Abstract：
We explored the experience of clinicians from the Spanish Society of Anesthesiology (SEDAR) in airway management of COVID-19 patients.
An software-based survey including a 32-item questionnaire was conducted from April 18 to May 17, 2020. Participants who have been involved in tracheal intubations in patients with suspected or confirmed COVID-19 infection were included anonymously after obtaining their informed consent. The primary outcome was the preferred airway device for tracheal intubation. Secondary outcomes included the variations in clinical practice including the preferred video laryngoscope, plans for difficult airway management, and personal protective equipment.
1125 physicians completed the questionnaire with a response rate of 40,9%. Most participants worked in public hospitals and were anesthesiologists. The preferred device for intubation was the video laryngoscope (5.1/6), with the type of device in decreasing order as follows: Glidescope, C-MAC, Airtraq, McGrath and King Vision. The most frequently used device for intubation was the video laryngoscope (70,5%), using them in descending order as follow: the Airtraq, C-MAC, Glidescope, McGrath and King Vision. Discomfort of intubating wearing personal protective equipment and the frequency of breaching a security step was statistically significant, increasing the risk of cross infection between patients and healthcare workers. The opinion of senior doctors differed from younger physicians in the type of video-laryngoscope used, the number of experts involved in tracheal intubation and the reason that caused more stress during the airway management.
Most physicians preferred using a video-laryngoscope with remote monitor and disposable Macintosh blade, using the Frova guide.
An software-based survey including a 32-item questionnaire was conducted from April 18 to May 17, 2020. Participants who have been involved in tracheal intubations in patients with suspected or confirmed COVID-19 infection were included anonymously after obtaining their informed consent. The primary outcome was the preferred airway device for tracheal intubation. Secondary outcomes included the variations in clinical practice including the preferred video laryngoscope, plans for difficult airway management, and personal protective equipment.
1125 physicians completed the questionnaire with a response rate of 40,9%. Most participants worked in public hospitals and were anesthesiologists. The preferred device for intubation was the video laryngoscope (5.1/6), with the type of device in decreasing order as follows: Glidescope, C-MAC, Airtraq, McGrath and King Vision. The most frequently used device for intubation was the video laryngoscope (70,5%), using them in descending order as follow: the Airtraq, C-MAC, Glidescope, McGrath and King Vision. Discomfort of intubating wearing personal protective equipment and the frequency of breaching a security step was statistically significant, increasing the risk of cross infection between patients and healthcare workers. The opinion of senior doctors differed from younger physicians in the type of video-laryngoscope used, the number of experts involved in tracheal intubation and the reason that caused more stress during the airway management.
Most physicians preferred using a video-laryngoscope with remote monitor and disposable Macintosh blade, using the Frova guide.
摘要：
我们探讨了西班牙麻醉学会（SEDAR）临床医生在COVID-19患者气道管理方面的经验。
2020年4月18日至5月17日进行了一项基于软件的调查，包括32项问卷。参与疑似或确诊COVID-19感染患者气管插管的参与者在获得知情同意后匿名纳入。主要结果是气管插管的首选气道装置。次要结果包括临床实践的变化，包括首选的视频喉镜，困难的气道管理计划，和个人防护设备。
1125名医生完成了问卷，回答率为40,9%。大多数参与者在公立医院工作，并且是麻醉师。插管的首选装置是视频喉镜（5.1/6），设备的类型按降序排列如下：滑翔镜，C-MAC,Airtraq,McGrath和KingVision.最常用的插管设备是视频喉镜（70,5％），按降序使用它们，如下所示：Airtraq，C-MAC,幻影,McGrath和KingVision.戴个人防护设备插管的不适和违反安全步骤的频率具有统计学意义，增加患者和医护人员之间交叉感染的风险。在使用的视频喉镜类型上，高级医生的意见与年轻医生不同，参与气管插管的专家人数以及在气道管理过程中引起更多压力的原因。
大多数医生更喜欢使用带有远程监视器和一次性Macintosh刀片的视频喉镜，使用Frova指南。
2020年4月18日至5月17日进行了一项基于软件的调查，包括32项问卷。参与疑似或确诊COVID-19感染患者气管插管的参与者在获得知情同意后匿名纳入。主要结果是气管插管的首选气道装置。次要结果包括临床实践的变化，包括首选的视频喉镜，困难的气道管理计划，和个人防护设备。
1125名医生完成了问卷，回答率为40,9%。大多数参与者在公立医院工作，并且是麻醉师。插管的首选装置是视频喉镜（5.1/6），设备的类型按降序排列如下：滑翔镜，C-MAC,Airtraq,McGrath和KingVision.最常用的插管设备是视频喉镜（70,5％），按降序使用它们，如下所示：Airtraq，C-MAC,幻影,McGrath和KingVision.戴个人防护设备插管的不适和违反安全步骤的频率具有统计学意义，增加患者和医护人员之间交叉感染的风险。在使用的视频喉镜类型上，高级医生的意见与年轻医生不同，参与气管插管的专家人数以及在气道管理过程中引起更多压力的原因。
大多数医生更喜欢使用带有远程监视器和一次性Macintosh刀片的视频喉镜，使用Frova指南。
