Preparing for, and more importantly preventing, ‘cannot intubate, cannot oxygenate’ events

Kelly, F. E.; Duggan, Laura V.

doi:10.1111/anae.14999

Cited by 7 publications

(8 citation statements)

References 20 publications

(65 reference statements)

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Section: Human Performance and Cognitive Overloadmentioning

confidence: 99%

“…When a safety critical task such as tracheal intubation is found to be difficult or impossible, workers are more likely to move into the zone of frazzle or freeze. Routinely using the most effective equipment available reduces the frequency of technical failures [101, 102] and therefore maximises the likelihood of staying in the zone of flow [8]. A strategic decision to ensure that the most effective equipment is routinely available throughout a department/hospital helps protect patients from the direct complications of technical failures and also from indirect complications arising as a consequence of staff becoming cognitively overloaded.…”

Section: Human Performance and Cognitive Overloadmentioning

confidence: 99%

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Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

et al. 2023

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SummaryHuman factors is an evidence‐based scientific discipline used in safety critical industries to improve safety and worker well‐being. The implementation of human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high‐quality patient care. To encourage the adoption of human factors science in anaesthesia, the Difficult Airway Society and the Association of Anaesthetists established a Working Party, including anaesthetists and operating theatre team members with human factors expertise and/or interest, plus a human factors scientist, an industrial psychologist and an experimental psychologist/implementation scientist. A three‐stage Delphi process was used to formulate a set of 12 recommendations: these are described using a ‘hierarchy of controls’ model and classified into design, barriers, mitigations and education and training strategies. Although most anaesthetic knowledge of human factors concerns non‐technical skills, such as teamwork and communication, human factors is a broad‐based scientific discipline with many other additional aspects that are just as important. Indeed, the human factors strategies most likely to have the greatest impact are those related to the design of safe working environments, equipment and systems. While our recommendations are primarily provided for anaesthetists and the teams they work with, there are likely to be lessons for others working in healthcare beyond the speciality of anaesthesia.

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Section: Human Performance and Cognitive Overloadmentioning

confidence: 99%

Section: Human Performance and Cognitive Overloadmentioning

confidence: 99%

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

et al. 2023

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“…Furthermore, skilled sonographers are required to interpret the ultrasound exam and assess the findings. As Kelly et al (2020) point out in their commentary, one must consider patient-specific, disease-specific, and imaging-specific factors when interpreting the necessity and validity of a POCUS exam in such high acuity, often life-threatening clinical situations [ 70 ].…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound for the Trauma Anesthesiologist

Heinz

Vincent

2022

Curr Anesthesiol Rep

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Purpose of Review With advances in technology and availability of handheld ultrasound probes, studies are focusing on the perioperative care of patients, but a limited number specifically on trauma patients. This review highlights recent findings from studies using point of care ultrasound (POCUS) to improve the care of trauma patients. Recent Findings Major findings include the use of POCUS to assess volume status of trauma patients upon arrival to measure the major vasculature. Additionally, several studies have advanced the use of POCUS to identify pneumothorax in trauma patients. Finally, the ASA POCUS certification and ASRA expert guidelines are examples of international organizations establishing guidelines for utilization and training of anesthesiologists in the field of POCUS, which will be discussed. Summary Despite the COVID-19 pandemic, and considerable resources being diverted to fight this global healthcare crisis, advances are being made in utilization of POCUS to aid the care of trauma patients.

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“…To address this, the Australian and New Zealand College of Anaesthetists have made some strides towards mandating triennial airway rescue training, 4 but in practice this can be avoided by choosing other educational options and there is a strong argument that, in focusing only on the front-of-neck airway techniques, the wrong skill set is being emphasised. 5 In many other counties there is no process for mandating skills retention or acquisition whatsoever. In the UK barely half of trained anaesthetists get any locally delivered skills training.…”

Section: The Education Gap and Routine Use Of 'Rescue' Airway Equipmentmentioning

confidence: 99%

Airway management equipment and practice: time to optimise institutional, team, and personal preparedness

Gibbins

Kelly

Cook

2020

British Journal of Anaesthesia

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Preparing for, and more importantly preventing, ‘cannot intubate, cannot oxygenate’ events

Cited by 7 publications

References 20 publications

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

Point-of-Care Ultrasound for the Trauma Anesthesiologist

Airway management equipment and practice: time to optimise institutional, team, and personal preparedness

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