The effects of a displayed cognitive aid on non‐technical skills in a simulated ‘can't intubate, can't oxygenate’ crisis

Summary 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 bee...

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Bibliographic Details
Published in:Anaesthesia 2014-07, Vol.69 (7), p.669-677
Main Authors: Marshall, S. D., Mehra, R.
Format: Article
Language:English
Subjects:
Airway management
Airway Management - methods
Airway Obstruction - therapy
Analysis of Variance
Anesthesia
Clinical Competence - statistics & numerical data
Cognition & reasoning
Emergency medical care
Emergency Medical Services - methods
Humans
Inservice Training - methods
Intubation, Intratracheal
Manikins
Posters as Topic
Prospective Studies
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Summary:Summary 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 
ISSN:0003-2409
1365-2044
DOI:10.1111/anae.12601