Human factors in preventing complications in anaesthesia: a systematic review

Jones, Clinton; Fawker-Corbett, J; Groom, Peter; Morton, Ben; Lister, C.; Mercer, Simon

doi:10.1111/anae.14136

Cited by 91 publications

(98 citation statements)

References 69 publications

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“…-Nurses were asked to fill out the questionnaire sheet (tool I"1st and 2nd parts") to assess nurses` knowledge completely and truthfully. Nurses spent (10)(11)(12)(13)(14)(15) (23) was used to analyze data. Descriptive statistics were used for the quantitative data in questionnaire and the demographic data.…”

Section: Ethical Considerationmentioning

confidence: 99%

Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]

Ahmed

Ghanem

Hassan

et al. 2020

Assiut Scientific Nursing Journal

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Aim: to assess nurses' knowledge and practice for patients undergoing bronchoscopy procedures and design suggested nursing care guidelines for those nurses. Design: descriptive research design was utilized in this study. Setting: The study was conducted on 40 nurses at bronchoscopy unit of the chest department, at Assiut University hospital. Tools: A structured interview questionnaire sheet for nurses. Including: Demographic data, an observation checklist for nurses and develop suggested nursing care guidelines. Results: Fifty two of studied nurses had poor knowledge score, and regarding the total score of nurses' practice, (87.5%) of them was satisfactory. In addition, there was no correlation between nurses' knowledge and practice total scores and their demographic data except between good knowledge level score and their ages and marital status. Conclusion: the studied nurse practice levelwas satisfactory while their knowledge scores were not in the same line.

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Section: Ethical Considerationmentioning

confidence: 99%

Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]

Ahmed

Ghanem

Hassan

et al. 2020

Assiut Scientific Nursing Journal

View full text Add to dashboard Cite

show abstract

“…Regardless of how sophisticated and intuitive our assembled monitors appear, patient safety will continue to rely on meticulous attention to indication (anatomical, patient), anatomy, technique and equipment. The importance of provider education and core skills development, situational awareness, adequate organisation, preparation, non‐technical skills, standardised processes such as safety checklists, and routine patient follow‐up will remain paramount . The use of technical aids in an effort to compensate for insufficient education or situational awareness of providers should be strongly discouraged.…”

Section: Resultsmentioning

confidence: 99%

Reducing the risk of neurological complications after peripheral nerve block: what is the role of pressure monitoring?

Barrington

Lirk

2018

Anaesthesia

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“…The systemic deficiency in high‐quality, prospective RCTs studying difficult airway management has several contributing factors. Firstly, critical incidents in airway management are often unpredicted, associated with high levels of cognitive load and stress to operators , and frequently leave patients at high risk of significant morbidity and mortality. Prospective clinical research in such high‐stakes conditions may be impractical.…”

Section: The Challenges Of Difficult Airway Researchmentioning

confidence: 99%

From evidence based on practice to evidence‐based practice: time for a difficult airway management research strategy

Ahmad

El‐Boghdadly

2018

Anaesthesia

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In this edition of Anaesthesia, Thomsen et al. further examined data from the increasingly generalisable Danish Anaesthesia Database to explore the role of supraglottic airway devices (SAD) in difficult airway management [1, 2]. They found an incidence of difficult airway of 0.74%, and SADs were used as a rescue device in less than 5% of these occurrences. Supraglottic airway devices were used in multiple tracheal intubation attempts 10.8% of the time, in difficult facemask ventilation in 12.8% of incidents, while they were used in failed tracheal intubation in 35.1% of cases. Perhaps most alarmingly, only 18.9% of 'cannot intubate, cannot face-mask ventilate' cases received a SAD in the course of their management; and only 4.5% of cases that eventually resulted in emergency front-of-neck access had SAD insertion attempted. Nonetheless, when SADs were used in difficult airway cases as rescue devices, they were successful two-thirds of the time. Overall, Thomsen et al. report that, despite their importance in difficult airway management guidelines, SADs were underused but had a reasonable success rate [2].There remain many unanswered questions in the analysis and interpretation of this study, which is commonplace for retrospective studies. We are none the wiser regarding several markers of difficult airway in the specific cohort of patients included, nor do we know what the clinically important patient outcomes were. It also is unclear which exact SADs were used.A range of different SADs available were put into a single homogenous groupwe would not bundle together a range of videolaryngoscopes in a similar way, so can we do this with various SADs? The data leave further questions: were oropharyngeal airways used? What was the pharmacological strategy used in these patients? What were the relative rates of success or failure for trainees, consultants or nurse anaesthetists? Crucially, why were guidelines not adhered to and SADs so underutilised?Despite being left with perhaps as many questions as answers, retrospective data such as these may conceivably represent the highest level of evidence that we have in formulating guidelines for difficult airway management [3].There has been a recent increase in the number of anaesthetic practice guidelines, and the evidence base used to inform individual recommendations is highly heterogenous [4][5][6]. Guidelines for the management of patients with difficult airways in particular are highly clinically applicable and implemented in routine anaesthetic practice.Supraglottic airway devices are used in 56% of all general anaesthetics (although this number is likely to be higher in contemporary practice) [7], and their utilisation remains key to difficult airway algorithms. It is, therefore, high time to review the evidence for recommendations of SADs in guidelines for difficult airway management.In 2004, the Difficult Airway Society (DAS) published their first difficult tracheal intubation guidelinesthose most likely to have been implemented by Danish anaesthetists during the s...

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Human factors in preventing complications in anaesthesia: a systematic review

Cited by 91 publications

References 69 publications

Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]

Assessment of Nurses’ Knowledge and Practice for Patients Undergoing a Bronchoscopy [Suggested Nursing Care Guidelines]

Reducing the risk of neurological complications after peripheral nerve block: what is the role of pressure monitoring?

From evidence based on practice to evidence‐based practice: time for a difficult airway management research strategy

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