The effect of an electronic cognitive aid on the management of ST-elevation myocardial infarction during caesarean section: a prospective randomised simulation studyReportar como inadecuado




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BMC Anesthesiology

, 17:46

Perioperative medicine and outcome

Abstract

BackgroundCognitive aids have come to be viewed as promising tools in the management of perioperative critical events. The majority of published simulation studies have focussed on perioperative crises that are characterised by time pressure, rare occurrence, or complex management steps e.g., cardiac arrest emergencies, management of the difficult airway. At present, there is limited information on the usefulness of cognitive aids in critical situations with moderate time pressure and complexity. Intraoperative myocardial infarction may be an emergency to which these limitations apply.

MethodsAnaesthetic teams were allocated to control no cognitive aid; n = 10 or intervention cognitive aid provided; n = 10 groups. The primary aim of this study was to compare cognitive aid versus memory for intraoperative ST-elevation myocardial infarction STEMI management in a simulation of caesarean delivery under spinal anaesthesia. We identified nine evidence-based metrics of essential care from current guidelines and subdivided them into mandatory high level of evidence; no interference with surgery and optional lower class of recommendation; possible impact on surgery tasks. Six clinically relevant tasks were added by consensus. Implementation of these steps was measured by scoring task items in a binary fashion yes-no. The interval between the diagnosis of STEMI and the first contact with the cardiac catheterisation lab was measured. To determine whether or not the cognitive aid had prompted an action, participants from the cognitive aid group were interviewed during debriefing on every single treatment step. At the end of the simulation, session participants were asked to complete a survey.

ResultsThe presence of the cognitive aid did not shorten the time interval until the cardiac catheterisation lab was contacted. The availability of the cognitive aid improved task performance in the tasks identified from the guidelines 93% vs. 69%; p < 0.001 as well as overall task performance 87.5% vs. 59%; p < 0.001. The observed difference in performance can be attributed to the use of the cognitive aid, as performance from memory alone would have been comparable across both groups. Trainees appeared to derive greater benefit from the cognitive aid than did consultants and nurses.

ConclusionsThe management of intraoperative ST-elevation myocardial infarction can be improved if teams use a cognitive aid. Trainees appeared to derive greater benefit from the cognitive aid than did consultants and nurses.

KeywordsChecklist Myocardial infarction Obstetrics Patient safety Simulation AbbreviationsACSAcute coronary syndrome

AHFAcute heart failure

CACognitive aid

ECGElectrocardiogram

ESCEuropean Society of Cardiology

HTML5Hyper Text Markup Language version 5

ICUIntensive care unit

PCIPercutaneous coronary intervention

PEEPPositive endexpiratory pressure

STEMIST-elevation myocardial infarction

Electronic supplementary materialThe online version of this article doi:10.1186-s12871-017-0340-4 contains supplementary material, which is available to authorized users.

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Autor: Michael St.Pierre - Bjoern Luetcke - Dieter Strembski - Christopher Schmitt - Georg Breuer

Fuente: https://link.springer.com/







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