Department of Anesthesiology, Penn State University College of Medicine, Hershey Medical Center, Hershey, PA 17033-0850, USA.
J Clin Anesth. 2011 Feb;23(1):15-26. doi: 10.1016/j.jclinane.2010.06.009.
To determine the current trends in airway education in academic programs.
Survey instrument.
American academic medical center.
147 directors of American and Canadian anesthesiology residency programs.
An invitation to complete an online questionnaire was sent. Non-responding institutions were contacted repeatedly by email and telephone to ensure a reasonable response rate.
88 of the 147 (60%) programs completed the survey. Forty-three respondents (49%) reported that they had formal airway rotations, and 39 respondents said that a designated titled faculty member was responsible for airway training. Didactic lecture and manikin instruction were used by more than two thirds of the programs. Documentation of supervised airway experience was recorded in 71 (82%) programs. The majority of the programs (81%) had videolaryngoscopes. A fiberoptic bronchoscope was nearly universally available, and approximately one third (34%) of graduating residents were estimated to have performed more than 25 awake fiberoptic intubations. For most techniques, the estimates of the required number of procedures to ensure competence varied widely.
The number of programs with a formal airway management program continues to increase, and programs are incorporating newer intubation techniques. The criteria for competence have not been established.
确定学术项目中气道教育的当前趋势。
调查工具。
美国学术医疗中心。
147 名美国和加拿大麻醉学住院医师培训计划主任。
邀请他们完成在线问卷调查。对未回复的机构通过电子邮件和电话反复联系，以确保合理的回复率。
147 个计划中有 88 个（60%）完成了调查。43 名受访者（49%）报告说他们有正式的气道轮转，39 名受访者表示指定的有头衔的教员负责气道培训。超过三分之二的项目使用了理论讲座和模型教学。71 个（82%）项目记录了有监督的气道经验。大多数项目（81%）都有可视喉镜。纤维支气管镜几乎普遍可用，约三分之一（34%）的住院医师估计进行了超过 25 次清醒纤维支气管镜插管。对于大多数技术，估计确保熟练程度所需的程序数量差异很大。
有正式气道管理项目的项目数量继续增加，并且项目正在引入新的插管技术。胜任的标准尚未确定。
