BMC anesthesiology · 2026
Management of endotracheal tube dislodgement during transoral oropharyngolaryngeal surgery: a multicenter cross-sectional survey study.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Fei, Huang Denghui, Liang Zhuoping
Аннотация
OBJECTIVE: To investigate the awareness, clinical management practices, and training needs of otolaryngologists and anesthesiologists regarding endotracheal tube dislodgement (ETTD) during transoral oropharyngolaryngeal surgery.
METHODS: A multicenter cross-sectional survey was conducted among otolaryngologists and anesthesiologists from multiple hospitals in China through the WeChat "Questionnaire Star" platform.
RESULTS: A total of 321 valid questionnaires were collected (220 from the Otolaryngology Department and 101 from the Anesthesiology Department). A total of 61.1% of clinicians reported prior exposure to ETTD. More years of clinical practice were associated with higher self-reported awareness and greater reported numbers of ETTD cases. Educational background significantly influenced otolaryngologists' reported awareness and anesthesiologists' self-reported number of ETTD cases. Significant interdisciplinary differences were observed in the definition of high-risk populations, perceived main causes, and methods for detecting ETTD. Emergency reintubation was predominantly performed by anesthesiologists. In a small proportion of cases, ETTD led to complications, ICU admission, or death and triggered medical disputes. A total of 95.6% of the participants thought training on ETTD-related knowledge was necessary.
CONCLUSIONS: A high proportion of clinicians in both specialties reported prior exposure to ETTD during transoral oropharyngolaryngeal surgery. Significant differences in the understanding and management of ETTD between otolaryngologists and anesthesiologists were observed. Although such discrepancies correlated with differences in the years of clinical practice and educational background, a causal relationship could not be established. Interdisciplinary collaboration and standardized training regarding ETTD must be strengthened to improve perioperative safety.
METHODS: A multicenter cross-sectional survey was conducted among otolaryngologists and anesthesiologists from multiple hospitals in China through the WeChat "Questionnaire Star" platform.
RESULTS: A total of 321 valid questionnaires were collected (220 from the Otolaryngology Department and 101 from the Anesthesiology Department). A total of 61.1% of clinicians reported prior exposure to ETTD. More years of clinical practice were associated with higher self-reported awareness and greater reported numbers of ETTD cases. Educational background significantly influenced otolaryngologists' reported awareness and anesthesiologists' self-reported number of ETTD cases. Significant interdisciplinary differences were observed in the definition of high-risk populations, perceived main causes, and methods for detecting ETTD. Emergency reintubation was predominantly performed by anesthesiologists. In a small proportion of cases, ETTD led to complications, ICU admission, or death and triggered medical disputes. A total of 95.6% of the participants thought training on ETTD-related knowledge was necessary.
CONCLUSIONS: A high proportion of clinicians in both specialties reported prior exposure to ETTD during transoral oropharyngolaryngeal surgery. Significant differences in the understanding and management of ETTD between otolaryngologists and anesthesiologists were observed. Although such discrepancies correlated with differences in the years of clinical practice and educational background, a causal relationship could not be established. Interdisciplinary collaboration and standardized training regarding ETTD must be strengthened to improve perioperative safety.