We conducted a national survey of emergency medicine residency program directors to determine which alternative devices were available in their emergency departments for difficult airway management.
We also assessed the residency directors'experience in use of these devices.
After approval was received from the institutional review board at our institution, residency directors were contacted by mail, fax, or phone in October 1997.
Alternative intubation devices were defined as devices that do not involve use of a laryngoscope and direct visualization for tracheal tube placement.
Alternative ventilation devices were defined as those that do not use a face mask for ventilation.
We asked whether the following alternative intubation devices were stocked in their department : a flexible fiberoptic bronchoscope, a rigid fiberoptic device (ie, Bullard, Wu-Scope), a lighted stylet, or a retrograde intubation kit.
We also asked about the following alternative ventilation devices : a transtracheal jet ventilation system with a 50-psi oxygen source and control valve, the esophageal tracheal twin-lumen airway device (Combitube), or the laryngeal mask airway.
Residency directors were also questioned about their duration of practice, intubation experience, and use of these devices.
We obtained information from 95 of 118 (81%) programs. (...)
Mots-clés Pascal : Médecine, Urgence, Interne(étudiant), Programme enseignement, Expérience professionnelle, Pratique professionnelle, Directeur, Insuffisance respiratoire, Intubation, Matériel technique, Technique, Etats Unis, Amérique du Nord, Amérique, Enseignement universitaire, Evaluation professionnelle, Homme, Appareil respiratoire pathologie, Ventilation artificielle
Mots-clés Pascal anglais : Medicine, Emergency, Resident(student), Educational program, Professional experience, Professional practice, Director, Respiratory failure, Intubation, Technical equipment, Technique, United States, North America, America, Higher education, Professional evaluation, Human, Respiratory disease, Artificial ventilation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0321175
Code Inist : 002B30A09. Création : 16/11/1999.