دانلود مقاله انگلیسی رایگان:استفاده از یک چک لیست، عملکرد فنی و غیر فنی فنی بیهوشی را بهبود می بخشد، برای مدیریت شبه خلفی شبیه سازی شده - 2018
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  • The use of a checklist improves anaesthesiologists’ technical and non-technical performance for simulated malignant hyperthermia management The use of a checklist improves anaesthesiologists’ technical and non-technical performance for simulated malignant hyperthermia management
    The use of a checklist improves anaesthesiologists’ technical and non-technical performance for simulated malignant hyperthermia management

    سال انتشار:

    2018


    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


    منبع:

    Sciencedirect - Elsevier - Anaesthesia Critical Care & Pain Medicine, 37 (2018) 17-23. doi:10.1016/j.accpm.2017.07.009


    نویسنده:

    Jean-Baptiste Hardy *, Antoine Gouin, Ce ´dric Damm, Vincent Compe `re, Benoı ˆt Veber, Bertrand Dureuil


    چکیده انگلیسی:

    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


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 7
    حجم فایل: 553 کیلوبایت

    قیمت: رایگان


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