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Maintaining competence in airway management.

Ebbe L Bessmann1,2, Lars S Rasmussen3,4, Lars Konge1,4

  • 1Copenhagen Academy for Medical Education and Simulation, Capital Region of Denmark, Denmark.

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Summary

Anesthesiologists feel confident in basic airway management but advanced skills may decline due to low procedural volume. Current training methods do not meet desired educational strategies for maintaining critical airway skills.

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Area of Science:

  • Anesthesiology
  • Medical Education
  • Airway Management

Background:

  • Airway management is a critical skill for anesthesiologists.
  • Maintaining proficiency in airway management throughout a career is essential but challenging.
  • Optimal methods for skill maintenance and education remain unclear.

Purpose of the Study:

  • To assess anesthesiologists' procedural volume in airway management.
  • To evaluate anesthesiologists' confidence levels in managing airways.
  • To identify current and preferred educational strategies for airway management skills.

Main Methods:

  • A 28-item questionnaire was distributed to all anesthesiologists in the Capital Region of Denmark.
  • The survey explored essential airway management skills, procedural volumes, and educational preferences.
  • A response rate of 84% (240/285) was achieved.

Main Results:

  • Most anesthesiologists reported high confidence in basic airway management.
  • Anesthesiologists in anesthesia felt more confident than those in intensive care units (ICUs) with difficult airways.
  • Advanced airway procedure volume was low (≤4 times/year) for both groups, with ICUs having lower volume and diversity.

Conclusions:

  • While basic airway management skills are strong, low procedural volume in advanced techniques raises concerns for skill maintenance.
  • A significant gap exists between current and desired supplemental training for airway management.
  • Anesthesiologists prefer daily clinical work, hands-on workshops, and simulation for training.