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An exploration of the cognitive and affective processes for anaesthetists when performing an emergency front of neck airway. | LitMetric

AI Article Synopsis

  • Emergency front of neck airway (eFONA) is a critical and high-stress procedure that can save lives, but decision-making is challenging for anaesthetists.
  • Interviews with 17 UK anaesthetists revealed two key themes: the difficulty of deciding to perform eFONA and the factors that aid in making that decision.
  • Factors such as cultural change, shared mental models, emotional detachment, and preparation significantly improve decision-making for anaesthetists facing eFONA situations.

Article Abstract

Emergency front of neck airway (eFONA) is a potentially lifesaving but very high-stress procedure. We explored the cognitive and affective processes involved via semi-structured interviews with 17 UK anaesthetists who had attempted eFONA within the previous two years. Thematic analyses generated two meta-themes: 'Making the decision is the hardest part; the doing is easier' and 'What helps make the decision?'. We found concerns around scrutiny, lack of a flat hierarchy, unfamiliarity with the situation and the lack of a model for transitioning to eFONA. Culture change, using a shared mental model, priming and emotional disengagement, assisted with eFONA decision-making. Conclusions and implications for practice are presented.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456752PMC
http://dx.doi.org/10.1002/anr3.12331DOI Listing

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