Stamer U M, Messerschmidt A, Wulf H, Hoeft A
Department of Anesthesiology and Intensive Care Medicine, University of Bonn, Germany.
J Clin Anesth. 2000 Mar;12(2):151-6. doi: 10.1016/s0952-8180(00)00131-8.
To examine the availability of specialized equipment for the difficult airway management in obstetric units of German departments of anesthesiology.
An anonymous questionnaire survey was mailed to the directors of 993 German departments of anesthesiology. Completed replies were grouped by number of deliveries performed each year.
55.5% of the hospitals responded. Data of 449 answers were evaluated for this investigation. A difficult airway cart was available in 99.3% of the departments. More detailed investigation revealed that different shaped laryngoscope blades (74.9% of the departments), laryngeal masks (91.0%), a fiberoptic bronchoscope (85.9%), and transtracheal puncture devices (59.9%) were available in the majority of the units. However, only a minority of the departments had these devices directly available in their obstetric operating rooms (OR; laryngeal masks 36.2%, fiberoptic bronchoscope 23.9%, transtracheal puncture set 22.0%). Larger units with more than 1,000 deliveries per year provided their equipment more often directly in the obstetric OR or the facility housing the obstetric unit than did smaller units with less than 1,000 deliveries per year (p< 0.001).
The survey of German departments of anesthesia revealed that specialized equipment for the difficult airway management often is not directly available in the obstetric OR. Anesthesiologists must familiarize themselves as to which difficult airway equipment is available in their unit and where it is stored.
调查德国麻醉科产科病房中用于困难气道管理的专业设备的配备情况。
向993个德国麻醉科主任邮寄了一份匿名问卷调查。根据每年分娩的数量对完整回复进行分组。
55.5%的医院做出了回应。本次调查评估了449份回复的数据。99.3%的科室配备了困难气道推车。更详细的调查显示，大多数科室都配备了不同形状的喉镜镜片（74.9%的科室）、喉罩（91.0%）、纤维支气管镜（85.9%）和经气管穿刺装置（59.9%）。然而，只有少数科室在其产科手术室（OR）中直接配备了这些设备（喉罩36.2%、纤维支气管镜23.9%、经气管穿刺套件22.0%）。每年分娩量超过1000例的较大科室比每年分娩量少于1000例的较小科室更常将设备直接配备在产科手术室或产科病房所在的设施中（p<0.001）。
对德国麻醉科的调查显示，用于困难气道管理的专业设备在产科手术室中往往无法直接获得。麻醉医生必须熟悉所在科室有哪些困难气道设备以及它们的存放位置。
