Nationwide survey on training and device utilization during tracheal intubation in French intensive care units
Abstract Background Intubation is a lifesaving procedure that is often performed in intensive care unit (ICU) patients, but leads to serious adverse events in 20–40% of cases. Recent trials aimed to provide guidance about which medications, devices, and modalities maximize patient safety. Videolaryn...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-01-01
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| Series: | Annals of Intensive Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13613-019-0621-9 |
| _version_ | 1818647625199517696 |
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| author | M. Martin P. Decamps A. Seguin C. Garret L. Crosby O. Zambon A. F. Miailhe E. Canet J. Reignier J. B. Lascarrou The Intubation Practices Survey Group |
| author_facet | M. Martin P. Decamps A. Seguin C. Garret L. Crosby O. Zambon A. F. Miailhe E. Canet J. Reignier J. B. Lascarrou The Intubation Practices Survey Group |
| author_sort | M. Martin |
| collection | DOAJ |
| description | Abstract Background Intubation is a lifesaving procedure that is often performed in intensive care unit (ICU) patients, but leads to serious adverse events in 20–40% of cases. Recent trials aimed to provide guidance about which medications, devices, and modalities maximize patient safety. Videolaryngoscopes are being offered in an increasing range of options and used in broadening indications (from difficult to unremarkable intubation). The objective of this study was to describe intubation practices and device availability in French ICUs. Materials and methods We conducted an online nationwide survey by emailing an anonymous 26-item questionnaire to physicians in French ICUs. A single questionnaire was sent to either the head or the intubation expert at each ICU. Results Of 257 ICUs, 180 (70%) returned the completed questionnaire. The results showed that 43% of intubators were not fully proficient in intubation; among them, 18.8% had no intubation training or had received only basic training (lectures and observation at the bedside). Among the participating ICUs, 94.4% had a difficult intubation trolley, 74.5% an intubation protocol, 92.2% a capnography device (used routinely to check tube position in 69.3% of ICUs having the device), 91.6% a laryngeal mask, 97.2% front-of-neck access capabilities, and 76.6% a videolaryngoscope. In case of difficult intubation, 85.6% of ICUs used a bougie (154/180) and 7.8% switched to a videolaryngoscope (14/180). Use of a videolaryngoscope was reserved for difficult intubation in 84% of ICUs (154/180). Having a videolaryngoscope was significantly associated with having an intubation protocol (P = 0.043) and using capnography (P = 0.02). Airtraq® was the most often used videolaryngoscope (39.3%), followed by McGrath®Mac (36.9%) then by Glidescope® (14.5%). Conclusion Nearly half the intubators in French ICUs are not fully proficient with OTI. Access to modern training methods such as simulation is inadequate. Most ICUs own a videolaryngoscope, but reserve it for difficult intubations. |
| first_indexed | 2024-12-17T01:05:30Z |
| format | Article |
| id | doaj.art-6bd0086229a544d6acc8f8d9ba935a80 |
| institution | Directory Open Access Journal |
| issn | 2110-5820 |
| language | English |
| last_indexed | 2024-12-17T01:05:30Z |
| publishDate | 2020-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Intensive Care |
| spelling | doaj.art-6bd0086229a544d6acc8f8d9ba935a802022-12-21T22:09:16ZengSpringerOpenAnnals of Intensive Care2110-58202020-01-011011910.1186/s13613-019-0621-9Nationwide survey on training and device utilization during tracheal intubation in French intensive care unitsM. Martin0P. Decamps1A. Seguin2C. Garret3L. Crosby4O. Zambon5A. F. Miailhe6E. Canet7J. Reignier8J. B. Lascarrou9The Intubation Practices Survey GroupService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire de NantesAbstract Background Intubation is a lifesaving procedure that is often performed in intensive care unit (ICU) patients, but leads to serious adverse events in 20–40% of cases. Recent trials aimed to provide guidance about which medications, devices, and modalities maximize patient safety. Videolaryngoscopes are being offered in an increasing range of options and used in broadening indications (from difficult to unremarkable intubation). The objective of this study was to describe intubation practices and device availability in French ICUs. Materials and methods We conducted an online nationwide survey by emailing an anonymous 26-item questionnaire to physicians in French ICUs. A single questionnaire was sent to either the head or the intubation expert at each ICU. Results Of 257 ICUs, 180 (70%) returned the completed questionnaire. The results showed that 43% of intubators were not fully proficient in intubation; among them, 18.8% had no intubation training or had received only basic training (lectures and observation at the bedside). Among the participating ICUs, 94.4% had a difficult intubation trolley, 74.5% an intubation protocol, 92.2% a capnography device (used routinely to check tube position in 69.3% of ICUs having the device), 91.6% a laryngeal mask, 97.2% front-of-neck access capabilities, and 76.6% a videolaryngoscope. In case of difficult intubation, 85.6% of ICUs used a bougie (154/180) and 7.8% switched to a videolaryngoscope (14/180). Use of a videolaryngoscope was reserved for difficult intubation in 84% of ICUs (154/180). Having a videolaryngoscope was significantly associated with having an intubation protocol (P = 0.043) and using capnography (P = 0.02). Airtraq® was the most often used videolaryngoscope (39.3%), followed by McGrath®Mac (36.9%) then by Glidescope® (14.5%). Conclusion Nearly half the intubators in French ICUs are not fully proficient with OTI. Access to modern training methods such as simulation is inadequate. Most ICUs own a videolaryngoscope, but reserve it for difficult intubations.https://doi.org/10.1186/s13613-019-0621-9SurveyAirwayEquipmentTrainingVideolaryngoscopeIntensive care unit |
| spellingShingle | M. Martin P. Decamps A. Seguin C. Garret L. Crosby O. Zambon A. F. Miailhe E. Canet J. Reignier J. B. Lascarrou The Intubation Practices Survey Group Nationwide survey on training and device utilization during tracheal intubation in French intensive care units Annals of Intensive Care Survey Airway Equipment Training Videolaryngoscope Intensive care unit |
| title | Nationwide survey on training and device utilization during tracheal intubation in French intensive care units |
| title_full | Nationwide survey on training and device utilization during tracheal intubation in French intensive care units |
| title_fullStr | Nationwide survey on training and device utilization during tracheal intubation in French intensive care units |
| title_full_unstemmed | Nationwide survey on training and device utilization during tracheal intubation in French intensive care units |
| title_short | Nationwide survey on training and device utilization during tracheal intubation in French intensive care units |
| title_sort | nationwide survey on training and device utilization during tracheal intubation in french intensive care units |
| topic | Survey Airway Equipment Training Videolaryngoscope Intensive care unit |
| url | https://doi.org/10.1186/s13613-019-0621-9 |
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