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• W4232303933 abstract "To the Editor: We commend Drs. Nayyar and Lisbon for studying emergency airway management practices occurring outside of the operating room [1]. As the authors note, the results of this survey of anesthesia residency program directors are generally consistent with previous studies of emergency intubations in teaching hospitals [2]. However, it is unclear from where their conclusions regarding the role of the anesthesiologist in the trauma airway are derived. The authors provide the full text of their survey in which respondents were asked, Are anesthesiologists part of the trauma team for management of airway? This was the only question regarding trauma in the survey. The authors report that in 76% of the surveyed hospitals, the anesthesiology service was participating in the hospital care of trauma victims for the management of airway and resuscitation. Although the phrase and resuscitation is absent from the survey question, the description of this result seems otherwise appropriate. However, the authors interpret their result to mean, anesthesiologists are responsible for the airway management of trauma patients at a majority of institutions. This assertion is not supported by the data collected, which did not inquire into responsibility for management of the airway. Finally, in their abstract, the authors state that airway management in trauma patients remains the domain of anesthesiologists, a statement that is certainly not justified by their own study, if by any. One of us (RMW) is currently principal investigator for the National Emergency Airway Registry (NEAR), which is prospectively recording data on all emergency department intubations in 25 centers in Canada and the United States. The original pilot report from 9 centers was presented at the Society for Academic Emergency Medicine meeting in May 1997, and showed that 96% of 700 emergency department intubations were performed by, or under the supervision of, emergency medicine attending physicians [3]. The final pilot data of 1288 intubations from 11 centers include 439 trauma intubations, 89% of which were performed by emergency physicians, 2.5% by anesthesiologists. We are fortunate to have a strong and collegial relationship with the departments of anesthesia at our respective institutions, a situation of obvious benefit to patients. By collaboratively working to solve challenging patient care problems-such as trauma airway management-for the benefit of the patient, emergency physicians, trauma surgeons, and anesthesiologists can show real leadership and help to erode counterproductive domain-based paradigms. Robert Silbergleit, MD Section of Emergency Medicine; University of Michigan Medical School; Ann Arbor, MI 48109-0014 Ron M. Walls, MD Department of Emergency Medicine; Brigham and Women's Hospital; Harvard Medical School; Boston, MA 02215" @default.
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• W4232303933 date "1998-05-01" @default.
• W4232303933 modified "2023-10-16" @default.
• W4232303933 title "The Trauma Airway" @default.
• W4232303933 cites W2070719125 @default.
• W4232303933 doi "https://doi.org/10.1213/00000539-199805000-00051" @default.
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