Study of Difficult Airway Management Patterns Among Anesthesia Staff Practicing in General and Private Hospitals in Sana'a City, Yemen, 2020-2021
Background: The difficult airway (DA) defined as the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with face mask ventilation of the upper airway, difficulty with tracheal intubation, or both. the American society of Anesthesiologist (ASA) defined it, that the difficult to ventilate that when sign of inadequate ventilation could not be reversed by mask ventilation or oxygen saturation could not be maintained above 90%, and difficult to intubate, if a trained Anesthetist using conventional laryngoscope take’s more than 3 attempts or more than 10 minutes are required to complete tracheal intubation.
Objective: In this study, we aimed to Identify difficult airway management patterns among anesthesia staff and their practice to the ASA guidelines for management of difficult airway in general and private hospitals at Sana'a city-Yemen.
Methodology: After approval of departmental ethical committee, this survey was applied on the anesthesia staff employed in the Anesthesia department of general and private hospitals at Sana'a city, and who agree to participate in this study and they were filled the questionnaire that take about difficult airway management patterns among anesthesia staff practicing in general and private hospitals at Sana’a city- Yemen.
Results: A total of 98 anesthesia staff were included in the study the majority (76.5%) were male and (23.5%) were females. Most of the respondents (47.9%) were in the age group of 31–40 years, (39.8%) were in the age group of ≥ 30 years, (7.1%) were in the age group of (41–50) years and (5.1%) were in the age group of ≤ 51years, (41.8%) were level of education at Bachelor degree, (35.7%) were level of education at Diploma degree, (10.2%) were level of education at Board degree, (7.1%) were level of education at Master degree and (5.1%) were level of education at Ph.D. degree, and (42.9%) were years of practice in the anesthesia in the group 1-5 years, (30.6%) were years of practice in the anesthesia in the group 6-10 years, (17.4%) were years of practice in the anesthesia in the group 11-15 years and (9.1%) were years of practice in the anesthesia in the group 16 ≥ years, and when we were asked about Training for Airway Management within the last 2 years, were (86.8%) who were answered yes and 13(13.2%) who were answered no and when we were asked about duty, were(64.3%) who were full time duty and (35.7%) who were part time duty and when we were asked about Use of ASA Algorithm for Difficult Airway Management, were (84.7%) who were answered yes and 15 (15.3%) who were answered no. Most common choices of difficult Airway Management for anticipated difficult airway were (76%) for SAD as ventilation device, while most common choices of difficult Airway Management for Unanticipated difficult intubation with adequate mask ventilation were (92%) for SAD as conduct for intubation and for Failed intubation with difficult / impossible mask ventilation were (85%).
Conclusions: We concluded from this survey study increased orientation and practicing with different of airway devices and techniques was Laryngoscopic especially Macintosh (94.9%), Supraglottic airway devices especially classic LMA (84.69%), emergency airway access Retrograde intubation (73.47%), Fiber optic under GA (57.14) and Blind nasal intubation (44.9%), and Intubation stylet especially Gum elastic bougie (41.84%)
Keywords: airway management- difficult- anesthesia staff
Objective: In this study, we aimed to Identify difficult airway management patterns among anesthesia staff and their practice to the ASA guidelines for management of difficult airway in general and private hospitals at Sana'a city-Yemen.
Methodology: After approval of departmental ethical committee, this survey was applied on the anesthesia staff employed in the Anesthesia department of general and private hospitals at Sana'a city, and who agree to participate in this study and they were filled the questionnaire that take about difficult airway management patterns among anesthesia staff practicing in general and private hospitals at Sana’a city- Yemen.
Results: A total of 98 anesthesia staff were included in the study the majority (76.5%) were male and (23.5%) were females. Most of the respondents (47.9%) were in the age group of 31–40 years, (39.8%) were in the age group of ≥ 30 years, (7.1%) were in the age group of (41–50) years and (5.1%) were in the age group of ≤ 51years, (41.8%) were level of education at Bachelor degree, (35.7%) were level of education at Diploma degree, (10.2%) were level of education at Board degree, (7.1%) were level of education at Master degree and (5.1%) were level of education at Ph.D. degree, and (42.9%) were years of practice in the anesthesia in the group 1-5 years, (30.6%) were years of practice in the anesthesia in the group 6-10 years, (17.4%) were years of practice in the anesthesia in the group 11-15 years and (9.1%) were years of practice in the anesthesia in the group 16 ≥ years, and when we were asked about Training for Airway Management within the last 2 years, were (86.8%) who were answered yes and 13(13.2%) who were answered no and when we were asked about duty, were(64.3%) who were full time duty and (35.7%) who were part time duty and when we were asked about Use of ASA Algorithm for Difficult Airway Management, were (84.7%) who were answered yes and 15 (15.3%) who were answered no. Most common choices of difficult Airway Management for anticipated difficult airway were (76%) for SAD as ventilation device, while most common choices of difficult Airway Management for Unanticipated difficult intubation with adequate mask ventilation were (92%) for SAD as conduct for intubation and for Failed intubation with difficult / impossible mask ventilation were (85%).
Conclusions: We concluded from this survey study increased orientation and practicing with different of airway devices and techniques was Laryngoscopic especially Macintosh (94.9%), Supraglottic airway devices especially classic LMA (84.69%), emergency airway access Retrograde intubation (73.47%), Fiber optic under GA (57.14) and Blind nasal intubation (44.9%), and Intubation stylet especially Gum elastic bougie (41.84%)
Keywords: airway management- difficult- anesthesia staff