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Difficult airways: key factors for sucessful management
Division of Surgery, Sollefteå Hospital.
Division of Surgery-Anaesthesia, Stavanger University Hospital.
Luleå University of Technology, Department of Health Sciences, Nursing Care.ORCID iD: 0000-0001-6244-6401
Luleå University of Technology, Department of Health Sciences, Nursing Care.ORCID iD: 0000-0001-8990-752X
2018 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed) Epub ahead of print
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.

Place, publisher, year, edition, pages
Elsevier, 2018.
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-67849DOI: 10.1016/j.jopan.2018.03.008OAI: oai:DiVA.org:ltu-67849DiVA, id: diva2:1187801
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-06-26

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