Evidence map›Paper›PMID 42230350›Full record

ArticleDie Anaesthesiologie2026

[The mindset of anesthesiologists while performing surgical airway management].

Jan Carlo Del Tedesco, Lion Sieg, Markus Flentje, Vera Hagemann, Kai Johanning, Lars Friedrich, Hendrik Eismann

Abstract readEnglish Abstract
In one paragraph

Article in Die Anaesthesiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jan Carlo Del TedescoKlinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
Lion SiegKlinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
Markus FlentjeKlinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Lippe, Röntgenstraße 18, 32756, Detmold, Deutschland.
Vera HagemannFakultät für Wirtschaftswissenschaften, Universität Bremen, Enrique-Schmidt-Straße 1, 28359, Bremen, Deutschland.
Kai JohanningKlinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Bielefeld, Teutoburger Straße 50, 33604, Bielefeld, Deutschland.
Lars FriedrichKlinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
Hendrik EismannKlinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. eismann.hendrik@mh-hannover.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical establishment of a secure airway in a cannot intubate-cannot oxygenate situation represents a feared and multidimensionally challenging situation in anesthesiology and emergency medicine teams. Numerous factors can influence the performance of a cricothyroidotomy. In addition to experience, knowledge and practical skills, the materials used and the mindset of the personnel also appear to play a significant role. AIM OF THE STUDY: This study aimed to provide a comprehensive picture of experiences, attitudes and knowledge on surgical airway management of medical personnel at a department of anesthesiology and intensive care medicine. This study builds on data collected on cricothyroidotomy in 2017, which changed the internal training concept adaptation of the hospital. METHODOLOGY: This study used a mixed qualitative and quantitative approach. We conducted a survey using questionnaires sent to all physicians of the department of anesthesiology, followed by expert interviews with doctors in training, specialists and senior physicians.

resultsWe could evaluate 59 questionnaires from the medical personnel. Additionally, we conducted 4 group interviews, each with 6-8 participants. We could demonstrate the significant influence of skill and simulation teaching programs on coniotomy; however, in the total collective the safety of decisions and performance remains low. Interviews covered a wide range of anesthesiological topics that indirectly affect and influence the topic of surgical airway management. The role of the anesthesia identification card was explained and the further education in the field of awake fiberoptic intubation was examined.

conclusionCricothyroidotomy in the context of failed airway management is and remains one of the most challenging scenarios for anesthesiology teams. Regular continuing education in the form of skills training, followed by integration into simulation scenarios, can significantly increase the subjective competence; however, the well-known uncertainty about an objectively measurable or detectable point that unequivocally indicates a cricothyroidotomy remains an inhibiting factor that needs to be addressed in the further development of training programs.

Indexed as

Airway ManagementAnesthesiologistsAttitude of Health PersonnelAnesthesiologyClinical CompetenceCricoid CartilageFemaleHumansIntubation, IntratrachealMaleSurveys and QuestionnairesThyroid CartilageCricothyroidotomyCrisis resource managementExpert interviewMental modelSurgical airway management

Identifiers

PMID42230350
PMCPMC13427881

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.