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Swedish consensus regarding difficult pre-hospital airway management: a Delphi study
Anton Modée Borgström1, Denise Bäckström2,3
1Department of Anaesthesiology and Intensive Care, Capio St. Göran's Hospital, Stockholm, 112 19, Sweden.
BMC Emergency Medicine
|May 27, 2024
Summary
Swedish prehospital experts developed a consensus-based difficult airway management algorithm. This new guideline provides a flexible framework for diverse prehospital airway scenarios, improving care.
Area of Science:
- Emergency Medicine
- Prehospital Care
- Airway Management
Background:
- Lack of a standardized difficult airway management protocol in Swedish prehospital settings.
- Need for expert consensus to guide prehospital airway interventions.
Purpose of the Study:
- To establish expert consensus on difficult airway management in Swedish prehospital care.
- To develop a nationwide algorithm for prehospital difficult airway management.
Main Methods:
- Two-round Delphi study involving prehospital anesthesiologists and anesthesia nurses in Sweden.
- Digital surveys used to reach consensus (defined as >70% agreement) on airway management statements.
- Study conducted from December 2021 to May 2022.
Main Results:
- Consensus reached on 16 out of 17 statements.
- High agreement (92%) on the necessity of a prehospital airway algorithm.
- 74 participants in round one, 37 in round two.
Conclusions:
- A flexible, consensus-driven algorithm is crucial for adapting airway management to prehospital circumstances.
- The developed algorithm serves as a recommended framework, not a rigid protocol.
- This is the first national algorithm for prehospital airway management in Sweden, based on expert consensus.
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