Expert Consensus on Perioperative Physician–Pharmacist Airway Co-Management

Dongmei Meng , Yuan Qiu , Shiyue Li , Jun Liu , Lunxu Liu , Qiang Pu , Zhen You , Lan Lan , Dehui Chen , Guoying Wang , Ping Wang , Xiaowen Zhang , Hui Xie , Yuwen He , Suzhen He , Zhihua Zheng , Li Wei , Jun Zhao , Jianguo Zhu , Hui Tian , Anchang Liu , Chuangqi Chen , Kejing Tang , Gening Jiang , Yuping Li , Gang Jin , Zheng Jiao , Jian Hu , Sheng Yan , Haibin Dai , Qiang Zhang , Yong Cui , Xingang Li , Zhigang Zhao , Daqiang Sun , Libing Ma , Yingtong Zeng , Dan Guo , Lei Zhang , Li Wei , Jianxing He

Journal of Evidence-Based Medicine ›› 2025, Vol. 18 ›› Issue (2) : e70008

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Journal of Evidence-Based Medicine ›› 2025, Vol. 18 ›› Issue (2) : e70008 DOI: 10.1111/jebm.70008
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Expert Consensus on Perioperative Physician–Pharmacist Airway Co-Management

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Abstract

Background: Airway management during the perioperative period is a vital component of perioperative care. However, there is a lack of consensus on the selection of medications, timing of administration, and the management of airway complications. This consensus aimed to promote a more rational and standardized application of airway management medications.

Methods: Clinical medical and pharmaceutical experts were invited to participate in this study using the modified Delphi method. Participants completed two rounds of online surveys, with the second round based on the responses from the first round.

Results: Participants (n = 42) reached a consensus on 11 clinical issues and formed 11 recommendations for clinical practice, each with a consensus degree of more than 80%. The recommendations covered aspects of preoperative, intraoperative, and postoperative risk factors evaluation, along with crucial points of medication monitoring in preventing and treating perioperative pulmonary complications.

Conclusions: The modified Delphi method resulted in consensus recommendations for the perioperative physician–pharmacist airway co-management. We hope this consensus will prevent pulmonary complications and improve patient outcomes through collaborative discussions between physicians and pharmacists.

Keywords

airway co-management / consensus / Delphi method / perioperative / pharmaceutical care

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Dongmei Meng, Yuan Qiu, Shiyue Li, Jun Liu, Lunxu Liu, Qiang Pu, Zhen You, Lan Lan, Dehui Chen, Guoying Wang, Ping Wang, Xiaowen Zhang, Hui Xie, Yuwen He, Suzhen He, Zhihua Zheng, Li Wei, Jun Zhao, Jianguo Zhu, Hui Tian, Anchang Liu, Chuangqi Chen, Kejing Tang, Gening Jiang, Yuping Li, Gang Jin, Zheng Jiao, Jian Hu, Sheng Yan, Haibin Dai, Qiang Zhang, Yong Cui, Xingang Li, Zhigang Zhao, Daqiang Sun, Libing Ma, Yingtong Zeng, Dan Guo, Lei Zhang, Li Wei, Jianxing He. Expert Consensus on Perioperative Physician–Pharmacist Airway Co-Management. Journal of Evidence-Based Medicine, 2025, 18(2): e70008 DOI:10.1111/jebm.70008

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2025 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

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