Gestion des voies aériennes: S'améliorer est une priorité

A national survey of practical airway training in UK anaesthetic departments. Time for a national policy?

Lindkaer J et Al.  Anaesthesia. 2016 Sep 28. doi: 10.1111/anae.13567.

 

 

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Un travail et un éditorial à lire ici qui devraient nous faire réfléchir sur notre aptitude à maintenir l'expertise de pratiques à mettre en oeuvre dans des situations rarement rencontrées. Les arguments avancés pour "s'excuser" sont comme d 'habitude le manque de temps, l'absence de priorité institutionnelle, l'absence d'intérêt, le manque de matériel, et même l'absence d'utilité ... Tout ceci ne concerne pas que les anesthésistes mais tous ceux qui ont à genre ce genre de situation.

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National Audit Project (NAP4) recommended airway training for trainee and trained anaesthetists. As the skills required for management of airway emergencies differ from routine skills and these events are rare, practical training is likely to require training workshops. In 2013, we surveyed all UK National Health Service hospitals to examine the current practices regarding airway training workshops. We received responses from 206 hospitals (62%) covering all regions. Regarding airway workshops, 16% provide none and 51% only for trainees. Of those providing workshops, more than half are run less than annually. Workshop content varies widely, with several Difficult Airway Society (DAS) guideline techniques not taught or only infrequently. Reported barriers to training include lack of time and departmental or individual interest. Workshop-based airway training is variable in provision, frequency and content, and is often not prioritised by departments or individual trainers.

 

It could be useful if guidance on workshop organisation, frequency and content was considered nationally.