The impact of didactic read-aloud action cards on the performance of cannula cricothyroidotomy in a simulated 'can't intubate can't oxygenate' scenario

R. Harvey, L. Foulds, T. Housden, K. A. Bennett, D. Falzon, A. F. McNarry (Lead / Corresponding author), C. Graham

    Research output: Contribution to journalArticlepeer-review

    17 Citations (Scopus)

    Abstract

    Significant benefits have been demonstrated with the use of peri-operative checklists. We assessed whether a read-aloud didactic action card would improve performance of cannula cricothyroidotomy in a simulated 'can't intubate, can't oxygenate' scenario. A 17-step action card was devised by an expert panel. Participants in their first 4 years of anaesthetic training were randomly assigned into 'no-card' or 'card' groups. Scenarios were video-recorded for analysis. Fifty-three participants (27 no-card and 26 card) completed the scenario. The number of steps omitted was mean (SD) 6.7 (2.0) in the no-card group vs. 0.3 (0.5); p < 0.001 in the card group, but the no-card group was faster to oxygenation by mean (95% CI) 35.4 (6.6-64.2) s. The Kappa statistic was 0.84 (0.73-0.95). Our study demonstrated that action cards are beneficial in achieving successful front-of-neck access using a cannula cricothyroidotomy technique. Further investigation is required to determine this tool's effectiveness in other front-of-neck access situations, and its role in teaching or clinical management.

    Original languageEnglish
    Pages (from-to)343-349
    Number of pages7
    JournalAnaesthesia
    Volume72
    Issue number3
    Early online date31 Oct 2016
    DOIs
    Publication statusPublished - 8 Feb 2017

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