An international survey about rapid sequence intubation of 10,003 anaesthetists and 16 airway experts

Summary Pulmonary aspiration of gastric content is a significant cause of anaesthesia‐related morbidity and mortality. High‐quality prospective randomised evidence to support prevention strategies, such as rapid sequence intubation, is difficult to generate due to well‐described practical, ethical a...

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Bibliographic Details
Published in:Anaesthesia 2020-03, Vol.75 (3), p.313-322
Main Authors: Zdravkovic, M., Berger‐Estilita, J., Sorbello, M., Hagberg, C. A.
Format: Article
Language:English
Subjects:
Airway Management
Anesthesia
Anesthesiologists - education
Anesthetists
Conserved sequence
Cricoid Cartilage
Cross-Sectional Studies
Economic factors
gastric ultrasound
Humans
Income
Insertion
Intestinal obstruction
Intestinal Obstruction - diagnosis
Intestine
Intubation
Intubation, Intratracheal - methods
Morbidity
Patient Positioning
Polls & surveys
Poverty
Prospective Studies
pulmonary aspiration
Rapid Sequence Induction and Intubation - methods
rapid sequence intubation
Respiratory Aspiration of Gastric Contents - prevention & control
Respiratory tract
Socioeconomic Factors
supervision
Supine position
Surveying
Surveys and Questionnaires
Training
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Summary:Summary Pulmonary aspiration of gastric content is a significant cause of anaesthesia‐related morbidity and mortality. High‐quality prospective randomised evidence to support prevention strategies, such as rapid sequence intubation, is difficult to generate due to well‐described practical, ethical and methodological barriers. We aimed to generate an understanding of worldwide practice through surveying clinically practicing anaesthetists and airway experts. Our survey was designed to assess the influence of: departmental standards; patient factors; socio‐economic factors; training; and supervision. We surveyed 10,003 anaesthetists who responded to an invitation to participate on LinkedIn. We then surveyed 16 international airway experts on the same content. When asked about a hypothetical patient with intestinal obstruction, respondents expressed preferences for [OR (95%CI)]: the head‐up or ‐down position 4.26 (3.98–4.55), p 
ISSN:0003-2409
1365-2044
DOI:10.1111/anae.14867