Improving Anesthesia Providers' Needle Cricothyrotomy Success With Ultrasound-Guidance: A Cadaveric Quality Improvement Project.
Difficult and failed airway management remains a significant cause of anesthesia-related morbidity and mortality. Failed airway management guidelines include performing a cricothyrotomy as a final step. Correct identification of the cricothyroid membrane (CTM) is essential for safe and accurate cric...
| Published in: | AANA Journal Vol. 91; no. 1; pp. 15 - 22 |
|---|---|
| Main Author: | |
| Format: | diagnostic images pictorial research Journal Article |
| Published: |
American Association of Nurse Anesthetists
Feb2023
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161634230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161634230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00946354 GLR jtl: AANA Journal issn: 00946354 maglogo: N pubinfo: dt: Feb2023 vid: 91 iid: 1 pid: 11824 pub: American Association of Nurse Anesthetists place: Park Ridge, Illinois artinfo: ui: 161634230 161634230 161634230 161634230 ppf: 15 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Improving Anesthesia Providers' Needle Cricothyrotomy Success With Ultrasound-Guidance: A Cadaveric Quality Improvement Project. aug: au: Garrett, Sean G. affil: Professor at the Middle Tennessee School of Anesthesia, Madison, Tennessee sug: subj: Cricothyrotomy Treatment Outcomes Airway Management Methods Quality Improvement Anesthesiologists Cricoid Cartilage Pathology Cricoid Cartilage Ultrasonography Needles Cricoid Cartilage Anatomy and Histology Online Education Ultrasonography Airway Obstruction Prevention and Control Practice Guidelines Certified Registered Nurse Anesthetists Clinical Competence Cadaver Outcomes of Education Nursing Knowledge Education, Nursing Confidence Nursing Skills Transducers Time Factors Algorithms Convenience Sample Surveys Data Analysis Software Descriptive Statistics Paired T-Tests Human Professional Competence ab: Difficult and failed airway management remains a significant cause of anesthesia-related morbidity and mortality. Failed airway management guidelines include performing a cricothyrotomy as a final step. Correct identification of the cricothyroid membrane (CTM) is essential for safe and accurate cricothyrotomy execution. Ten certified registered nurse anesthetists were assessed for ultrasound-guided (USG) needle cricothyrotomy competency following an online and hands-on education session using a human cadaver and then assessed 60 days later, without additional education or preparation. Both knowledge and confidence improved significantly when assessed immediately after education (P < .05) and were maintained when assessed 60 days later. Overall skill performance declined slightly from post-training although the decline was not statistically significant (P = .373). Overall needle placement time and distance from the CTM improved, despite improper transducer and image orientation by most participants. A one-hour hybrid educational program can significantly improve ultrasound and cricothyrotomy knowledge and confidence for 60 days. Transducer orientation may not be a significant contributor to performing proper USG needle cricothyrotomy. pubtype: Academic Journal doctype: diagnostic images pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|