A nationwide postal questionnaire survey: the presence of airway guidelines in anaesthesia department in Sweden

نویسندگان

  • Kati Knudsen
  • Ulrika Pöder
  • Marieann Högman
  • Anders Larsson
  • Ulrica Nilsson
چکیده

BACKGROUND In Sweden, airway guidelines aimed toward improving patient safety have been recommended by the Swedish Society of Anaesthesia and Intensive Care Medicine. Adherence to evidence-based airway guidelines is known to be generally poor in Sweden. The aim of this study was to determine whether airway guidelines are present in Swedish anaesthesia departments. METHODS A nationwide postal questionnaire inquiring about the presence of airway guidelines was sent out to directors of Swedish anaesthesia departments (n = 74). The structured questionnaire was based on a review of the Swedish Society of Anaesthesia and Intensive Care voluntary recommendations of guidelines for airway management. Mean, standard deviation, minimum/maximum, percentage (%) and number of general anaesthesia performed per year as frequency (n), were used to describe, each hospital type (university, county, private). For comparison between hospitals type and available written airway guidelines were cross tabulation used and analysed using Pearson's Chi-Square tests. A p- value of less than 0 .05 was judged significant. RESULTS In total 68 directors who were responsible for the anaesthesia departments returned the questionnaire, which give a response rate of 92% (n 68 of 74). The presence of guidelines showing an airway algorithm was reported by 68% of the departments; 52% reported having a written patient information card in case of a difficult airway and guidelines for difficult airways, respectively; 43% reported the presence of guidelines for preoperative assessment; 31% had guidelines for Rapid Sequence Intubation; 26% reported criteria for performing an awake intubation; and 21% reported guidelines for awake fibre-optic intubation. A prescription for the registered nurse anaesthetist for performing tracheal intubation was reported by 24%. The most frequently pre-printed preoperative elements in the anaesthesia record form were dental status and head and neck mobility. CONCLUSIONS Despite recommendations from the national anaesthesia society, the presence of airway guidelines in Swedish anaesthesia departments is low. From the perspective of safety for both patients and the anaesthesia staff, airway management guidelines should be considered a higher priority.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Airway management in anaesthesia care – professional and patient perspectives

Knudsen, K. 2016. Airway management in anaesthesia care. – professional and patient perspectives. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1205. 56 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9534-3. Background: Careful airway management, including tracheal intubation, is important when performing anaesthesia in order to achieve safe...

متن کامل

Perioperative and Anesthesia Guidelines for Children with Autism: A Nationwide Survey from Sweden.

OBJECTIVE The overall aim of this study was to describe the current set of guidelines for the preparation and care for children with autism spectrum disorder (ASD) in the perioperative setting across Sweden and explore the content of these guidelines in detail. METHOD An online questionnaire was distributed to the chairpersons of all anesthesia departments (n = 68) and pediatric departments (...

متن کامل

Current practice of rapid sequence induction of anaesthesia in the UK - a national survey.

BACKGROUND The 'classical' technique of rapid sequence induction (RSI) of anaesthesia was described in 1970. With the introduction of new drugs and equipment in recent years, a wide variation in this technique has been used. The role of cricoid pressure is controversial because of the lack of scientific evidence. Moreover, gentle mask ventilation has been recommended in situations such as obesi...

متن کامل

Work related symptoms among sewage workers: a nationwide survey in Sweden.

AIMS To assess the risk for work related symptoms among sewage workers in Sweden using a postal questionnaire. METHODS All municipalities in Sweden were contacted and asked to provide addresses of sewage workers and controls. Controls were recruited among other municipal workers not exposed to sewage, such as workers in drinking water plants and gardeners. A questionnaire was sent to the subj...

متن کامل

Asthma, chronic bronchitis, chronic obstructive pulmonary disease (COPD) and respiratory symptoms among adults in Estonia: Prevalence and risk factors – comparison with Sweden and Finland

The thesis is based on original research data of the Estonian part of the “FinEsS” studies, which are cross-sectional comparative studies between Finland, Estonia and Sweden aiming to estimate the prevalence of respiratory symptoms, asthma, chronic bronchitis, COPD and allergy and to assess risk factors for the diseases and conditions. In Estonia the study areas included Tallinn, the capital of...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 14  شماره 

صفحات  -

تاریخ انتشار 2014