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Airway management research: a systematic review.

I Ahmad1,2, D N Onwochei1, S Muldoon3

  • 1Guy's & St Thomas' NHS Foundation Trust, London, UK.

Anaesthesia
|November 22, 2018
PubMed
Summary

This bibliometric review of airway management research found that while patient studies increased, manikin studies did not. The findings highlight trends in subject types, interventions, and outcomes to guide future research priorities.

Keywords:
airway managementairway researchbibliometricsdifficult airway

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Area of Science:

  • Anesthesiology and Critical Care Medicine
  • Medical Education and Research Methodology
  • Health Services Research

Background:

  • Ethical debates have questioned the value of manikin-based airway research compared to patient studies.
  • A formal examination of airway research methodology and trends was lacking.
  • Understanding research conduct is crucial for future study design and ethical considerations.

Purpose of the Study:

  • To systematically review airway management research methodology.
  • To quantify subject types (patient vs. manikin vs. other) and global trends.
  • To assess reported outcomes and inform future research directions.

Main Methods:

  • A systematic bibliometric review of 1505 airway management studies published from 2006 to 2017.
  • Analysis of study types, subject populations, interventions, and reported outcomes.
  • Quantification of patient studies versus manikin studies and their trends over time.

Main Results:

  • Total airway management studies and patient studies increased annually; manikin studies showed no significant increase.
  • The majority of studies involved patients (71.9%), with tracheal intubation and supraglottic airway device insertion being common interventions.
  • Success rate and procedure time were the most frequently reported outcomes among 77 different primary outcomes.

Conclusions:

  • Bibliometric analysis reveals a growing trend in patient-based airway management research.
  • The static number of manikin studies warrants further discussion regarding their role and value.
  • These findings provide a data-driven foundation for setting future research priorities and developing core outcome sets in airway management.