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Difficult airways: key factors for sucessful management
Division of Surgery, Sollefteå Hospital.
Division of Surgery-Anaesthesia, Stavanger University Hospital.
Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.ORCID-id: 0000-0001-6244-6401
Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.ORCID-id: 0000-0001-8990-752X
2019 (Engelska)Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, nr 1, s. 151-159Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To describe anesthetic nurses’ experiences of key factors for thesuccessful management of difficult airways in adult patients.Design: This study had a qualitative observational and descriptive designfollowing the critical incident technique.Methods: Twelve experienced anesthetic nurses were interviewed.Findings: We identified five key factors for the successful management ofdifficult airways: identification of the difficult airway, creating a plan ofaction, remaining calm and focusing on the task, technical skills, and usingthe equipment. Identification of the difficult airway implies preassessmentwith standardized methods and actively observing for signsindicative of a difficult airway. Having all equipment available atbedside during induction and creating a backup plan increases the actionforce in unexpected situations. A calm and methodical work procedurefacilitates the management of the difficult airway as well as selectingtechniques and equipment according to the patient and situation.Conclusions: Reflective practice can aid the anesthetic nurse in drawingon experience and remaining calm in acute situations.

Ort, förlag, år, upplaga, sidor
Elsevier, 2019. Vol. 34, nr 1, s. 151-159
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URN: urn:nbn:se:ltu:diva-67849DOI: 10.1016/j.jopan.2018.03.008ISI: 000456668000017PubMedID: 29945847Scopus ID: 2-s2.0-85048889388OAI: oai:DiVA.org:ltu-67849DiVA, id: diva2:1187801
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Validerad;2019;Nivå 2;2019-01-31 (johcin)

Tillgänglig från: 2018-03-06 Skapad: 2018-03-06 Senast uppdaterad: 2019-02-11Bibliografiskt granskad

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