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[Guidelines on difficult intubation in anesthesia: evaluation of 2 information diffusion methods].

V Daucourt1, P Michel, P Avarguès

  • 1L'Evaluation Clinique et de la Qualité en Aquitaine (CCECQA), Talence.

Revue D'Epidemiologie Et De Sante Publique
|October 16, 1999
PubMed
Summary

Evaluating difficult intubation guidelines revealed that neither media nor direct mailing significantly improved practice or training willingness among anesthesiologists. Reading the guidelines showed inconsistent links to practice changes.

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Area of Science:

  • Anesthesiology
  • Medical Education
  • Clinical Practice Guidelines

Background:

  • The Société Française d'Anesthésie et de Réanimation published difficult intubation guidelines in 1996.
  • Assessing the impact of guideline dissemination methods is crucial for improving patient safety.

Purpose of the Study:

  • To evaluate the effectiveness of two guideline diffusion methods: media versus direct mailing plus media.
  • To examine the relationship between guideline reading, practice behavior, and willingness to undergo training.

Main Methods:

  • Two samples of 300 anesthetists each underwent pre- and post-intervention surveys.
  • One group received direct mailing of guidelines; the other received only media diffusion.
  • Logistic regression analyzed the relationship between diffusion methods, reading, and practice/training outcomes.

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Main Results:

  • Direct mailing did not significantly increase guideline readership.
  • No overall impact of diffusion methods on practice behavior or training willingness was observed.
  • Routine screening for difficult intubation signs was higher in the direct mailing group, but this effect was mainly in subgroups and not consistently linked to reading.

Conclusions:

  • Current guideline diffusion methods have limited impact on anesthesiologists' practice and training willingness.
  • The association between reading guidelines and improved practice behavior is inconsistent.