Improving Airway Management Skills in Emergency Medicine Residents
Author Information
Author(s): Soleimanpour Hassan, Gholipouri Changiz, Panahi Jafar Rahimi, Afhami Mohammad Reza, Ghafouri Rouzbeh Rajaei, Golzari Samad EJ, Soleimanpour Maryam, Esfanjani Robab Mehdizadeh
Primary Institution: Tabriz University of Medical Sciences
Hypothesis
Does completing an anesthesiology curriculum improve the success rates of bag-mask ventilation and intubation among emergency medicine residents?
Conclusion
Emergency medicine residents significantly improved their airway management skills after completing an anesthesiology rotation.
Supporting Evidence
- Success rates for bag-mask ventilation increased from 16.6% to 88.8% after the anesthesiology rotation.
- Intubation success rates improved from 27.7% to 83.3% after the rotation.
- The average time for successful intubation decreased from 18.6 seconds to 13.6 seconds after training.
Takeaway
After learning more about anesthesia, emergency medicine doctors got much better at helping patients breathe and putting tubes in their throats.
Methodology
A prospective descriptive study with 18 emergency medicine residents performing bag-mask ventilation and intubation on patients before and after a one-month anesthesiology rotation.
Potential Biases
Potential selection bias and the study was confined to a single site.
Limitations
Small sample size and lack of control group; results may not be generalizable due to the study being conducted on patients with relatively easy airways.
Participant Demographics
All participants were male, with a mean age of 37 years.
Statistical Information
P-Value
0.0004 for bag-mask ventilation, 0.002 for intubation
Confidence Interval
95% confidence interval for bag-mask ventilation success before rotation was 0-34% and after was 73-100%; for intubation, before was 7-49% and after was 66-100%.
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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