Research Article

Airway Management in Adult Intensive Care Units: A Survey of Two Regions in China

Table 1

Type of hospital, qualification, work experience, training, assessment, intubation method, and device available for difficult airway.

Total (%)Shenzhen (%)Xinjiang (%) value

ICU respondents301198 (66)103 (34)
Type of hospital723240
 University hospital1165
 District hospital6126350.552
Level of qualification
 Junior214 (71)139 (70)75 (73)
 Senior87 (29)59 (30)28 (27)0.635
Years of work in ICU
 1-6 years174 (58)114 (58)58 (56)
 ≥7 years127 (42)84 (42)45 (44)0.833
Formal airway management training: yes150 (50)99 (50)51 (50)0.936
Training of RSI: yes112 (37)81 (40)31 (30)0.066
Training of emergency FONA: yes150 (50)94 (47)56 (54)0.256
Difficult airway assessment
 Routinely218 (72)153 (77)65 (63)0.012
 Sometimes75 (25)39 (20)36 (35)0.005
 Never8 (3)6 (3)2 (2)0.720
Aspiration risk assessment
 Routinely194 (64)132 (67)62 (60)0.266
 Sometimes74 (25)41 (20)33 (32)0.030
 Never33 (11)25 (13)8 (8)0.245
Tracheal intubation approach
 Orotracheal intubation286 (95)186 (94)100 (97)
 Nasotracheal intubation16 (5)12 (6)3 (3)0.234
The routine choice for laryngoscope glottic view
 Video laryngoscope225 (75)163 (82)52 (50)≤0.001
 Direct laryngoscope59 (20)25 (13)44 (43)≤0.001
 Flexible scope17 (5)10 (5)7 (7)0.719
An available laryngeal mask: yes108 (36)55 (28)53 (51)≤0.001
An available flexible endoscope: yes228 (76)167 (84)61 (59)≤0.001
An available device for FONA: yes144 (48)109 (55)35 (34)0.001
COVID-19 improve the usage of PPE?
 Significant231 (77)147 (74)84 (81)0.154
 A little63 (31)47 (24)16 (16)0.097
 Not at all7 (2)4 (2)3 (3)0.694

Abbreviations: ICU: intensive care unit; RSI: rapid sequence intubation; FONA: front of neck airway; PPE: personal protective equipment.