Video-based difficult airway management teaching in a remote environment – a pilot project

Authors

  • Julia Schuler Department of Anesthesiology, RWTH Aachen University Hospital, Aachen, Germany
  • Akutu Munyika Department of Surgery Onandjokwe Hospital, University of Namibia School of Medicine and Veterinary Medicine, Namibia https://orcid.org/0000-0002-5736-6586
  • Gereon Schälte Department of Anesthesiology, RWTH Aachen University Hospital, Aachen, Germany https://orcid.org/0000-0002-3948-7050
  • Talishi Shivolo Department of Anesthesiology, Onandjokwe Hospital, University of Namibia School of Medicine and Veterinary Medicine, Namibia https://orcid.org/0009-0001-6094-6469
  • Peter Njuki Department of Anesthesiology, Onandjokwe Hospital, University of Namibia School of Medicine and Veterinary Medicine, Namibia
  • Alexander Reineke Department of Anesthesiology, RWTH Aachen University Hospital, Aachen, Germany
  • Kelly McQueen Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Wisconsin, United States of America
  • Rolf Rossaint Department of Anesthesiology, RWTH Aachen University Hospital, Aachen, Germany https://orcid.org/0000-0001-7587-1693
  • Linda Grüßer Department of Anesthesiology, RWTH Aachen University Hospital, Aachen, Germany https://orcid.org/0000-0002-1274-5611

DOI:

https://doi.org/10.31247/agnj.v2iS1.45

Abstract

Study aim: The scarce evidence available indicates that a significant share of anesthesia-related deaths in low-and-middle-income countries is attributed to failed airway management (AM).[1] Reasons include the limited availability of equipment, human resources and training.[1, 2] Video-based teachings may facilitate training for staff in remote environments.[3] Anesthesiologists from RWTH Aachen University Hospital, Germany, performed a video-based difficult airway training together with staff from Onandjokwe Hospital, Namibia. Here, we evaluate the feasibility and the benefit for participants.

Methods: In August 2021 we conducted a zoom training on difficult AM. All perioperative staff from Onandjokwe Hospital was invited. The training consisted of a presentation concerning algorithms for difficult AM and video-laryngoscopy. The algorithms were then applied in different simulation scenarios. An anonymous and voluntary questionnaire was distributed after the meeting concerning the meeting’s contents and quality. After six months we conducted a second survey observing the implementation of algorithms and difficult AM.

Results: Overall, 11 medical practitioners joined the online meeting via smartphone (n=6, 55%) and laptop/PC (n=5, 45%). Most participants disconnected never or only a few times (n=10, 91%). All participants found the online course helpful. After six months, the usage of checklists to prevent critical airway situations was implemented. All seven participants of the second survey knew at least one action to handle a difficult airway.

Summary: Our video-based teaching on difficult AM was feasible. Participants reported increased preparedness for handling critical airway situations and algorithms were installed long-term. Collaborative video-based projects can enhance exchange and enable teaching in remote environments. Digitalization facilitates educational partnerships and should be further explored to foster patient safety worldwide.

References

Bulamba F, Connelly S, Richards S, Lipnick MS, Gelb AW, Igaga EN, et al. A Cross-Sectional Survey of Anesthetic Airway Equipment and Airway Management Practices in Uganda. Anesth Analg. 2023;137:191-9. https://doi.org/10.1213/ANE.0000000000006278.

Armstrong L, Harding F, Critchley J, McNarry AF, Myatra SN, Cooper R, et al. An international survey of airway management education in 61 countries(†). Br J Anaesth. 2020;125:e54-e60. https://doi.org/10.1016/j.bja.2020.04.051.

Briggs B, Kalra S, Masneri D, Husain I. Impact of a Focused Online Teaching Module on Airway Intervention: Can an Online Teaching Module Enable Knowledge Acquisition and Increased Confidence in Airway Management? J Med Educ Curric Dev. 2023;10:23821205231192335. https://doi.org/10.1177/23821205231192335.

Published

2024-04-04

How to Cite

Video-based difficult airway management teaching in a remote environment – a pilot project. (2024). AGN Journal, 2(S1). https://doi.org/10.31247/agnj.v2iS1.45