University of Wuerzburg, Wuerzburg, Germany.
Eur J Anaesthesiol. 2010 Jun;27(6):526-33. doi: 10.1097/EJA.0b013e32833724f0.
In the past decade, 'airway management' has been recognized as an important focus in clinical anaesthesia in order to improve patient safety. The aim of the study was to retrieve data regarding the procurement, storage and preferences of airway management devices (AMDs) by anaesthesia departments in German hospitals.
An online questionnaire was mailed to all German hospitals listed in the German hospital register, with an appropriate e-mail address for the respective department of anaesthesia. We determined the annual number of general anaesthetic procedures performed, the availability of laryngoscope blades, supraglottic AMDs, fibreoptic scopes and endoscopic laryngoscopes, as well as alternative approaches to difficult ventilation and intubation, the preferred surgical AMDs and the preferred method in case of an expected difficult intubation.
Following a reminder, 332 questionnaires (52.8%) were analysed. Apart from the Macintosh blade (100% availability), the Miller and McCoy blades were also available in some departments. The laryngeal mask airway was the most commonly used supraglottic AMD. A fibreoptic scope was available in every anaesthesia department. Other devices had only a niche role. Percutaneous tracheostomy (65%) was the preferred surgical airway access. At the time of the survey, performing a fibreoptic intubation was the method of choice in cases of an anticipated difficult intubation.
The present survey regarding the availability of AMDs among German hospitals confirmed that airway management constitutes an important focus in the respondent anaesthesia departments. German hospitals seem to be well equipped with devices for the different scenarios in airway management.
在过去的十年中，“气道管理”已被认为是临床麻醉学的一个重要关注点，以提高患者安全性。本研究的目的是检索德国医院麻醉科采购、储存和气道管理设备（AMD）偏好的数据。
向德国医院登记册中列出的所有德国医院邮寄在线问卷，并为相应的麻醉科提供适当的电子邮件地址。我们确定了全身麻醉程序的年执行次数、喉镜叶片、声门上 AMD、纤维光学镜和内窥镜喉镜的可用性，以及困难通气和插管的替代方法、首选的手术 AMD 以及预计困难插管时的首选方法。
在提醒之后，分析了 332 份问卷（52.8%）。除了 Macintosh 叶片（100%的可用性）外，一些部门还提供了 Miller 和 McCoy 叶片。喉罩是最常用的声门上 AMD。每个麻醉科都有纤维光学镜。其他设备的作用有限。经皮气管切开术（65%）是首选的手术气道进入方法。在调查时，纤维光学插管是预计困难插管时的首选方法。
本调查显示，德国医院 AMD 的可用性证实气道管理是受访者麻醉科的一个重要关注点。德国医院似乎配备了用于气道管理不同情况的设备。
