Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 669 - 677 |
| Number of pages | 9 |
| Journal | Anaesthesia |
| Volume | 69 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2014 |
Cite this
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The effects of a displayed cognitive aid on non-technical skills in a simulated 'can't intubate, can't oxygenate' crisis. / Marshall, Stuart Duncan; Mehra, Rishi.
In: Anaesthesia, Vol. 69, No. 7, 2014, p. 669 - 677.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - The effects of a displayed cognitive aid on non-technical skills in a simulated 'can't intubate, can't oxygenate' crisis
AU - Marshall, Stuart Duncan
AU - Mehra, Rishi
PY - 2014
Y1 - 2014
N2 - Guidelines outlining recommended actions are difficult to implement in the stressful, time-pressured situation of an airway emergency. Cognitive aids such as posters and algorithms improve performance during some anaesthetic emergencies; however, their effects on team behaviours have not been determined. In this study, 64 participants were randomly assigned into control (no cognitive aid) and intervention (cognitive aid provided) groups before a simulated can t intubate, can t oxygenate scenario. Video analysis was undertaken of the non-technical skills and technical performance during the scenarios. All categories had higher Anaesthetists Non-Technical Skills (ANTS) scores when a cognitive aid was supplied (mean (SD) total ANTS score 10.4 (3.1) vs 13.2 (2.4), p <0.001). The number of times the cognitive aid was used was associated with higher ANTS scores (? = 0.383, p = 0.002). A trend towards the establishment of an infraglottic airway within 3 min was also noted (control group 55.3 vs intervention 76.9 , p = 0.076). Non-technical skills are improved when a cognitive aid is present during airway emergencies.
AB - Guidelines outlining recommended actions are difficult to implement in the stressful, time-pressured situation of an airway emergency. Cognitive aids such as posters and algorithms improve performance during some anaesthetic emergencies; however, their effects on team behaviours have not been determined. In this study, 64 participants were randomly assigned into control (no cognitive aid) and intervention (cognitive aid provided) groups before a simulated can t intubate, can t oxygenate scenario. Video analysis was undertaken of the non-technical skills and technical performance during the scenarios. All categories had higher Anaesthetists Non-Technical Skills (ANTS) scores when a cognitive aid was supplied (mean (SD) total ANTS score 10.4 (3.1) vs 13.2 (2.4), p <0.001). The number of times the cognitive aid was used was associated with higher ANTS scores (? = 0.383, p = 0.002). A trend towards the establishment of an infraglottic airway within 3 min was also noted (control group 55.3 vs intervention 76.9 , p = 0.076). Non-technical skills are improved when a cognitive aid is present during airway emergencies.
UR - http://onlinelibrary.wiley.com.ezproxy.lib.monash.edu.au/doi/10.1111/anae.12601/epdf
U2 - 10.1111/anae.12601
DO - 10.1111/anae.12601
M3 - Article
VL - 69
SP - 669
EP - 677
JO - Anaesthesia
JF - Anaesthesia
SN - 0003-2409
IS - 7
ER -