How anaesthesiologists understand difficult airway guidelines—an interview study

Background: In the practice of anaesthesia, clinical guidelines that aim to improve the safety of airway procedures have been developed. The aim of this study was to explore how anaesthesiologists understand or conceive of difficult airway management algorithms. Methods: A qualitative phenomenograph...

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Main Authors: Kati Knudsen, Ulrika Pöder, Ulrica Nilsson, Marieann Högman, Anders Larsson, Jan Larsson
Format: Article
Language:English
Published: Upsala Medical Society 2017-10-01
Series:Upsala Journal of Medical Sciences
Subjects:
Online Access:http://dx.doi.org/10.1080/03009734.2017.1406020
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author Kati Knudsen
Ulrika Pöder
Ulrica Nilsson
Marieann Högman
Anders Larsson
Jan Larsson
author_facet Kati Knudsen
Ulrika Pöder
Ulrica Nilsson
Marieann Högman
Anders Larsson
Jan Larsson
author_sort Kati Knudsen
collection DOAJ
description Background: In the practice of anaesthesia, clinical guidelines that aim to improve the safety of airway procedures have been developed. The aim of this study was to explore how anaesthesiologists understand or conceive of difficult airway management algorithms. Methods: A qualitative phenomenographic design was chosen to explore anaesthesiologists’ views on airway algorithms. Anaesthesiologists working in three hospitals were included. Individual face-to-face interviews were conducted. Results: Four different ways of understanding were identified, describing airway algorithms as: (A) a law-like rule for how to act in difficult airway situations; (B) a cognitive aid, an action plan for difficult airway situations; (C) a basis for developing flexible, personal action plans for the difficult airway; and (D) the experts’ consensus, a set of scientifically based guidelines for handling the difficult airway. Conclusions: The interviewed anaesthesiologists understood difficult airway management guidelines/algorithms very differently.
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spelling doaj.art-d101bca9ad2f4282b36b005287a9068e2023-09-02T20:47:30ZengUpsala Medical SocietyUpsala Journal of Medical Sciences0300-97342000-19672017-10-01122424324810.1080/03009734.2017.14060201406020How anaesthesiologists understand difficult airway guidelines—an interview studyKati Knudsen0Ulrika Pöder1Ulrica Nilsson2Marieann Högman3Anders Larsson4Jan Larsson5University of GävleUppsala UniversityÖrebro UniversityUppsala UniversityUppsala UniversityUppsala UniversityBackground: In the practice of anaesthesia, clinical guidelines that aim to improve the safety of airway procedures have been developed. The aim of this study was to explore how anaesthesiologists understand or conceive of difficult airway management algorithms. Methods: A qualitative phenomenographic design was chosen to explore anaesthesiologists’ views on airway algorithms. Anaesthesiologists working in three hospitals were included. Individual face-to-face interviews were conducted. Results: Four different ways of understanding were identified, describing airway algorithms as: (A) a law-like rule for how to act in difficult airway situations; (B) a cognitive aid, an action plan for difficult airway situations; (C) a basis for developing flexible, personal action plans for the difficult airway; and (D) the experts’ consensus, a set of scientifically based guidelines for handling the difficult airway. Conclusions: The interviewed anaesthesiologists understood difficult airway management guidelines/algorithms very differently.http://dx.doi.org/10.1080/03009734.2017.1406020Airway guidelinesalgorithmsqualitative study
spellingShingle Kati Knudsen
Ulrika Pöder
Ulrica Nilsson
Marieann Högman
Anders Larsson
Jan Larsson
How anaesthesiologists understand difficult airway guidelines—an interview study
Upsala Journal of Medical Sciences
Airway guidelines
algorithms
qualitative study
title How anaesthesiologists understand difficult airway guidelines—an interview study
title_full How anaesthesiologists understand difficult airway guidelines—an interview study
title_fullStr How anaesthesiologists understand difficult airway guidelines—an interview study
title_full_unstemmed How anaesthesiologists understand difficult airway guidelines—an interview study
title_short How anaesthesiologists understand difficult airway guidelines—an interview study
title_sort how anaesthesiologists understand difficult airway guidelines an interview study
topic Airway guidelines
algorithms
qualitative study
url http://dx.doi.org/10.1080/03009734.2017.1406020
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