An exploration of the cognitive and affective processes for anaesthetists when performing an emergency front of neck airway

被引：0
作者：
Kidd, L. R. [1 ]
Wegrzynek, P. [2 ]
Newell, C. [3 ]
Wainwright, E. [4 ]
机构：
[1] Gloucestershire Hosp NHS Fdn Trust, Dept Anaesthesia, Gloucester, England
[2] Bath Spa Univ, Psychol, Bath, England
[3] North Bristol NHS Trust, Dept Anaesthesia & Intens Care, Bristol, England
[4] Univ Aberdeen, Epidemiol Grp, Musculoskeletal Hlth, Aberdeen, Scotland
来源：
ANAESTHESIA REPORTS | 2024年 / 12卷 / 02期
关键词：
airway management; decision making; human factors; intubation; intratracheal; DIFFICULT AIRWAY; MANAGEMENT; GUIDELINES;
D O I：
10.1002/anr3.12331
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Emergency front of neck airway (eFONA) is a potentially lifesaving but very high-stress procedure. We explored the cognitive and affective processes involved via semi-structured interviews with 17 UK anaesthetists who had attempted eFONA within the previous two years. Thematic analyses generated two meta-themes: 'Making the decision is the hardest part; the doing is easier' and 'What helps make the decision?'. We found concerns around scrutiny, lack of a flat hierarchy, unfamiliarity with the situation and the lack of a model for transitioning to eFONA. Culture change, using a shared mental model, priming and emotional disengagement, assisted with eFONA decision-making. Conclusions and implications for practice are presented.
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页数：13
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