Audit of Preoperative Difficult Airway Management in Algeria: Challenges and Strategies

Abstract

Most respiratory complications during intubation are unanticipated and can lead to severe injuries or even death, especially in general anesthesia. Mitigating factors include preparation, evaluation, communication, teamwork, and situational awareness. However, in the absence of national recommendations, airway management in Algeria remains a challenge. Methodology: A cross-sectional study over one year (2019-2020) was conducted by distributing a questionnaire covering demographic data, difficulties encountered during intubation and ventilation, access to specific equipment and training, and the desire for training or algorithms. Data were entered and analyzed using SPSS 18 software. Results: Out of 110 distributed questionnaires, the participation rate was 78%, covering 25 wilayas. The prevalence of intubation difficulties was 100%, with a higher prevalence among those without local protocols or specific training. Public health specialists in EPH and CHU were more likely to encounter ventilation difficulties. Discussion: This audit identifies the challenges faced by anesthesiologists in Algeria, emphasizing the importance of pre-planning and advancements in techniques to simplify the management of difficult intubations. The development of algorithms could facilitate patient care, provided that the techniques are widely known and feasible. Conclusion: Improving airway management in Algeria requires pre-planning, increased awareness, and appropriate training. Advances in techniques and the development of algorithms could help reduce complications during difficult intubations.