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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
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 1, p. 151-159Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 34, no 1, p. 151-159
National Category
Nursing
Research subject
Nursing
Identifiers
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
Note

Validerad;2019;Nivå 2;2019-01-31 (johcin)

Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2019-02-11Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • modern-language-association-8th-edition
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  • Other style
More styles
Language
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  • nn-NO
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  • Other locale
More languages
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