Airway Management Practices Survey

Your honest responses to the brief survey below will allow us to capture accurate information regarding current airway management practices. The data we collect from emergency medicine, critical care and anesthesia providers will support our research and development efforts to improve the safety and efficacy of airway management. A large base of responses will ensure an accurate snapshot of national practices, so please share this survey with your colleagues and ask that they forward it on too.

Thank you in advance for your individual contribution to the forward progression of airway management practices in the clinical setting!

Arthur Kanowitz, MD FACEP

Chief Executive Officer, Medical Director

Securisyn Medical, LLC

akanowitz@securisyn.com

1

*

Please select your level of training from the options below.

MD/DO

Paramedic

RT

RN

Other, please specify

2

*

Please select your area of practice from the options below.

Intensive Care Unit

Operating Room

Pre-Hospital

Emergency Department

Other, please specify

3

Please select the response below that best describes your standard practice of intubation.

I am ambidextrous and pass the tube with my left hand.

I am ambidextrous and pass the tube with my right hand.

I am right-handed and pass the tube with my right hand.

I am right-handed and pass the tube with my left hand.

I am left-handed and pass the tube with my right hand.

I am left-handed and pass the tube with my left hand.

4

When intubating a patient with a standard endotracheal tube, which method below most appropriately describes how you determine correct depth placement of the airway device?

Watch the black localizer depth band pass the vocal cords.

Place the tube at a standard depth in relation to the patient's lips using the numerical depth markings on the tube (i.e. 23- males, 21-females)

Watch the balloon pass the vocal cords.

Place the black localizer depth band at the vocal cords.

Other, please specify

5

Is the method of tube placement you chose above, a standard protocol in your agency?

Yes

No

6

How do you confirm correct placement of the tube? Please select all that apply.

Capnography

Visualization on x-ray

Colorometric detection device

Listening to breath sounds

Other, please specify

7

After determining correct placement of the airway device, how do you determine correct inflation of the balloon? Please select the option that best describes your practice.

By feel

Intracuff pressure measuring device

Measured amount of air

Other, please specify

8

If you measure inflation pressure, what is the minimum pressure you want to achieve in cmH20?

5

10

15

20

25

30

35

40

45

50

N/A

Other, please specify

9

If you measure inflation pressure, what is the maximum pressure you want to achieve in cmH20?

5

10

15

20

25

30

35

40

45

50

N/A

Other, please specify

10

When you are determining inflation pressure of the balloon, which of the following are you concerned about? Please select all that apply.

Overinflation

Underinflation

None of the above

Other, please specify

11

Please rate all the following airway stabilization methods or devices in order of your individual preference for use (1-most preferred, 5-least preferred).

	most preferred	2	3	4	least preferred	N/A
Adhesive tape	* Please rate all the following airway stabilization methods or devices in order of your individual preference for use (1-most preferred, 5-least preferred). Adhesive tape most preferred	Adhesive tape 2	Adhesive tape 3	Adhesive tape 4	Adhesive tape least preferred	Adhesive tape N/A
Laerdal Thomas Tube Holder	Laerdal Thomas Tube Holder most preferred	Laerdal Thomas Tube Holder 2	Laerdal Thomas Tube Holder 3	Laerdal Thomas Tube Holder 4	Laerdal Thomas Tube Holder least preferred	Laerdal Thomas Tube Holder N/A
Twill Tape	Twill Tape most preferred	Twill Tape 2	Twill Tape 3	Twill Tape 4	Twill Tape least preferred	Twill Tape N/A
Other - please describe in text box below	Other - please describe in text box below most preferred	Other - please describe in text box below 2	Other - please describe in text box below 3	Other - please describe in text box below 4	Other - please describe in text box below least preferred	Other - please describe in text box below N/A
Hollister Anchor Fast	Hollister Anchor Fast most preferred	Hollister Anchor Fast 2	Hollister Anchor Fast 3	Hollister Anchor Fast 4	Hollister Anchor Fast least preferred	Hollister Anchor Fast N/A

12

13

What airway stabilization method(s) or device(s) does your agency make available for your use?

Adhesive Tape

Hollister Anchor Fast

Twill Tape

Laerdal Thomas Tube Holder

Other, please specify

14

Please rate the following airway stabilization device/method features according to their importance to you (1-extremely important, 5-not important)

	Extremely important	Very important	Somewhat important	Little importance	Not important
Ability to prevent unplanned extubation	* Please rate the following airway stabilization device/method features according to their importance to you (1-extremely important, 5-not important) Ability to prevent unplanned extubation Extremely important	Ability to prevent unplanned extubation Very important	Ability to prevent unplanned extubation Somewhat important	Ability to prevent unplanned extubation Little importance	Ability to prevent unplanned extubation Not important
Frequency of change	Frequency of change Extremely important	Frequency of change Very important	Frequency of change Somewhat important	Frequency of change Little importance	Frequency of change Not important
Avoidance of skin irritation or breakdown	Avoidance of skin irritation or breakdown Extremely important	Avoidance of skin irritation or breakdown Very important	Avoidance of skin irritation or breakdown Somewhat important	Avoidance of skin irritation or breakdown Little importance	Avoidance of skin irritation or breakdown Not important
Cost effectiveness	Cost effectiveness Extremely important	Cost effectiveness Very important	Cost effectiveness Somewhat important	Cost effectiveness Little importance	Cost effectiveness Not important
Built-in bite block	Built-in bite block Extremely important	Built-in bite block Very important	Built-in bite block Somewhat important	Built-in bite block Little importance	Built-in bite block Not important
Esthetics	Esthetics Extremely important	Esthetics Very important	Esthetics Somewhat important	Esthetics Little importance	Esthetics Not important
Ease of maintenance to include cleaning and re-positioning	Ease of maintenance to include cleaning and re-positioning Extremely important	Ease of maintenance to include cleaning and re-positioning Very important	Ease of maintenance to include cleaning and re-positioning Somewhat important	Ease of maintenance to include cleaning and re-positioning Little importance	Ease of maintenance to include cleaning and re-positioning Not important
Stabilization without constriction of the tube's inner diameter	Stabilization without constriction of the tube's inner diameter Extremely important	Stabilization without constriction of the tube's inner diameter Very important	Stabilization without constriction of the tube's inner diameter Somewhat important	Stabilization without constriction of the tube's inner diameter Little importance	Stabilization without constriction of the tube's inner diameter Not important
Patient comfort	Patient comfort Extremely important	Patient comfort Very important	Patient comfort Somewhat important	Patient comfort Little importance	Patient comfort Not important
Ease of application	Ease of application Extremely important	Ease of application Very important	Ease of application Somewhat important	Ease of application Little importance	Ease of application Not important
Ease of removal	Ease of removal Extremely important	Ease of removal Very important	Ease of removal Somewhat important	Ease of removal Little importance	Ease of removal Not important
Ease of access to the mouth for oral care	Ease of access to the mouth for oral care Extremely important	Ease of access to the mouth for oral care Very important	Ease of access to the mouth for oral care Somewhat important	Ease of access to the mouth for oral care Little importance	Ease of access to the mouth for oral care Not important

15

Please describe any additional stabilization device/method features that are important.

16

In your opinion, how often does unplanned extubation occur?

Never

Rarely

Occasionally

Often

Always

Don't know

17

Please estimate the rate of unplanned extubation in your agency/facility.

Greater than 40%

11-15%

26-30%

31-35%

36-40%

6-10%

21-25%

16-20%

0-5%

18

Please share any additional questions, concerns or issues you have regarding airway management.

19

Would you be willing to participate in future surveys or focus groups pertaining to improvement of airway management? If so, please include your contact information in the text box below.

Yes

No

Additional Comment