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Airway management research: a systematic review

Last post 29 Jan 2019, 2:36 PM by Patrick Ward. 0 replies.
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  •  29 Jan 2019, 2:36 PM 2722

    Airway management research: a systematic review

    There has been a disappointing lack of agreement between authors/researchers on the prevalence of manikin-based studies in airway management (based upon differing search criteria and methodologies), which has greatly overshadowed the more important message and fundamental purpose of our initial editorial (and proposed “CARE” guideline) [1], namely to improve the safety and advance the ethics of airway management research. This difference in opinion has spawned counter editorial and counter comment and, whilst any academic discussion on the topic of airway research can be perceived as positive in drawing attention to the issues in this field, there has been a loss of perspective away from the key aspects of patient safety and ethical rigour. Pleasingly, McGrenaghan and Smith's editorial [2] (and Ahmed at el.'s systematic review [3]) provides a more balanced view and, whilst we do not agree with every aspect, we are delighted to see a return of focus to the wider and more significant issues that we had initially sought to highlight. We look forward to the Difficult Airway Society providing consensus opinion and further guidance in this area.

    P. A. Ward

    Chelsea & Westminster Hospital,

    London, UK.

    M. G. Irwin

    University of Hong Kong,

    Hong Kong.

    Email: patrickward81@hotmail.com 


    No external funding declared. MGI is an Editor of Anaesthesia.



    1. Ward PA, Irwin MG. Man vs. manikin revisited – the ethical boundaries of simulating difficult airways in patientsAnaesthesia 2016; 71: 1399-403.

    2. McGrenaghan E, Smith AF. Airway management research: what problem are we trying to solve? Anaesthesia 2018; . doi: 10.1111/anae.14563.

    3. Ahmad I, Onwochei DN, Muldoon S, Keane O, El‐Boghdadly K. Airway management research: a systematic review. Anaesthesia 2019; 74: 225-36.

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