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Rineau E, Collard A, Jean L, Guérin S, Maunoury L, Martin L, Lasocki S, Léger M. Cognitive Aid for Anesthetic Preparation in An Emergency Situation: A Simulation-Based Study. Healthcare (Basel) 2021; 9:1646. [PMID: 34946372 PMCID: PMC8700863 DOI: 10.3390/healthcare9121646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 11/17/2021] [Accepted: 11/25/2021] [Indexed: 01/28/2023] Open
Abstract
When anesthesia checklists and preparations are performed urgently, omissions may occur and be deleterious to the patient. The aim of this study was to evaluate in simulation the interest of a cognitive aid to effectively prepare an anesthetic room for an emergency. In a prospective single-center simulation-based study, 32 anesthesia residents had to prepare an anesthetic room in an emergency scenario, without cognitive aid in the first phase. Three months later (phase 2), they were randomly assigned to receive a cognitive aid (aid group) or no additional aid (control) and were involved in the same scenario. The primary outcome was the validation rate of each essential item in the first 5 min in phase 2. Eight items were significantly more frequently completed in the first 5 min in the aid group in phase 2 (vs. phase 1), compared with two only in the control group. However, there were no significant differences in the overall number of completed items between the two groups, as both groups completed significantly more items in phase 2, either in the first 5 min (19 (14-23) vs. 13 (9-15) in phase 1 for all residents, p < 0.001) or without time limit. Preparation times were reduced in phase 2 in both groups. In conclusion, the use of a cognitive aid allowed anesthesia residents to complete some safety items of a simulated urgent anesthesia preparation more frequently. In addition, despite daily clinical experience, a single simulation session improved anesthesia preparation and reduced the preparation time with or without cognitive aid.
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Affiliation(s)
- Emmanuel Rineau
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Anna Collard
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Lorine Jean
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Sarah Guérin
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Louise Maunoury
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Ludovic Martin
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Dermatology, University Hospital of Angers, 49100 Angers, France
| | - Sigismond Lasocki
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
| | - Maxime Léger
- All’Sims Center for Medical Simulation, Health Faculty and University Hospital of Angers, 49100 Angers, France; (A.C.); (L.J.); (S.G.); (L.M.); (L.M.); (S.L.); (M.L.)
- Department of Anesthesia and Critical Care, University Hospital of Angers, 49100 Angers, France
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