ABSTRACT
The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care; Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway.
Subject(s)
Airway Management/standards , Anesthesiologists/standards , Practice Guidelines as Topic/standards , Societies, Medical/standards , Airway Management/methods , Humans , Intubation, Intratracheal/methods , Intubation, Intratracheal/standards , United States/epidemiologySubject(s)
Anesthesiologists , Catheterization, Central Venous , Advisory Committees , Humans , Research Report , United States , VeinsABSTRACT
The methodology used during the development of American Society of Anesthesiologists evidence-based practice parameters, from conceptualization through final adoption of the documents, is described. Features of the methodology include the literature search, review and analysis, survey development and application, and consolidation of the full body of evidence used for preparing clinical practice recommendations. Anticipated risks of bias, validation of the process, and the importance of the documents for clinical use are discussed.
Subject(s)
Anesthesiologists/standards , Practice Guidelines as Topic/standards , Societies, Medical/standards , Anesthesiologists/trends , Humans , Societies, Medical/trends , United StatesSubject(s)
Airway Management , Intubation, Intratracheal , Humans , Airway Management/methods , Airway Management/standards , Consensus , Evidence-Based Medicine , Fiber Optic Technology , Health Care Surveys , Intubation, Intratracheal/methods , Intubation, Intratracheal/standards , Laryngoscopy/methods , Physical Examination , Postoperative Care/standards , Trachea/anatomy & histologySubject(s)
Anesthesia , Postoperative Care , Humans , Analgesics , Cardiovascular Physiological Phenomena , Evidence-Based Medicine , Hypnotics and Sedatives/antagonists & inhibitors , Mental Processes/physiology , Monitoring, Physiologic , Neurologic Examination , Neuromuscular Blocking Agents/antagonists & inhibitors , Oxygen Inhalation Therapy , Pain, Postoperative/diagnosis , Pain, Postoperative/therapy , Postoperative Care/standards , Postoperative Nausea and Vomiting/diagnosis , Postoperative Nausea and Vomiting/drug therapy , Postoperative Nausea and Vomiting/therapy , Randomized Controlled Trials as Topic , Respiratory Function Tests , Shivering/drug effects , Urination/physiologySubject(s)
Advisory Committees/standards , Anesthesiology/standards , Catheterization, Central Venous/standards , Perioperative Care/standards , Practice Guidelines as Topic/standards , Research Report/standards , Societies, Medical/standards , Anesthesiology/methods , Catheterization, Central Venous/methods , Humans , Perioperative Care/methods , United StatesSubject(s)
Analgesics, Opioid , Anesthesia, Conduction , Neuromuscular Blockade , Respiratory Insufficiency , Humans , Analgesia, Epidural/adverse effects , Analgesia, Patient-Controlled , Analgesics, Opioid/administration & dosage , Analgesics, Opioid/adverse effects , Anesthesia, Conduction/adverse effects , Delayed-Action Preparations , Evidence-Based Medicine , Expert Testimony , Fentanyl/administration & dosage , Fentanyl/adverse effects , Morphine/administration & dosage , Morphine/adverse effects , Neuromuscular Blockade/adverse effects , Oxygen Inhalation Therapy , Respiratory Insufficiency/chemically induced , Respiratory Insufficiency/prevention & control , Respiratory Insufficiency/therapySubject(s)
Perioperative Care , Sleep Apnea, Obstructive , Humans , Ambulatory Surgical Procedures , Evidence-Based Medicine , Inpatients , Intraoperative Care , Oxygen/administration & dosage , Oxygen/therapeutic use , Postoperative Care , Posture , Preoperative Care , Sleep Apnea, Obstructive/physiopathology , Terminology as TopicABSTRACT
Since 1992, the American Society of Anesthesiologists has produced 12 evidence-based practice guidelines, 2 practice advisories, and 3 guideline updates. These documents have assisted anesthesiologists and practitioners in many other specialties. Their brevity, practicality, and ease of use, coupled with a thorough and systematic evaluation of the evidence have been instrumental in bringing together the science and practice of medicine. The application of formal evidence-collection processes for literature and opinion and efficient analytic evaluations combine with the experience and practical knowledge of clinicians to produce widespread application of the guidelines. The evidence-based process developed by the ASA has been found to be adaptable to a wide variety of issues relating to clinical practice. The goal is to systematically collect and evaluate evidence from multiple sources and apply it ina comprehensive manner to the guideline recommendations. The ASA guideline and advisory development process is continuing to evolve in response to changes in medical technology, research, and practice. By providing synthesized evidence from multiple sources and robust clinical recommendations the ASA offers the practice of anesthesiology, an invaluable bridge between science and clinical practice.
