Intensive Care Unit, The Austin Hospital, Victoria, Australia.
Intensive Care Unit, Cabrini Hospital, Victoria, Australia.
Anaesth Intensive Care. 2024 Nov;52(6):407-414. doi: 10.1177/0310057X241265722. Epub 2024 Sep 23.
This study aimed to assess the availability, design, and contents of difficult airway trolleys in hospitals in Victoria, Australia. A survey audit was conducted with a 92.3% reply rate, and the responses from 22 major Victorian hospitals were analysed. The results showed that difficult airway trolleys were available in 100% of operating theatres, emergency departments and intensive care units, and the rate of standardisation was high. Compliance with recommended design features and resources was on average 68.3%. There was no significant difference in the compliance rate of major tertiary centres compared with other hospitals. The carriage of non-essential items was reduced compared with earlier audits. However, there was heterogeneity in the brands of supraglottic airway devices, videolaryngoscopes and cognitive aids used. The study highlights the need for ongoing improvement to the organization and content of difficult airway trolleys, and for further discussion regarding the safety of equipment variation across institutions.
本研究旨在评估澳大利亚维多利亚州医院困难气道台车的可用性、设计和内容。采用调查审计方法，回复率为 92.3%，对 22 家主要维多利亚医院的回复进行了分析。结果表明，困难气道台车在 100%的手术室、急诊部和重症监护室均可获得，标准化程度较高。符合推荐设计特点和资源的比例平均为 68.3%。与其他医院相比，主要三级中心的合规率没有显著差异。与早期的审计相比，非必要物品的携带有所减少。然而，所使用的声门上气道装置、视频喉镜和认知辅助设备的品牌存在异质性。该研究强调需要不断改进困难气道台车的组织和内容，并进一步讨论机构间设备变异的安全性。
