{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T12:17:30Z","timestamp":1770466650653,"version":"3.49.0"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Verlegungen der oberen Atemwege stellen akute Notf\u00e4lle dar. Ultima Ratio zur Sicherung der Atemwege ist die Durchf\u00fchrung einer Koniotomie nach Identifizierung des Lig. conicum. Hier kann die Sonografie unterst\u00fctzen. Ziel dieser Studie war die Etablierung eines Trainings zur Vermittlung dieser Kompetenzen.<\/jats:p><jats:p>\n            Material Methoden Das Training bestand aus einer theoretischen Schulung mit anschlie\u00dfender Videopr\u00e4sentation (je 10min) sowie einem praktischen Training (45min). Zur Messung der Vorerfahrungen, der Zufriedenheit mit dem Training sowie des subjektiven und objektiven Kompetenzlevels wurden vor (T1) und nach (T2) dem Training Evaluationen bearbeitet. Zu T2 wurde zudem eine praktische Pr\u00fcfung von n=113 Teilnehmenden (TN) absolviert. Die Ergebnisse der praktischen Pr\u00fcfung wurden durch einen standardisierten Bogen dokumentiert.<\/jats:p><jats:p>\n            Ergebnisse Der gr\u00f6\u00dfte Teil der TN hatte weder eine Koniotomie gesehen (64,6%) noch eigenst\u00e4ndig durchgef\u00fchrt (79,6%). In der subjektiven Kompetenzeinsch\u00e4tzung konnte eine signifikante Verbesserung (T1 zu T2) gemessen werden (p&lt;0,001). Das Trainingsprogramm wurde in allen abgefragten Items positiv bewertet. In den praktischen Pr\u00fcfungen erreichten die TN durchschnittlich 89,2% der m\u00f6glichen Punkte und ben\u00f6tigten f\u00fcr die Identifizierung des Lig. conicum im Mittelwert 101\u00b123 Sekunden.<\/jats:p><jats:p>\n            Schlussfolgerung Strukturiertes Training zur sonografischen Identifizierung des Lig. conicum f\u00fchrt bereits in kurzer Zeit zu einer deutlichen Verbesserung der subjektiven Kompetenzen sowie zu einem hohen objektiven Kompetenzlevel. Zuk\u00fcnftig sollten solche Trainingsprogramme standardisiert in der Kopf-Hals-Ultraschallausbildung etabliert werden.<\/jats:p>","DOI":"10.1055\/a-2311-4389","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T22:53:00Z","timestamp":1717455180000},"page":"23-33","source":"Crossref","is-referenced-by-count":1,"title":["Sonographisch gest\u00fctzte Identifikation des Ligamentum conicum in der Kopf-Hals-Ultraschalllehre"],"prefix":"10.1055","volume":"104","author":[{"given":"Andreas Michael","family":"Weimer","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Orthop\u00e4die, Unfallchirurgie und Paraplegiologie, Universit\u00e4tsklinikum Heidelberg, Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes Matthias","family":"Weimer","sequence":"additional","affiliation":[{"name":"Rudolf Frey Lernklinik, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Jonck","sequence":"additional","affiliation":[{"name":"Rudolf Frey Lernklinik, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Diagnostische und Interventionelle Radiologie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"St\u00e4uber","sequence":"additional","affiliation":[{"name":"Rudolf Frey Lernklinik, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher David","family":"Chrissostomou","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Buggenhagen","sequence":"additional","affiliation":[{"name":"Rudolf Frey Lernklinik, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Kl\u00f6ckner","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Interventionelle Radiologie, Universit\u00e4tsklinikum Schleswig-Holstein Campus L\u00fcbeck, Lubeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Pirlich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"K\u00fcnzel","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Rink","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1097\/aln.0000000000004002","article-title":"2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway","volume":"136","author":"JL Apfelbaum","year":"2022","journal-title":"Anesthesiology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1213\/ane.0000000000005233","article-title":"Evaluation and Management of the Physiologically Difficult Airway: Consensus Recommendations From Society for Airway Management","volume":"132","author":"RL Kornas","year":"2021","journal-title":"Anesth Analg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1007\/s12630-021-02007-0","article-title":"Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. 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