Anesthesiologists′ proficiency and training needs in flexible bronchoscope-guided awake fiberoptic intubation in China: a nationwide prevalence survey
10.3760/cma.j.cn131073.20230421.00714
- VernacularTitle:麻醉科医师软镜引导清醒气管插管术的应用与技能培训：基于全国范围的现况研究
- Author:
Dingding WANG
1
;
Wei WEI
;
Li WEI
;
Lili FENG
;
Hongjun LIU
;
Yilei SHEN
;
Junming XIA
;
Weixing LI
;
Yirong CAI
;
Yuan HAN
;
Huafeng WEI
;
Wenxian LI
;
Buwei YU
Author Information
1. 复旦大学附属眼耳鼻喉科医院麻醉科，上海 200031
- Keywords:
Bronchoscopy;
Conscious sedation;
Intubation, intratracheal;
Surveys and questionnaires
- From:
Chinese Journal of Anesthesiology
2023;43(7):832-835
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the Chinese anesthesiologist′s proficiency, training experience and needs of flexible bronchoscope-guided awake flexible bronchoscopy intubation (AFBI) using a questionnaire method.Methods:The cluster sampling was used, and self-designed questionnaires that addressed 54 questions in 5 categories were distributed through WeChat and online platforms. The survey took one month, and the answers were automatically recorded by the WeChat server.Results:A total of 1 250 anesthesiologists participated in the survey in 30 provinces of China, 9 of them were not anesthesiologists, and 1 241 (99.28%) questionnaires were validated. In the valid questionnaires, 52.70% (654) of the anesthesiologists were from tertiary hospitals, and 74.78% (928) of the anesthesiologists were attending physicians or above, only 7.57% (94) of the anesthesiologists had sufficient confidence in AFBI. Twenty-five point two two percent (313) of the anesthesiologists preferred fiberoptic intubation as the first tool when dealing with the anticipated difficult airway. Forty-eight point one one percent (597) of the anesthesiologists had implemented AFBI. Among them, 80.74% (482) had experienced unsuccessful AFBI practices. Eight hundred and ninety-four anesthesiologists had received AFBI training, and the most common AFBI training strategy was theoretical lectures. In addition, the degree of satisfaction regarding the theoretical lectures quality, technical training, clinical practice relativity and non-technical skills training was 21.47% (192), 14.32% (128), 12.3% (110) and 17.90% (160), respectively. The degree of satisfaction with all the 4 training elements mentioned above was 7.27% (65).Conclusions:The awareness and practice of Chinese anesthesiologists in terms of clinical application of AFBI to treat difficult airways need to be strengthened at present, and the lack of high-quality AFBI training may be the key.
