The following questionnaire forms part of the international research project ROCVIDEO and aims to describe the current approach to non-acute intubations in the operating theatres of public hospitals in Sweden and Denmark. Particular attention is given to the selection of anaesthetic drugs of induction, neuromuscular blocking agents, and the use of video laryngoscopes, as well as key factors influencing these choices.
For a further description please see the attachment (pdf-file) below. The full protocol is publicly available via the Open Science Framework https://osf.io/rv7jg
This research project emanates from CEPRA**.
The questionnaire takes approximately 10 minutes to complete, and your answers are anonymous.
We hope you would like to assist in revealing current clinical practices. Thank you for participating!
Best wishes, the ROCVIDEO research group
*ROCVIDEO is an independent research project seeking to investigate the benefits and risks of using a fast-acting, high-potency opioid (remifentanil) versus a muscle relaxant (rocuronium) to optimise intubation conditions in patients undergoing videolaryngoscopy-assisted tracheal intubation. **CEPRA (Collaboration for Evidence-based Practice & Research in Anaesthesia) is a research collaboration aimed to facilitate and support perioperative research programs including large pragmatic multi-centre trials (www.cepra.nu).
Are you site investigator at your department?
Yes
No
I have read the description of the questionnaire.
I understand that my answers are fully anonymous
I also understand that my consent can be withdrawn at any time which is done when I stop answering the questionnaire/leave the web site without submitting the answers.
*
Yes, I consent to participate in the study.
No, I don´t consent to participate in the study.
Where is your primary place of employment?
*
Public hospital
Private hospital/clinic
I work at both public and private hospitals/clinics.
Prehospital care
Other workplace
Please specify other workplace
Do you work exclusively in prehospital care?
*
Yes
No
Please choose the alternative that gives the best description of your work.
*
I work mainly in the intensive care unit and rarely manage anaesthesia for surgery, treatment or investigative procedures.
The main part of my work consists of providing anaesthesia for surgery, treatment or investigative procedures.
I work both in the intensive care unit and with providing anaesthesia for surgery, treatment or investigative procedures.
Cannot say
What kind of surgery do you frequently provide anaesthesia for? (You may choose several types of surgery)󠆬
*
If "Other" is chosen; please specify
Please state your level of education.
*
Pre-registration house officer (ej legitimerad underläkare)
Fully registered medical practitioner (legitimerad läkare)
Registrar (ST-läkare)
Anaesthesia specialist (specialist i anestesi och intensivvård)
How many years of anaesthesia practice do you have?
*
< 2 years
2-5 years
6-10 years
11-15 years
16-20 years
> 20 years
Male
Female
Would prefer not to specify
Please enter your age (years).
*
In which country is your primary place of employment?
*
The Faroe Islands
Greenland
Denmark
Sweden
In what part of the country is your primary place of employment?
(Please choose one part only)
*
Norra Sverige (Jämtland, Norrbotten, Västerbotten och Västernorrland)
Mellan-Sverige (Dalarna, Gävleborg, Södermanland, Uppsala, Västmanland, Värmland, Örebro)
Stockholm-Gotland
Västra Sverige (Halland, Västra Götaland)
Sydöstra Sverige (Jönköping, Kalmar, Östergötland)
Södra Sverige (Blekinge, Kronoberg, Skåne)
In what region in Norra Sverige do you primarily work? (Please choose one region)
*
Region Jämtland Härjedalen, Östersunds sjukhus
Region Norrbotten
Region Västerbotten
Region Västernorrland
In which hospital in Region Norrbotten do you primarily work? (Please choose only one)
*
Piteå Älvdals sjukhus
Sunderby sjukhus
Kalix sjukhus
Kiruna sjukhus
Gällivare sjukhus
In which hospital in Region Västerbotten do you primarily work? (Please choose one hospital only)
*
Norrlands Universitetssjukhus
Lasarettet Skellefteå
Lasarettet Lycksele
In which hospital in Region Västernorrland do you primarily work? (Please choose only one)
*
Länssjukhuset Sundsvall och Härnösand
Sollefteå sjukhus
Örnsköldsviks sjukhus
In what region in Mellan-Sverige do you primarily work? (Please choose only one region)
*
Region Dalarna
Region Gävleborg
Region Södermanland
Region Uppsala
Region Västmanland
Region Värmland
Region Örebro län
In which hospital in Region Dalarna do you primarily work? (Please choose one hospital only)
*
Falu lasarett
Lasarettet i Mora
In which hospital in Region Gävleborg do you primarily work? (Please choose one hospital only)
*
Gävle sjukhus
Hudiksvalls sjukhus
In which hospital in Region Södermanland do you primarily work? (Please choose one hospital only)
*
Mälarsjukhuset
Kullbergska sjukhuset
Nyköpings lasarett
In which hospital in Region Uppsala do you primarily work? (Please choose one hospital only)
*
Akademiska sjukhuset
Lasarettet i Enköping
In which hospital in Region Västmanland do you primarily work? (Please choose one hospital only)
Västmanlands sjukhus Västerås
Västmanlands sjukhus Köping
In which hospital in Region Värmland do you primarily work? (Please choose one hospital only)
*
Centralsjukhuset Karlstad
Sjukhuset Arvika
Sjukhuset Torsby
In which hospital in Region Örebro län do you primarily work? (Please choose one hospital only)
Universitetssjukhuset Örebro
Karlskoga lasarett
Lindesberg lasarett
In which hospital in Region Stockholm-Gotland is your primary place of employment? (Please choose one hospital only)
Astrid Lindgrens Barnsjukhus
Capio S:t Görans sjukhus
Danderyds sjukhus
Ersta Diakoni
Karolinska Universitetssjukhuset Huddinge
Karolinska Universitetssjukhuset Solna
Karolinska Universitetssjukhuset Thorax
Norrtälje sjukhus
S:t Eriks ögonsjukhus
Södersjukhuset
Södertälje sjukhus
Visby lasarett
In what region in Västra Sverige is your primary place of employment? (Please choose only one region)
Region Halland
Region Västra Götaland
In which hospital in Region Halland is your primary place of employment? (Please choose one hospital only)
Hallands sjukhus Halmstad
Hallands sjukhus Varberg
Kungsbacka sjukhus
In which public hospital in Region Västra Götaland is your primary place of employment? (Please choose one hospital only)
Alingsås lasarett
Drottning Silvias Barnsjukhus
Kungälvs sjukhus
Norra Älvsborgs sjukhus
Södra Älvsborgs Sjukhus Borås.
Sahlgrenska sjukhuset
Sahlgrenska, Mölndals sjukhus
Sahlgrenska, Östra sjukhuset
Skaraborgs sjukhus Lidköping
Skaraborgs sjukhus Skövde
In what region in Sydöstra Sverige is your primary place of employment? (Please choose only one region)
Region Jönköping län
Region Kalmar län
Region Östergötland
In which public hospital in Region Jönköping län is your primary place of employment? (Please choose one hospital only)
Länssjukhuset Ryhov
Höglandssjukhuset Eksjö
Sjukhuset Värnamo
In which hospital in Region Kalmar län is your primary place of employment? (Please choose one hospital only)
Länssjukhuset Kalmar
Oskarshamns sjukhus
Sjukhuset Västervik
In which hospital in Region Östergötland is your primary place of employment? (Please choose one hospital only)
Lasarettet i Motala
Universitetssjukhuset i Linköping
Vrinnevisjukhuset
In what region in Södra Sverige is your primary place of employment? (Please choose only one region)
Region Blekinge, Blekingesjukhuset
Region Kronoberg
Region Skåne
In which hospital in Region Kronoberg is your primary place of employment? (Please choose one hospital only)
Centrallasarettet i Växjö
Lasarettet i Ljungby
In which hospital in Region Skåne is your primary place of employment? (Please choose one hospital only)
Skånes Universitetssjukhus Lund
Skånes Universitetssjukhus Malmö
Centralsjukhuset Kristianstad
Helsingborgs lasarett
Lasarettet Ystad
Lasarettet Trelleborg
Lasarettet i Landskrona
Ängelholms sjukhus
Hässleholms sjukhus
Does your department have access to videolaryngoscopes? 󠆬
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Yes, in every operation theatre (i varje operationssal)
Yes, videolaryngoscopes are easily accessible - but not in every operation theatre
No, I don´t have easy access to a videolaryngoscope
No, I don´t have access to a videolaryngoscope at all
Other
If "Other" is chosen please describe shortly.
Which option best describes to what extent you use a video laryngoscope for non-acute intubations? (Please choose only one option)
*
I always use a video laryngoscope (approximately 100%)
I frequently use a video laryngoscope (approximately 75%)
I use a traditional laryngoscope and a video laryngoscope with equal frequency (approximately 50%)
I rarely use a video laryngoscope (approximately 25%)
I hardly ever use a video laryngoscope (approximately 0 %)
I don´t know
Which option best describes why you choose the videolaryngoscope for non-acute intubations?
*
I use a video laryngoscope when indicated (if the airway has been assessed as difficult, the mobility of the neck is reduced, severe obesity etc)
I use the video laryngoscope for educational purposes
I use the video laryngoscope because it is the only laryngoscope available
I prefer to always use the video laryngoscope
Other reason
Only one option is possible to choose
If "Other reason" is chosen; please specify.
In non-acute intubations how often do you use a bolus of neuromuscular blocking agent (NMBA) versus a bolus of opioid (single shot, high rate infusion or a combination of these two) without NMBA to facilitate intubation?
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I mainly use NMBA
I most often use an opioid without NMBA
Other
If "Other" is chosen please describe briefly the method used.
*
Which NMBA would you typically use for a non-acute intubation?
*
Suxamethonium
Rocuronium
Cisatracurium
Other
Please indicate the one you choose most often
If "Other" is chosen please specify which NMBA.
*
Which opioid would you typically use as a bolus dose if you planned NOT to administer a bolus dose of NMBA to facilitate a non-acute endotracheal intubation? (Please indicate the one you choose most often)
*
Remifentanil
Alfentanil
Fentanyl
Sufentanil
I never/almost never use an opioid without NMBA for intubation
Other
If "Other" is chosen; please specify which drug.
*
When using opioids without NMBA for intubation, how often do you need to add a NMBA to achieve successful intubation?
*
in approximately 0-24% of all intubations
in approximately 25-49% of all intubations
in approximately 50-74% of all intubations
in approximately 75-100% of all intubations
I never use opioids without NMBA for intubation
Please indicate which statement best fits with: "I use a bolus dose NMBA because..."
*
I adhere to the guideline of our department
I adhere to national/European/international guidelines
We have a tradition of doing so in our department
Because NMBA provides the best conditions for successful intubation
Other
If "Other" is chosen; please describe shortly.
*
Which NMBA would you give as a bolus dose to facilitate tracheal intubation for a healthy young adult, with a height of 170 cm and weight of 70 kg, undergoing an elective knee arthroscopy (or other type of procedure that doesn´t require muscle relaxation for surgical reasons)?
*
Suxamethonium
Rocuronium
Cisatracurium
Mivacurium
I wouldn´t use a bolus dose of NMBA
Other
Choose the drug and the dose you normally would use
If "Other" is chosen; please specify which NMBA, including the dose and unit.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g mg µg other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Which opioid would you give as a bolus dose (single shot, high rate infusion or a combination of these two) during anaesthesia induction to facilitate tracheal intubation for a healthy young adult, with a height of 170 cm and weight of 70 kg, undergoing an elective knee arthroscopy (or other type of procedure that doesn´t require muscle relaxation for surgical reasons) if you planned NOT to use a NMBA?
*
Remifentanil
Fentanyl
Sufentanil
Alfentanil
I would never use a bolus dose of opioid without NMBA in such a case
Other
Choose the drug and the dose you normally would use
If "Other" is chosen; please specify which opioid, including dose and unit, you would use.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Which NMBA would you give as a bolus dose during anaesthesia induction for a healthy young adult, with a height of 170 cm and weight of 70 kg, undergoing a laparoscopic robot-assisted colon resection?
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Suxamethonium
Rocuronium
Cisatracurium
Mivacurium
I wouldn´t use a bolus dose of NMBA
other
Cchoose the drug and the dose you normally would use
If "Other" is chosen; please specify which NMBA, including the dose and unit you would use.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Which opioid would you give as a bolus dose (single shot, high rate infusion or a combination of these two) during anaesthesia induction for a healthy young adult, with a height of 170 cm and weight of 70 kg, undergoing a laparoscopic robot-assisted colon resection if you planned NOT to use a NMBA?
*
Remifentanil
Fentanyl
Sufentanil
Alfentanil
I would never use a bolus dose of opioid without NMBA in this case
other
Choose the drug and the dose you normally would use
If "Other" is chosen: please specify which opioid, including the dose and unit you would use.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Which NMBA would you give as a bolus dose during anaesthesia induction for a healthy 3-year old child with a weight of 15 kg, requiring tracheal intubation for a tonsillectomy?
*
Suxamethonium
Rocuronium
Cisatracurium
Mivacurium
I wouldn´t use a NMBA for intubation
other
Choose the drug and the dose you normally would use)
If "Other" is chosen; please specify which NMBA, including the dose and unit you would use.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Which opioid would you give as a bolus dose (single shot, high rate infusion or a combination of these two) during anaesthesia induction for a healthy 3-year child with a weight of 15 kg, undergoing tonsillectomy if you planned NOT to use a NMBA? (You have assessed that the child needs intubating.)
*
Remifentanil
Fentanyl
Sufentanil
Alfentanil
I wouldn´t use a bolus dose of opioid without NMBA in this case
other
(Choose the drug and the dose you normally would use)
If "Other" is chosen please specify which opioid, including the dose and unit you would use.
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
Please specify the dose (without decimals).
Please change unit if you want to state dose with decimals
g
mg
µg
other
That was the last question of the questionnaire. THANK YOU for taking the time to participate!