Improving communication, teamwork, and action during a “cannot intubate cannot oxygenate (CICO)” emergency: employing CICO as a cognitive aid mnemonic

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2CH7FQx

Comments on “Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2CHj6Yg

Anesthesia and Neurotoxicity, First Edition

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x08Rct

Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals, Second Edition

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x09HpD

In reply: Comments on “Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2O1EmZT

Comments on “Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2CHj6Yg

Canadian Critical Care Society revised process for guideline development and endorsement

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wZSAEb

Anesthesia and Neurotoxicity, First Edition

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x08Rct

Mechanism of the erector spinae plane block: insights from a magnetic resonance imaging study

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2CHj2aY

In reply: Comments on “Anesthesia for interventional pulmonology procedures: a review of advanced diagnostic and therapeutic bronchoscopy”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2O1EmZT

In at the start: recollections of the early days of critical care in Toronto

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2OctpVq

A multicentre investigation of organ and tissue donation education for critical care residents

Abstract

Purpose

To describe critical care medicine residents' training, expertise, and skills regarding organ and tissue donation processes and procedures.

Methods

We undertook a qualitative multicentre study and employed a purposive sample of program directors, physicians, nurses, residents, and organ donation leaders from all nine academic intensive care unit (ICU) training centres (five adult, four pediatric) in Ontario (n = 71). Interviews, conducted by telephone between December 2015 and March 2016, were audio-recorded and transcribed verbatim. Data collection and analysis were performed using an iterative process and continued until saturation was achieved.

Results

Five main themes were identified: 1) gaps in residents' knowledge for both neurologic determination of death (NDD) and circulatory determination of death (DCD) cases; 2) commitment to the provision of organ and tissue donation training; 3) limited experiential learning (NDD and DCD); 4) challenges related to the provision of training on organ donation and need for a standardized curriculum; and 5) communication with family members. Overall, this study showed system-level gaps in training resulting from the lack of a standardized provincial curriculum on organ donation.

Conclusions

Qualitative data corroborated that residents need more exposure to clinical cases, especially regarding DCD donors. A standardized education curriculum would be beneficial for all residents within the ICU. Developing a better shared understanding of the donation process will improve team communication and performance, translate into a better end-of-life experience for families, and potentially result in increased donation rates.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wXgjF6

Canadian Critical Care Society revised process for guideline development and endorsement

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wZSAEb

Benefits of recording images during video laryngoscopy for early detection of oropharyngeal and laryngeal lesions: implications for “inattentional blindness”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wZNeZ2

Mechanism of the erector spinae plane block: insights from a magnetic resonance imaging study

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2CHj2aY

Évaluation de la communication thérapeutique pour améliorer l’accueil du patient au bloc opératoire: étude d’impact

Résumé

Objectif

Nous avons voulu évaluer l'impact de la sensibilisation du personnel soignant à la communication thérapeutique sur l'amélioration de l'accueil du patient au bloc opératoire en chirurgie ambulatoire.

Méthode

Il s'agit d'une étude d'impact prospective, monocentrique, réalisée en chirurgie ambulatoire. Lors de la première phase, un questionnaire était effectué par l'infirmier(ère)-anesthésiste à l'arrivée du patient, permettant d'évaluer sur une échelle numérique simple le confort (ENSc) et la satisfaction et de calculer un score de communication négative ("CN"). Pendant la deuxième phase, le personnel soignant a été sensibilisé à la communication thérapeutique, consistant en partie en l'écoute, l'empathie et l'utilisation de formulations positives, après visionnage des vidéos pédagogiques. Pendant la troisième phase, après sensibilisation du personnel, le questionnaire a de nouveau été effectué. Les variables quantitatives (critère de jugement principal représenté par le nombre de patients ayant un score CN ≥ 5, ENSc, satisfaction) et qualitatives ont été comparées avant et après la phase de sensibilisation à la communication thérapeutique.

Résultats

Au total, 234 patients ont été inclus (109 avant et 125 après). Après sensibilisation du personnel à la communication thérapeutique, le score CN ≥ 5 a significativement diminué de 20 % à 6 %, ainsi que l'ENSc médiane [P₂₅-P₇₅] avant (8 [8-9] vs 8 [7-8]) et après (8 [8-9] vs 8 [7-8]) l'anesthésie. Le pourcentage de patients moins anxieux avant de commencer l'anesthésie était significativement supérieur après communication thérapeutique (32 % vs 17 %). La satisfaction a significativement augmenté après la phase de sensibilisation (8 [7-10] vs (9 [8-10]).

Conclusion

Cette étude préliminaire montre une amélioration modeste du confort et de la satisfaction des patients grâce à la communication thérapeutique. Un essai randomisé contrôlé est cependant nécessaire pour confirmer ces résultats.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x1WiNT

A multicentre investigation of organ and tissue donation education for critical care residents

Abstract

Purpose

To describe critical care medicine residents' training, expertise, and skills regarding organ and tissue donation processes and procedures.

Methods

We undertook a qualitative multicentre study and employed a purposive sample of program directors, physicians, nurses, residents, and organ donation leaders from all nine academic intensive care unit (ICU) training centres (five adult, four pediatric) in Ontario (n = 71). Interviews, conducted by telephone between December 2015 and March 2016, were audio-recorded and transcribed verbatim. Data collection and analysis were performed using an iterative process and continued until saturation was achieved.

Results

Five main themes were identified: 1) gaps in residents' knowledge for both neurologic determination of death (NDD) and circulatory determination of death (DCD) cases; 2) commitment to the provision of organ and tissue donation training; 3) limited experiential learning (NDD and DCD); 4) challenges related to the provision of training on organ donation and need for a standardized curriculum; and 5) communication with family members. Overall, this study showed system-level gaps in training resulting from the lack of a standardized provincial curriculum on organ donation.

Conclusions

Qualitative data corroborated that residents need more exposure to clinical cases, especially regarding DCD donors. A standardized education curriculum would be beneficial for all residents within the ICU. Developing a better shared understanding of the donation process will improve team communication and performance, translate into a better end-of-life experience for families, and potentially result in increased donation rates.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wXgjF6

Benefits of recording images during video laryngoscopy for early detection of oropharyngeal and laryngeal lesions: implications for “inattentional blindness”

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2wZNeZ2

A Practice of Anesthesia for Infants and Children, Sixth Edition

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x1gShf

Évaluation de la communication thérapeutique pour améliorer l’accueil du patient au bloc opératoire: étude d’impact

Résumé

Objectif

Nous avons voulu évaluer l'impact de la sensibilisation du personnel soignant à la communication thérapeutique sur l'amélioration de l'accueil du patient au bloc opératoire en chirurgie ambulatoire.

Méthode

Il s'agit d'une étude d'impact prospective, monocentrique, réalisée en chirurgie ambulatoire. Lors de la première phase, un questionnaire était effectué par l'infirmier(ère)-anesthésiste à l'arrivée du patient, permettant d'évaluer sur une échelle numérique simple le confort (ENSc) et la satisfaction et de calculer un score de communication négative ("CN"). Pendant la deuxième phase, le personnel soignant a été sensibilisé à la communication thérapeutique, consistant en partie en l'écoute, l'empathie et l'utilisation de formulations positives, après visionnage des vidéos pédagogiques. Pendant la troisième phase, après sensibilisation du personnel, le questionnaire a de nouveau été effectué. Les variables quantitatives (critère de jugement principal représenté par le nombre de patients ayant un score CN ≥ 5, ENSc, satisfaction) et qualitatives ont été comparées avant et après la phase de sensibilisation à la communication thérapeutique.

Résultats

Au total, 234 patients ont été inclus (109 avant et 125 après). Après sensibilisation du personnel à la communication thérapeutique, le score CN ≥ 5 a significativement diminué de 20 % à 6 %, ainsi que l'ENSc médiane [P₂₅-P₇₅] avant (8 [8-9] vs 8 [7-8]) et après (8 [8-9] vs 8 [7-8]) l'anesthésie. Le pourcentage de patients moins anxieux avant de commencer l'anesthésie était significativement supérieur après communication thérapeutique (32 % vs 17 %). La satisfaction a significativement augmenté après la phase de sensibilisation (8 [7-10] vs (9 [8-10]).

Conclusion

Cette étude préliminaire montre une amélioration modeste du confort et de la satisfaction des patients grâce à la communication thérapeutique. Un essai randomisé contrôlé est cependant nécessaire pour confirmer ces résultats.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2x1WiNT