Integration of Pre-intubation Ultrasound into Airway Management Course: A Novel Training Program.

Airway Cricothyroid membrane Echocardiography Emergency medicine Hemodynamic Pre-intubation Ultrasound

Journal

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 22 5 2020
pubmed: 22 5 2020
medline: 22 5 2020
Statut: ppublish

Résumé

To determine the feasibility of integrating pre-intubation ultrasound into airway course and assess emergency medicine (EM) residents' confidence and comfort level in using ultrasound for pre-intubation hemodynamic stabilization and identifying cricothyroid membrane after the training session. This is a retrospective study. Pre-intubation ultrasound training was delivered with the following ultrasound components (didactics and hands-on sessions using human models) to EM residents: (1) sonoanatomy and scanning technique to identify cricothyroid membrane and (2) pre-intubation echocardiography for recognition of acute right ventricular failure and pre-intubation hemodynamic stabilization. A total of 56 EM residents participated in this study. Only 21% [95% confidence interval (CI), 10-31%] reported using ultrasound for pre-intubation hemodynamic stabilization. After the training session, 89% (95% CI, 81-97%) reported that ultrasound-based teaching increased their knowledge of pre-intubation hemodynamic stabilization compared with traditional teaching methods. On a scale of 1 (low) through 10 (high), the average comfort level for integrating ultrasound findings into medical decision making for pre-intubation hemodynamic stabilization was 6.8 (95% CI, 6.3-7.3). Seventy-nine percent (95% CI, 68-89%) reported that focused training in airway ultrasound is adequate to identify cricothyroid membrane. On a scale of 1 (low) through 10 (high), the average confidence level for identifying cricothyroid membrane using ultrasound was 6.6 (95% CI, 6.1-7.1). At our institution, we successfully integrated pre-intubation ultrasound into an airway course. Emergency medicine residents had a moderate level of comfort and confidence level using ultrasound for pre-intubation hemodynamic stabilization and identifying cricothyroid membrane after the training session. Adhikari S, Situ-LaCasse E, Acuña J, Irving S, Weaver C, Samsel K,

Identifiants

pubmed: 32435096
doi: 10.5005/jp-journals-10071-23370
pmc: PMC7225761
doi:

Types de publication

Journal Article

Langues

eng

Pagination

179-183

Informations de copyright

Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.

Déclaration de conflit d'intérêts

Source of support: Nil Conflict of interest: None

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Auteurs

Srikar Adhikari (S)

Department of Emergency Medicine, The University of Arizona, Tucson, Arizona, USA.

Elaine Situ-LaCasse (E)

Department of Emergency Medicine, The University of Arizona, Tucson, Arizona, USA.

Josie Acuña (J)

Department of Emergency Medicine, The University of Arizona, Tucson, Arizona, USA.

Steven Irving (S)

Department of Emergency Medicine, The University of Arizona, Tucson, Arizona, USA.

Christina Weaver (C)

AT Still University School of Osteopathic Medicine, Mesa, Arizona, USA.

Kara Samsel (K)

Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas, USA.

David E Biffar (DE)

Arizona Simulation Technology and Education Center, University of Arizona College of Medicine, Tucson, Arizona, USA.

Mahsaw Motlagh (M)

University of Arizona College of Medicine, Tucson, Arizona, USA.

John Sakles (J)

Department of Emergency Medicine, The University of Arizona, Tucson, Arizona, USA.

Classifications MeSH