Beyond the monitors: Anaesthesiologists' experiences of the process of extubation.

Scand J Caring Sci

Department of Health Care Sciences/ Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.

Published: December 2022

AI Article Synopsis

  • The study investigates the experiences of Swedish anaesthesiologists during the extubation process, highlighting a lack of research on this critical phase after general anaesthesia.
  • The research involved qualitative semi-structured interviews with 17 anaesthesiologists across three hospitals, using content analysis to derive insights.
  • Key findings reveal two main themes in their experiences: the need to be sensitive and adaptable during extubation, and the importance of focus, preparation, and trust in the team, emphasizing a blend of intuition and professional collaboration rather than relying solely on monitoring equipment.

Article Abstract

Background: Although extubation is a high-risk phase associated with risk of severe complications for patients undergoing general anaesthesia, there is a lack of research about this phenomenon from the perspective of anaesthesiologists' experiences of the process of extubation in the anaesthesia setting.

Aim: To describe Swedish anaesthesiologists' experiences of the extubation process in the anaesthesia setting.

Methods: A qualitative descriptive design study with individual semi-structured interviews was conducted in three hospitals in Sweden with a total of 17 anaesthesiologists. A qualitative manifest content analysis method was used to analyse the data.

Results: The anaesthesiologists' experiences were described in two categories: To assemble sensibilities, where the anaesthesiologists are receptive to inputs, create tailored plans, are guided by emotions and experiences, and sense the atmosphere in the process of extubation; and To stay focused, where they understand the importance of preparation and being prepared, and of being calm and strategic, and of needing to trust the registered nurse anaesthetist in the process of extubation.

Conclusions: Decision-making regarding the process of extubation does not rely solely on monitoring signs; rather, the anaesthesiologists described how, by looking beyond the monitors and by being receptive to inputs from the patient and other professionals, their experience and intuition guides them through the process of extubation.

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Source
http://dx.doi.org/10.1111/scs.12996DOI Listing

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