ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 1 (2021), RESULTS OF MULTICENTER STUDIES AND SURVEYS
No. 1 (2021)
RESULTS OF MULTICENTER STUDIES AND SURVEYS

Airway management (review of existing practice in the Russian Federation for 2020). Results of a multicenter study

Published 05.03.2021
Alexander A. Andreenko
Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0002-5542-9280
I.V. Bratishchev
Botkin Municipal Clinical Hospital, Moscow, Russia
https://orcid.org/0000-0002-1050-1867
E.L. Dolbneva
Scientific Center of Surgery RAMN, Moscow, Russia
https://orcid.org/0000-0003-3825-4949
V.Yu. Pikovsky
A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
https://orcid.org/0000-0002-6879-5378
V.I. Stamov
Sechenov First Moscow State Medical University, Moscow, Russia
https://orcid.org/0000-0001-8524-6840
#2021-1
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Keywords

airway management
difficult airways
endotracheal intubation
surveys and questionnaires

How to Cite

1.
Andreenko A.A., Bratishchev I.V., Dolbneva E.L., Pikovsky V.Y., Stamov V.I. Airway management (review of existing practice in the Russian Federation for 2020). Results of a multicenter study. Annals of Critical Care. 2021;(1):107-115. doi:10.21320/1818-474X-2021-1-107-115
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Abstract

Introduction. The problem of “difficult airways” will always remain relevant, since critical gas exchange disorders lead to the death or deep neurological disability of patients.

Objectives. To analyze the frequency of development of situations of “difficult airways”, the level of equipment of hospitals to ensure the airway management, to study the level of training of doctors and the algorithms used by them (comparative assessment of the situation in the dynamics of 2014–2019). Materials and methods. The survey was conducted from 01.03.2019 to 30.10.2020 by means of an online survey (https://ru.surveymonkey.com/r/HMTX2RR) and distribution of questionnaires (43 questions) by e-mail to anesthesiologists-resuscitators in medical organizations of various profiles.

Results. 1260 responses were received. Only 47 % of respondents studied the issues of airway management during primary training in the specialty. In situations of difficult intubation or ventilation, almost 78 % of respondents use the FAR recommendations, almost 83 % of the respondents indicated that the FAR recommendations help them in practice. According to the survey data, most hospitals do not meet the legal requirements. Only 44 % of hospitals have a round-the-clock endoscopy service. In comparison with the previous surveys, the number of respondents who followed the recommended algorithms of actions in the situation of “no intubation — no oxygenation” during elective (70 %) and emergency (75 %) general anesthesia increased. However, only 60 % of specialists correctly identified the indications for performing emergency cricothyrotomy.

Conclusions. Over the past 11 years, there has been a certain positive trend in relation to the growth of the level of education of specialists, changes in their approaches and a greater tendency to follow existing recommendations. The overwhelming majority of hospitals still do not meet the requirements of the legal framework.

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References

  1. Mora J.C., Kaye A.D., Romankowski M.L., et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018; 36(1): 231–249. DOI: 10.1016/j.aan.2018.07.009
  2. Metzner J., Posner K.L., Lam M.S., et al. Closed claims’ analysis. Best Pract Res Clin Anaesthesiol. 2011; 25(2): 263–276. DOI: 10.1016/j.bpa.2011.02.007
  3. Cook T.M., Woodall N., Frerk C. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br. J. Anaesth. 2011; 106(5): 617–631. DOI: 10.1093/bja/aer058
  4. АндреенкоА.А., Долбнева Е.Л., Стамов В.И. Обеспечение проходимости верхних дыхательных путей в стационаре. Клинические рекомендации Федерации анестезиологов-реаниматологов России (второй пересмотр, 2018 г.). Вестник интенсивной терапии им. А.И. Салтанова. 2019; 2: 7–31. DOI: 10.21320/1818-474X-2019-2-7-7-31 [Andreenko A.A., Dolbneva E.L., Stamov V.I. Airway management in hospital. Russian Federation of anesthesiologists and reanimatologists guidelines (second edition, 2018). Annals of Critical Care. 2019; 2: 7–31. (In Russ)]
  5. Холматова К.К., Горбатова М.А., Харькова О.А., Гржибовский А.М. Поперечные исследования: планирование, размер выборки, анализ данных. Экология человека. 2016; 2: 49–56. [Kholmatova K.K., Gorbatova M.A., Kharkova O.A., Grzhibovsky A.M. Cross-sectional studies: planning, sample size, data analysis. Human Ecology. 2016; 2: 49–56. (In Russ)]
  6. Долбнева Е.Л., Стамов В.И., Андреенко А.А., БунятянА.А. Анализ проблемы «трудных дыхательных путей» в России: особенности и перспективы. Часть Медицинский алфавит. Неотложная медицина. 2016; 3(20): 9–13. [Dolbneva E.L., Stamov V.I., Andrenko A.A., Bunyatyan A.A. Analysis of the problem of “difficult airways” In Russia: features and prospects. Part 1. Medical alphabet. Emergency medicine. Emergency medicine. 2016; 3(20): 9–13. (In Russ)]
  7. Rajesh M.C., Suvarna K., Indu S., et al. Current practice of difficult airway management: A survey. Indian J Anaesth. 2015; 59(12): 801–806. DOI: 10.4103/0019-5049.171571
  8. Wong D.T., Mehta A., Tam A.D., et al. A survey of Canadian anesthesiologistsʼ preferences in difficult intubation and “cannot intubate, cannot ventilate” situations. Can J Anaesth. 2014; 61(8): 717–726. DOI: 10.1007/s12630-014-0183-0
  9. Schroeder R.A. , Pollard R., Dhakal I., et al. Temporal Trends in Difficult and Failed Tracheal Intubation in a Regional Community Anesthetic Practice. Anesthesiology. 2018; 128(3): 502–510. DOI: 10.1097/ALN.0000000000001974
  10. Gómez-Prieto M.G., Míguez-Crespo M.R., Jiménez-del-Valle J.R., et al. National survey on airway and difficult airway management in intensive care units. Med Intensiva. 2018; 42(9): 519–526. DOI: 10.1016/j.medin.2018.01.001
  11. Андреенко А.А., Долбнева Е.Л., Стамов В.И. Проблема «трудных дыхательных путей»: многоцентровые исследования Федерации анестезиологов и реаниматологов по анализу текущей клинической практики и обзору системы обучения в Российской Федерации. Вестник интенсивной терапии имени А.И. Салтанова. 2019; 3: 34–41. DOI: 10.21320/1818-474X-2019-3-34-41 [Andreenko A.A., Dolbneva E.L., Stamov V.I. The problem of “difficult airways” — multicenter studies of Federation of anaesthesiologists and reanimatologists to analyze current clinical practice and review the training system in the Russian Federation. Review. Annals of Critical Care. 2019; 3: 34–41. (In Russ)]
  12. Toolis M., Tiruvoipati R., Botha J., et al. A practice survey of airway management in Australian and New Zealand intensive care units. Crit Care Resusc. 2019; 21(2): 139–147.
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