A comprehensive audit of difficult airway trolleys in selected Victorian hospitals.

Autor:	Tang Y; Intensive Care Unit, The Austin Hospital, Victoria, Australia., Pham T; Intensive Care Unit, Cabrini Hospital, Victoria, Australia.; Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia., Bradley WP; Department of Anaesthesiology and Perioperative Medicine, The Alfred, Melbourne, Australia.; Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia., Brewster FM; Department of Anaesthesia, Cabrini Hospital, Victoria, Australia.; Department of Anaesthesia, The Royal Women's Hospital, Parkville, Australia., Brewster DJ; Intensive Care Unit, Cabrini Hospital, Victoria, Australia.; Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia.; Department of Anaesthesia, Cabrini Hospital, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	Anaesthesia and intensive care [Anaesth Intensive Care] 2024 Nov; Vol. 52 (6), pp. 407-414. Date of Electronic Publication: 2024 Sep 23.
DOI:	10.1177/0310057X241265722
Abstrakt:	This study aimed to assess the availability, design, and contents of difficult airway trolleys in hospitals in Victoria, Australia. A survey audit was conducted with a 92.3% reply rate, and the responses from 22 major Victorian hospitals were analysed. The results showed that difficult airway trolleys were available in 100% of operating theatres, emergency departments and intensive care units, and the rate of standardisation was high. Compliance with recommended design features and resources was on average 68.3%. There was no significant difference in the compliance rate of major tertiary centres compared with other hospitals. The carriage of non-essential items was reduced compared with earlier audits. However, there was heterogeneity in the brands of supraglottic airway devices, videolaryngoscopes and cognitive aids used. The study highlights the need for ongoing improvement to the organization and content of difficult airway trolleys, and for further discussion regarding the safety of equipment variation across institutions. Competing Interests: Declaration of conflicting interestsPierre Bradley was a co-author of the latest ANZCA PG56(A) guideline. Both David Brewster and Pierre Bradley are members of the Victorian ANZCA Airway Lead Committee. No other competing interests are declared.
Databáze:	MEDLINE
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