PDF(Pubmed)
Abstract：
Apparently, understanding airway management status may help to reduce risk and improve clinical practice. Given these facts, our team conducted a second survey on the current status of airway management for mainland China following our 2016 national airway survey. The national survey was conducted from November 7 to November 28, 2022. An electronic survey was sent to the New Youth Anesthesia Forum, where Chinese anesthesiologists completed the questionnaire via WeChat. A total of 3783 respondents completed the survey, with a response rate of 72.14%. So far, in 2022, 34.84% of anesthesiologists canceled or delayed surgery at least once due to difficult airway. For the anticipated difficult airway management, 66.11% of physicians would choose awake intubation under sedation and topical anesthesia, while the percentage seeking help has decreased compared to the 2016 survey. When encountering an emergency, 74.20% of respondents prefer to use the needle cricothyrotomy, albeit less than a quarter have actually performed it. Anesthesiologists with difficult airway training experience reached 72.96%, with a significant difference in participation between participants in Tier 3 hospitals and those in other levels of hospitals (P < 0.001). The videolaryngoscope, laryngeal mask, and flexible intubation scope were equipped at 97.18%, 95.96%, and 62.89%, respectively. Additionally, the percentage of brain damage or death caused by difficult airways was significantly decreased. The study may be the best reference for understanding the current status of airway management in China, revealing the current advancements and deficiencies. The future focus of airway management remains on training and education.
摘要：
显然,了解气道管理状况可能有助于降低风险和改善临床实践。鉴于这些事实,继2016年全国气道调查之后,我们的团队对中国大陆地区的气道管理现状进行了第二次调查.全国调查于2022年11月7日至11月28日进行。一份电子调查被送到新青年麻醉论坛,中国麻醉师通过微信完成问卷。共有3783名受访者完成了调查,有效率为72.14%。到目前为止,2022年，34.84％的麻醉师由于气道困难而取消或推迟了至少一次手术。对于预期的困难气道管理，66.11%的医师会在镇静和局部麻醉下选择清醒插管,而寻求帮助的百分比与2016年的调查相比有所下降。当遇到紧急情况时，74.20%的受访者更喜欢使用针状环切开术，尽管只有不到四分之一的人真正做到了。有困难气道训练经验的麻醉医师达到72.96%,三级医院的参与者与其他级别医院的参与者之间的参与存在显着差异（P<0.001）。视频喉镜,喉罩,灵活的插管范围为97.18%，95.96%,和62.89%，分别。此外,由困难气道引起的脑损伤或死亡的百分比显着降低。该研究可能是了解中国气道管理现状的最佳参考。揭示了当前的进步和不足。未来气道管理的重点仍然是培训和教育。
