Safety in the Emergency Situation: The Airway – A Theatre Team Approach

Mellanby, Edward; Bm, Podmore; Af, McNarry

doi:10.1177/175045891402400504

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Hannah Greener was the first recorded death victim of anesthesia complications after receiving chloroform for the removal of a toenail in 1848, but today anesthesia is considered to be generally safe (Mellanby, Podmore, & McNarry, 2014). In the 1950s the reported anesthetic mortality rate was 1 in 2,000 hospital administered anesthetics.…”

Section: Management Of Difficult Airwaysmentioning

confidence: 99%

“…This study supported that a variety of factors must be considered. One commonality was the difficult airway algorithm, which calls for an LMA to be placed as an emergency device in a "can't intubate, can't ventilate" situation (Mellanby et al, 2014). Other than this concrete concept, the placement of an LMA appears to be largely based on the CRNA's decision-making process, previous experience, resources, and patient co-morbidities.…”

Section: Recommendations and Implications For Advanced Nursing Practicementioning

confidence: 99%

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Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Guerrero¹

2016

Preprint

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<p>Improper airway management is a major concern in anesthesia care. Today the laryngeal mask airway (LMA) has a well-established role in anesthesia practice. It is widely used, but there are certain situations where anesthesia providers are hesitant to use the LMA. The purpose of this study was to evaluate the factors that influence the decision-making process of CRNAs regarding the use of an LMA versus an endotracheal tube. The design of this exploratory study was qualitative and 11 CRNAs participated in semi-structured interviews. Results showed that all participants received formal training with an LMA and were most likely to be using it when the case did not require the use of neuromuscular blocking agents (63%) and during short procedures of less than an hour (18%). The major concern associated with use of the LMA was aspiration. Sixty three percent (n=7) identified no barriers to the use of the LMA, two CRNAs (18%) identified the types of LMAs available, and one CRNA (9%) identified surgeon/anesthesiologist preference as barriers. As an APRN, the CRNA incorporates research and evidence-based practice to achieve optimal outcomes. To date, there is no specific practice guideline that solely pertains to the placement of an LMA versus an ETT. The CRNA must make clinical decisions utilizing the algorithms that do exist such as the ASA’s Difficult Airway Algorithm. Choosing an LMA or ETT requires a thorough evaluation of several factors and the decision to use an LMA is often based on personal experience and judgment of the CRNA. Further research is needed.</p>

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Section: Management Of Difficult Airwaysmentioning

confidence: 99%

Section: Recommendations and Implications For Advanced Nursing Practicementioning

confidence: 99%

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Guerrero¹

2016

Preprint

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Abstracts from the Difficult Airway Society meeting 2014

Anwar¹,

Hulgar²,

Lanka³

et al. 2016

British Journal of Anaesthesia

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Who’s who? Championing the ‘#TheatreCapChallenge’

Gorman

Cox

Hart

et al. 2019

Journal of Perioperative Practice

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Our Developing Perioperative Practice service improvement project, sponsored by the Royal Bournemouth Hospital, addressed whether the remarkably simple idea of putting names and roles on hats in theatre would improve communication and patient care. We were inspired by our own experiences as a group of student Operating Department Practitioners: unfamiliarity with members of the team, wanting to feel included in the work but not out of our depth, and by social media campaigns such as the ‘#TheatreCapChallenge’ and ‘#hellomynameis’, aiming to humanise care and increase patient safety. Researching, clinically trialling and presenting this project gave us a systematic approach to improving the quality of care within the theatre environment.

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Safety in the Emergency Situation: The Airway – A Theatre Team Approach

Cited by 4 publications

References 18 publications

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Abstracts from the Difficult Airway Society meeting 2014

Who’s who? Championing the ‘#TheatreCapChallenge’

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