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Zahlreiche Faktoren k\u00f6nnen die Durchf\u00fchrung der Koniotomie beeinflussen. Neben der Erfahrung, dem Wissen und den praktischen F\u00e4higkeiten scheinen hierbei auch das eingesetzte Material und das \u201eMindset\u201c des t\u00e4tigen Personals eine zentrale Rolle zu spielen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Ziel dieser Studie war die m\u00f6glichst umfassende Darstellung von Erfahrungen, Einstellungen und Wissen im Hinblick auf die chirurgische Atemwegssicherung bei \u00e4rztlichen Mitarbeitenden einer Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin. Die Studie folgte auf eine 2017 durchgef\u00fchrte Datenerhebung zum Thema Koniotomie, auf deren Basis das klinikinterne Weiterbildungskonzept angepasst worden war.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodik<\/jats:title>\n                    <jats:p>Es handelt sich um eine gemischte qualitative und quantitative Studie. Abteilungsintern f\u00fchrten wir eine fragebogengeleitete Umfrage durch; nachfolgend luden wir \u00c4rztInnen in Weiterbildung, Fach- und Ober\u00e4rztInnen zu Experteninterviews ein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnis<\/jats:title>\n                    <jats:p>Insgesamt konnten 59\u00a0Frageb\u00f6gen von \u00e4rztlichen Mitarbeitenden der Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin ausgewertet werden. Zudem f\u00fchrten wir insgesamt 4\u00a0Gruppeninterviews mit jeweils 6\u00a0bis 8\u00a0TeilnehmerInnen durch. Wir konnten zeigen, dass die Teilnahme an Skill- und Simulationstraining die subjektive Handlungskompetenz signifikant erh\u00f6ht. Im Gesamtkollektiv bleibt die Sicherheit bei Entscheidung und Durchf\u00fchrung jedoch gering. In den Interviews zeigten sich weitere an\u00e4sthesiologische Themenkomplexe, die das Thema chirurgische Atemwegssicherung indirekt betreffen und Einfluss auf das Atemwegsmanagement haben. So wurden die Rolle des An\u00e4sthesie-Ausweises beleuchtet und die Weiterbildung im Bereich fiberoptische Intubation aufgegriffen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Die Koniotomie im Rahmen des fehlgeschlagenen Atemwegsmanagements ist und bleibt eine der herausforderndsten Szenarien f\u00fcr an\u00e4sthesiologische Teams. Regelm\u00e4\u00dfige Fortbildung als Skill-Training mit nachfolgender Einbettung in Simulationsszenarien k\u00f6nnen die subjektive Handlungskompetenz signifikant steigern. Die Unsicherheit \u00fcber einen objektiv messbaren oder erhebbaren Punkt, der zweifelsfrei die Koniotomie nach sich zieht, bleibt weiterhin als hemmender Faktor bestehen und gilt es, in der weiteren Entwicklung von Trainingsprogrammen zu adressieren.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00101-026-01696-w","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T21:58:55Z","timestamp":1780437535000},"page":"579-588","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Das \u201eMindset\u201c bei der Durchf\u00fchrung einer chirurgischen Atemwegssicherung durch An\u00e4sthesistInnen","The mindset of anesthesiologists while performing surgical airway management"],"prefix":"10.1007","volume":"75","author":[{"given":"Jan Carlo","family":"Del Tedesco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lion","family":"Sieg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Flentje","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Hagemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Johanning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Friedrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Eismann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"1696_CR1","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1136\/bmjqs-2015-004129","volume":"24","author":"M Bromiley","year":"2015","unstructured":"Bromiley\u00a0M (2015) The husband\u2019s story: from tragedy to learning and action. 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Er erh\u00e4lt Lehrhonorar von Johanniter Unfallhilfe und ist Mitglied der DGAI und des BDA. Jan Carlo Del Tedesco ist Mitglied der DGAI und der DIVI. J.C.\u00a0Del Tedesco, L.\u00a0Sieg, V.\u00a0Hagemann, K.\u00a0Johanning, L.\u00a0Friedrich und H.\u00a0Eismann geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Diese gemischt qualitativ sowie quantitative Studie wurde durch die Ethikkommission der Medizinischen Hochschule (10892_BO-K-2023 vom 09.02.2023) positiv votiert. Von allen Beteiligten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}