Second, the frequencies of difficult airways situations (i.e., cannot ventilate and cannot intubate) were neither determined nor was information obtained on airway management practices in Japanese EDs.
Because the participants do not utilize this device in their current practice, this design allowed the authors to simulate a scenario that would illustrate the performance of emergency physicians with the CVS in an unexpected difficult airway situation with little to no experience with the device.
In the presence of a difficult airway situation, however, use of the video laryngoscope resulted in a higher success rate compared with direct laryngoscopy [ 15].
In two cases, dazzling (e.g. reflexions or inadequate luminance in comparison to bright surrounding light) of the monitor occurred, which is a common problem with videolaryngoscopy; however, both fogging and dazzling only may be deleterious in an emergency airway situation, if direct laryngoscopic view would not be possible.
One of the biggest challenges for anesthesia practitioners during airway management is the maintenance of adequate oxygenation and ventilation during difficult and emergency airway situations.
The goal of our study was to assess whether life-threatening pre-hospital difficult airway situations can be successfully managed even by non-anesthesiologists with proper training.
Dexter ™is a nonanatomical, endoscopic dexterity training system designed to encourage practice and help establish and maintain a state of procedural readiness, even if clinical exposure to difficult airway situations is sporadic.
To assess the effectiveness of this strategy in everyday pre-hospital practice, we reassessed the data presented in a previous paper [4] and performed this subgroup analysis of pre-hospital difficult airway situations in all emergency physician missions from 1 January 2006 to 31 December 2016, with the approval of the ethics committee for Lower Austria (GS1-EK-4/448-2016V).
Failed airway situations are potentially catastrophic events and require a correct approach with appropriate tools.
It takes an experienced multiprofessional team to handle emergent airway situations.
There has been a rapid acceptance of video laryngoscopy as an important technique in the management of difficult airway situations.
