عنوان انگلیسی مقاله:
The use of a checklist improves anaesthesiologists’ technical and non-technical performance for simulated malignant hyperthermia management
ترجمه فارسی عنوان مقاله:
استفاده از یک چک لیست، عملکرد فنی و غیر فنی فنی بیهوشی را بهبود می بخشد، برای مدیریت شبه خلفی شبیه سازی شده
Sciencedirect - Elsevier - Anaesthesia Critical Care & Pain Medicine, 37 (2018) 17-23. doi:10.1016/j.accpm.2017.07.009
Jean-Baptiste Hardy *, Antoine Gouin, Ce ´dric Damm, Vincent Compe `re, Benoı ˆt Veber, Bertrand Dureuil
Background: Anaesthesiologists may occasionally manage life-threatening operating room (OR)
emergencies. Managing OR emergencies implies real-time analysis of often complicated situations,
prompt medical knowledge retrieval, coordinated teamwork and effective decision making in stressful
settings. Checklists are recommended to improve performance and reduce the risk of medical errors. This
study aimed to assess the usefulness of the French Society of Anaesthesia and Intensive Care’s (SFAR)
‘‘Malignant Hyperthermia’’ (MH) checklist on a simulated episode of MH crisis and management thereof
by registered anesthesiologists.
Methods: Twenty-four anaesthesiologists were allocated to 2 groups (checklist and control). Their
technical performance in adherence with the SFAR guidelines was assessed by a 30-point score and their
non-technical performance was assessed by the Anaesthetists’ Non-Technical Skills (ANTS) score. Every
task completion was assessed independently. Data are shown as median (first-third quartiles).
Results: Anaesthesiologists in the checklist group had higher technical performance scores (24/30 (21.5–
25) vs 18/30 (15.5–19.5), P = 0.002) and ANTS scores (56.5/60 (47.5–58) vs 48.5/60 (41–50.5), P = 0.024).
They administered the complete initial dose of dantrolene (2 mg/kg) more quickly (15.7 minutes [13.9–
18.3] vs 22.4 minutes [18.6–25]) than the control group (P = 0.017). However, anaesthesiologists deemed
the usability of the checklist to be perfectible.
Conclusion: Registered anaesthesiologists’ use of the MH checklist during a simulation session widely
improved their adherence to guidelines and non-technical skills. This study strongly suggests the benefit
of checklist tools for emergency management. Notwithstanding, better awareness and training for
anaesthesiologists could further improve the use of this tool.
Keywords: Checklist ، Cognitive aid ، Anaesthesiology ، Crisis situation ، Malignant hyperthermia ، High-fidelity simulation