Prevalence of a training module for difficult airway management: a comparison between Japan and the United Kingdom.

Full Abstract

To examine the education of trainees with regard to difficult airway management, we sent a questionnaire to all 89 Japanese University Departments of Anaesthesia (to be answered by a person who was responsible for teaching trainees) and all 280 Royal College of Anaesthetists' Tutors in the UK. The presence or absence of a formal training module for difficult airway management, timing and methods of training, types of airway devices that should be taught, and tutors' expertise with various techniques and devices were surveyed. Sixty-seven of the 89 Japanese tutors (75%) and 167 of 280 UK tutors (60%) replied to the questionnaire. Only 19 of 67 (28%) Japanese anaesthetists and 33 of 167 (20%) UK anaesthetists who replied, indicated that they had a difficult airway training module. In six Japanese departments (9%) and 115 (69%) UK departments, equipment for percutaneous transtracheal ventilation was readily available. Airway devices and techniques that tutors considered necessary to be mastered in the first 2 years of training, differed considerably between Japan and the UK, with notable differences in the use of gum elastic bougies and awake intubation. A training module for difficult airway management is often not provided and equipment for emergency transtracheal ventilation is often unavailable in both countries.

Learn Faster Today Improve your study skills

Author information

Author/s: Kiyama, S (S); Muthuswamy, D (D); Latto, I P (IP); Asai, T (T);

Affiliation: Department of Anaesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Anaesthesia (Anaesthesia), published in England. (Language: eng)

Reference: 2003-Jun; vol 58 (issue 6) : pp 571-4

Dates: Created 2003/07/08; Completed 2003/08/05; Revised 2006/11/15;

PMID: 12846624, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Anaesthesia. 2003 Oct;58(10):1026-7. (PMID: 12969052)

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Anesthesiology - education
Clinical Competence
Curriculum
Education, Medical, Graduate - methods; statistics & numerical data
Great Britain
Humans

These are the highest related articles currently in the database:

Perception of training needs and opportunities in advanced airway skills: a survey of British and Irish trainees. 6 Jan 2007
Video-assisted instruction improves the success rate for tracheal intubation by novices. 30 Jul 2008
Failure of simulation training to change residents' management of oesophageal intubation. 30 Aug 2003
Teaching airway skills. 29 Sep 2003
A Scottish National Prospective Study of airway management skills in new-start SHOs. 25 Jul 2006
Evaluation of four airway training manikins as patient simulators for the insertion of eight types of supraglottic airway devices. 30 Mar 2007
Intubation training in the real world. 30 Mar 2008
Measuring the direct costs of graduate medical education training in Minnesota. 29 Apr 2001
Pre-hospital anaesthesia. 29 Sep 2001
Training in airway management. 29 Sep 2002

See 100+ related articles.