Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France : A CHERRIES analysis

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AIM: The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs.

METHOD: A national-level survey of the management of iatrogenic LTS was conducted using a 41-item questionnaire, in 4 sections, sent to a panel of French otorhinolaryngologists between July and December 2022. The main endpoint was heterogeneity in responses between 55 proposals on LTS management.

RESULTS: The response rate was 20% (52/263). The response heterogeneity rate was 69% (38/55). Heterogeneity concerned general questions on diagnosis (7/12, 58%) and management (7/10, 70%), LTS case management (22/27, 81%), and otorhinolaryngologists' expectations (33%, 2/6). Quality of training was considered good or excellent by only 21% of respondents. More than 80% were strongly in favor of creating national guidelines, expert centers and a national database.

DISCUSSION: This study demonstrated the heterogeneity of adult post-intubation LTS management between otorhinolaryngologists in France. Training quality was deemed poor or mediocre by a majority of respondents. They were in favor of creating national guidelines and expert centers in LTS.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - (2024) vom: 28. Feb.

Sprache:

Englisch

Beteiligte Personen:

Tendron, A [VerfasserIn]
Atallah, S [VerfasserIn]
Wagner, I [VerfasserIn]
Baujat, B [VerfasserIn]
Dauzier, E [VerfasserIn]
Expert panel [VerfasserIn]

Links:

Volltext

Themen:

Endotracheal intubation
Head and neck
Journal Article
Laryngotracheal stenosis
SARS-CoV-2

Anmerkungen:

Date Revised 29.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.anorl.2024.02.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369137558