Evidence map›Paper›PMID 31852441›Full record

Trial reportBMC anesthesiology2019

Impact of a semi-structured briefing on the management of adverse events in anesthesiology: a randomized pilot study.

Christopher Neuhaus, Johannes Schäfer, Markus A Weigand, Christoph Lichtenstern

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Role of perioperative nursing in anesthesia: a national overview.Revista da Escola de Enfermagem da U S P · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Christopher NeuhausDepartment of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld, 110 69120, Heidelberg, Germany. c.neuhaus@uni-heidelberg.de.ORCID 0000-0001-7262-3723
Johannes SchäferDepartment of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld, 110 69120, Heidelberg, Germany.
Markus A WeigandDepartment of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld, 110 69120, Heidelberg, Germany.
Christoph LichtensternDepartment of Anesthesiology, Heidelberg University Hospital, Im Neuenheimer Feld, 110 69120, Heidelberg, Germany.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman factors research has identified mental models as a key component for the effective sharing and organization of knowledge. The challenge lies in the development and application of tools that help team members to arrive at a shared understanding of a situation. The aim of this study was to assess the influence of a semi-structured briefing on the management of a simulated airway emergency.

methods37 interprofessional teams were asked to perform a simulated rapid-sequence induction in the simulator. Teams were presented with a "cannot ventilate, cannot oxygenate" scenario that ultimately required a cricothyroidotomy. Study group (SG) teams were asked to perform a briefing prior to induction, while controls (CG) were asked to perform their usual routine.

resultsWe observed no difference in the mean time until cricothyroidotomy (SG 8:31 CG 8:16, p = 0.36). There was a significant difference in groups' choice of alternative means of oxygenation: While SG teams primarily chose supraglottic airway devices, controls initially reverted to mask ventilation (p = 0.005). SG teams spent significantly less time with this alternative airway device and were quicker to advance in the airway algorithm.

conclusionsOur study addresses effects on team coordination through a shared mental model as effected by a briefing prior to anesthesia induction. We found measurable improvements in airway management during those stages of the difficult airway algorithm explicitly discussed in the briefing. For those, time spent was shorter and participants were quicker to advance in the airway algorithm.

Indexed as

AdolescentAdultAirway ManagementAlgorithmsAnesthesiologyCooperative BehaviorCricoid CartilageHumansMiddle AgedPatient Care TeamPilot ProjectsSimulation TrainingThyroid CartilageYoung AdultAirway managementBriefingsChecklistsHuman factorsMental modelsSimulation

Identifiers

PMID31852441
PMCPMC6921421
OpenAlexW2996448504

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.