Table 4.

Personal Comments Regarding Improvement and Reluctance to Start.

Comments concerning reluctance to start * were related to:	Free comments regarding improvement † were related to:
Protocol/local agreements	Protocol
• Purchase of material • Distribution of tasks, especially when more specialties are involved • Response time • Checklist/protocol • Multidisciplinary agreements	• Local agreements between specialties • Uniformity • Available material, location • Distribution of tasks
Experience	Training
• Either no experience or last tracheotomy many years ago • Theatre nurses and team members not well prepared to assist	• Annual • Mandatory • Multidisciplinary • All aspects of difficult airway management
Material	Knowledge
Location of material	• Anatomy
No uniform technique	• Skills
Changing techniques Other • Communication, decision making, overruling a colleague • Unknown long term complications • Time pressure • Dealing with previous encountered complications Training • Both surgeon and team	• Strongly dependent on available person • More general awareness needed amongst all team members • Available material location and protocol Material • Uniformity • Check‐up • location
	Suggestions/questions
	• Need for recommendations
	• How should one handle a pediatric emergency airway case?
	• Multidisciplinary approach in PDT?
	Other
	• Positive statements on organization at this moment; Respondents stating things are well organized in their hospital or work is in progress at the moment, often following recent complications in airway management cases
	• Nontechnical skills like communication

^*Items named by 8.9% of respondents

^†Items named by 36.2% of respondents

PDT = Percutaneous Dilatational Tracheostomy