi, R, Bianco, MC, Bilgin, MU, Biricik, E, Brueggeney, MK, Bunjaku, D, Buyukkocak, U, Catineau, J, Cebrián, CG, Chinnappa, SM, Cicekci, A, Corte-Ballester, J, Cuéllar Martínez, AB, Caglar, T, Calisir, F, Cokay Abut, Y, Delen, LA, Deligoz, O, Demirgan, S, Distefano, R, Dmytriiev, D, Duarte, L, Ece, C, El-Tahan, M, El-Hatib, M, Erdogan Ari, D, Erkalp, K, Erol, D, Erturk, E, Frada, R, Fuchs, A, Garini, E, Gecici, ME, Giallongo, M, Gomes, C, Gurbuz, H, Has Selmi, N, Hasani, A, Hernandez Cera, C, Hilker, T, Horatanaruang, D, Huitink, J, Karaaslan, P, Karaveli, A, Karisik, M, Kavas, AD, Kaya, A, Kendigelen, P, Kilinc, G, Koc, S, Dilmen, O, Kozanhan, B, Kupeli, I, Kuyrukluyildiz, U, Lleshi, A, Loizou, M, Luanpholcharoenchai, J, Martinez, V, Matoshi, D, Maurya, I, Meco, BC, Michalek, P, Milic, M, Mitre, I, Montealegre, F, Nair, A, Nallbani, R, Ng, A, Oc, B, Ok, G, Olguner, C, Ozkan, D, Oksuz, G, Ozcan, MS, Ozden, ES, Ozden Omaygenc, D, Ozer, Y, Ozmenoglu Turker, H, Ozmert, S, Rai, E, Rangappa, D, Roca De Togores, A, Salgado, H, Santos, P, Sari, S, Saritas, A, Saygi Emir, N, Sen, B, Shallik, N, Shamim, F, Shirgoska, B, Silay, E, Sinha, T, Srimueang, T, Sudarshan, P, Sugur, T, Sumer, I, Szucs, Z, Sahin, T, Sanal Bas, S, Tan, J, Tawfik, L, Topal, S, Toy, E, Turan Civraz, AZ, Unal, D, Ural, SG, Ustalar Ozgen, SZ, Uysal, H, Yesildal, H, Yilmaz, C, Yuen, V, Yurt, E, Yuzkat, N, Zdravkovic, M & Isohanni, M 2022, 'A view on pediatric airway management: a cross sectional survey study', Minerva anestesiologica, vol. 88, no. 12, pp. 982-993. https://doi.org/10.23736/S0375-9393.22.16445-X

TY - JOUR

T1 - A view on pediatric airway management

T2 - a cross sectional survey study

AU - The European Airway Management Society

AU - Saracoglu, Ayten

AU - Saracoglu, Kemal Tolga

AU - Sorbello, Massimiliano

AU - Kurdi, Raghad

AU - Greif, Robert

AU - Abitagaoglu, Suheyla

AU - Akin, Mine

AU - Aksu, Ahmet

AU - Aladag, Ebru

AU - Alagoz, Ali

AU - Alanoglu, Zekeriyya

AU - Alicikus Tuncel, Zeliha

AU - Altinisik, Hatice B.

AU - Ambrosoli, Andrea L.

AU - Amella, Salvatore

AU - Andrašovský, Andrej

AU - Andreotti, Alberto

AU - Arici, Ayse G.

AU - Armstrong, James

AU - Arslan, Baris

AU - Ávila, Elisa

AU - Aydogmus, Irem

AU - Ayhan, Asude

AU - Ayoglu, Hilal

AU - Ayvat, Pinar

AU - Bakis, Murat

AU - Basaran, Betul

AU - Baytar, Cagdas

AU - Begec, Zekine

AU - Belete, Amare

AU - Belludi, Rajeev

AU - Bianco, Marietta C.

AU - Bilgin, Mehmet U.

AU - Biricik, Ebru

AU - Brueggeney, Maren Kleine

AU - Bunjaku, Doruntina

AU - Buyukkocak, Unase

AU - Catineau, Jean

AU - Cebrián, Consuelo García

AU - Chinnappa, Surendra M.

AU - Cicekci, Aruk

AU - Corte-Ballester, Jose

AU - Cuéllar Martínez, Ana B.

AU - Caglar, Tugba

AU - Calisir, Feyza

AU - Cokay Abut, Yesim

AU - Delen, Leman A.

AU - Deligoz, Ozlem

AU - Demirgan, Serdar

AU - Distefano, Roberta

AU - Dmytriiev, Dmytro

AU - Duarte, Leticia

AU - Ece, Cem

AU - El-Tahan, Mohamed

AU - El-Hatib, Mohamed

AU - Erdogan Ari, Dilek

AU - Erkalp, Kerem

AU - Erol, Derya

AU - Erturk, Engin

AU - Frada, Rita

AU - Fuchs, Alexander

AU - Garini, Eleana

AU - Gecici, Mehmet E.

AU - Giallongo, Mariachiara

AU - Gomes, Cristina

AU - Gurbuz, Hande

AU - Has Selmi, Nazan

AU - Hasani, Antigona

AU - Hernandez Cera, Clara

AU - Hilker, Tatjana

AU - Horatanaruang, Duenpen

AU - Huitink, Johannes

AU - Karaaslan, Pelin

AU - Karaveli, Arzu

AU - Karisik, Marijana

AU - Kavas, Ayse D.

AU - Kaya, Ahmet

AU - Kendigelen, Pinar

AU - Kilinc, Gökhan

AU - Koc, Suna

AU - Dilmen, Ozlem

AU - Kozanhan, Betul

AU - Kupeli, Ilke

AU - Kuyrukluyildiz, Ufuk

AU - Lleshi, Albert

AU - Loizou, Marilia

AU - Luanpholcharoenchai, Jutarat

AU - Martinez, Vicente

AU - Matoshi, Dafina

AU - Maurya, Indubala

AU - Meco, Basak C.

AU - Michalek, Pavel

AU - Milic, Morena

AU - Mitre, Ileana

AU - Montealegre, Fernando

AU - Nair, Abhijit

AU - Nallbani, Rajmonda

AU - Ng, Agnes

AU - Oc, Bahar

AU - Ok, Gulay

AU - Olguner, Cimen

AU - Ozkan, Derya

AU - Oksuz, Gözen

AU - Ozcan, Mustafa S.

AU - Ozden, Eyyup S.

AU - Ozden Omaygenc, Derya

AU - Ozer, Yetkin

AU - Ozmenoglu Turker, Handan

AU - Ozmert, Sengul

AU - Rai, Ekta

AU - Rangappa, Deepak

AU - Roca De Togores, Andrés

AU - Salgado, Helena

AU - Santos, Patricia

AU - Sari, Suleyman

AU - Saritas, Aykut

AU - Saygi Emir, Nalan

AU - Sen, Betul

AU - Shallik, Nabil

AU - Shamim, Faisal

AU - Shirgoska, Biljana

AU - Silay, Emin

AU - Sinha, Tripiti

AU - Srimueang, Thanaphon

AU - Sudarshan, P.

AU - Sugur, Tayfun

AU - Sumer, Ismail

AU - Szucs, Zoltán

AU - Sahin, Tulay

AU - Sanal Bas, Sema

AU - Tan, Josephine

AU - Tawfik, Lamia

AU - Topal, Serra

AU - Toy, Erol

AU - Turan Civraz, Ayse Z.

AU - Unal, Dilek

AU - Ural, Sedef G.

AU - Ustalar Ozgen, Serpil Z.

AU - Uysal, Harun

AU - Yesildal, Huri

AU - Yilmaz, Canan

AU - Yuen, Vivian

AU - Yurt, Emine

AU - Yuzkat, Nureddin

AU - Zdravkovic, Marko

AU - Isohanni, Mika

PY - 2022/12

Y1 - 2022/12

N2 - BACKGROUND: This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine. METHODS: A 20-question multiple-choice questionnaire with the possibility to provide open text answers was developed and sent. The survey was sent to the members of European Airway Management Society via a web-based platform. Responses were analyzed thematically. Only the answers from one representative of the pediatric service of each hospital was included into the analysis. RESULTS: Among the members, 143 physicians responded the survey, being anesthesiologists (83.2%), intensivists (11.9%), emergency medicine physicians (2.1%), and (2.8%) pain medicine practitioners. Astraight blade was preferred by 115 participants (80.4%) in newborns, whereas in infants 86 (60.1%) indicated a curved blade and 55 (38.5%) a straight blade. Uncuffed tracheal tube were preferred by 115 participants (80.4%) in newborns, whereas 24 (16.8%) used cuffed tubes. Approximately 2/3 of the participants (89, 62.2%) reported not to use routinely a cuff manometer in their clinical practice, whereas 54 participants (37.8%) use it routinely in pediatric patients. Direct laryngoscopy for routine pediatric tracheal intubation was reported by 127 participants (88.8%), while 16 (11.2%) reported using videolaryngoscopes routinely. Interestingly, 39 (27.3%) had never performed neither videolaryngoscopy nor flexible bronchoscopy in children. These results were significantly less in hospitals with a dedicated pediatric anesthesiologist. CONCLUSIONS: This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.

AB - BACKGROUND: This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine. METHODS: A 20-question multiple-choice questionnaire with the possibility to provide open text answers was developed and sent. The survey was sent to the members of European Airway Management Society via a web-based platform. Responses were analyzed thematically. Only the answers from one representative of the pediatric service of each hospital was included into the analysis. RESULTS: Among the members, 143 physicians responded the survey, being anesthesiologists (83.2%), intensivists (11.9%), emergency medicine physicians (2.1%), and (2.8%) pain medicine practitioners. Astraight blade was preferred by 115 participants (80.4%) in newborns, whereas in infants 86 (60.1%) indicated a curved blade and 55 (38.5%) a straight blade. Uncuffed tracheal tube were preferred by 115 participants (80.4%) in newborns, whereas 24 (16.8%) used cuffed tubes. Approximately 2/3 of the participants (89, 62.2%) reported not to use routinely a cuff manometer in their clinical practice, whereas 54 participants (37.8%) use it routinely in pediatric patients. Direct laryngoscopy for routine pediatric tracheal intubation was reported by 127 participants (88.8%), while 16 (11.2%) reported using videolaryngoscopes routinely. Interestingly, 39 (27.3%) had never performed neither videolaryngoscopy nor flexible bronchoscopy in children. These results were significantly less in hospitals with a dedicated pediatric anesthesiologist. CONCLUSIONS: This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.

KW - Airway management

KW - Pediatris

KW - Surveys and questionnaires

UR - http://www.scopus.com/inward/record.url?scp=85143088553&partnerID=8YFLogxK

U2 - 10.23736/S0375-9393.22.16445-X

DO - 10.23736/S0375-9393.22.16445-X

M3 - Article

C2 - 35833855

AN - SCOPUS:85143088553

SN - 0375-9393

VL - 88

SP - 982

EP - 993

JO - Minerva anestesiologica

JF - Minerva anestesiologica

IS - 12

ER -

A view on pediatric airway management: a cross sectional survey study

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