Assessment of Airway Management Knowledge among Final-Year Anesthesia Students and Anesthesia Internship Trainees

Abstract

Airway management is a cornerstone of anesthesia practice, essential for ensuring patient safety during surgical procedures, emergencies, and critical care interventions. This study assessed the knowledge, confidence, and educational experiences of final-year anesthesia students and internship trainees in Libyan universities. Using a descriptive cross-sectional survey, data were collected from multiple institutions through a structured questionnaire addressing theoretical understanding, practical skills, and sources of training. Results revealed satisfactory knowledge in basic principles such as pre‑oxygenation and patient positioning, but significant deficiencies in applied areas including the ASA difficult airway algorithm and complication management. Confidence levels were highest in basic procedures like bag‑mask ventilation, while advanced tasks such as intubation and emergency airway interventions elicited lower confidence. The findings highlighted systemic gaps in training, with overreliance on lectures and limited access to simulation-based education. Students strongly advocated for early practical exposure, structured hospital training, and competency-based assessments. The study concludes that airway management education in Libya requires reform, emphasizing simulation, mentorship, and modern educational tools to bridge the gap between theory and practice, thereby aligning local curricula with international standards and improving patient safety outcomes.