Anaesthetists stress is induced by patient ASA grade and may impair non-technical skills during intubation.
dc.contributor.author | Doleman, Brett | |
dc.contributor.author | Blackwell, James | |
dc.contributor.author | Lund, Jonathan | |
dc.contributor.author | Williams, John P | |
dc.contributor.author | Bhalla, Ashish | |
dc.contributor.author | Karangizi, A | |
dc.contributor.author | Butt, W | |
dc.date.accessioned | 2017-02-21T16:27:05Z | |
dc.date.available | 2017-02-21T16:27:05Z | |
dc.date.issued | 2016-08 | |
dc.identifier.citation | Acta Anaesthesiol Scand. 2016 Aug;60(7):910-6. doi: 10.1111/aas.12716. Epub 2016 Mar 4. | language |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/1270 | |
dc.description.abstract | BACKGROUND: The aims of this study were to determine if patient ASA grade was associated with increased stress in anaesthetists with a subsequent effect on non-technical skills. METHODS: Stress was measured using a validated objective (heart rate variability or heart rate) and subjective tool. We studied eight consultant anaesthetists at baseline (rest) and during 16 episodes of intubation with an ASA 1 or 2 patient vs. an ASA 3 or 4 patient. The primary outcome for the study was objective and subjective stress between both patient groups. Secondary outcomes were non-technical skill ratings and the association between stress measurements. RESULTS: ASA 3 or 4 patients were associated with increases in objective stress when compared to baseline (mean 4.6 vs. 6.7; P = 0.004). However, ASA 1 or 2 patients were not associated with increases in stress when compared to baseline (mean 4.6 vs. 4.7; P = 1). There was no significant difference in subjective stress between the groups (P = 0.18). Objective stress negatively affected situational awareness (P = 0.03) and decision-making (P = 0.03); however, these did not decline to a clinically significant threshold. Heart rate variability (r = 0.60; P = 0.002) better correlated with subjective stress when compared to heart rate (r = 0.30; P = 0.15). Agreement between raters for Anaesthetic Non-Technical Skills (ANTS) scores was acceptable (ICC = 0.51; P = 0.003). CONCLUSION: This study suggests that higher patient ASA grade can increase stress in anaesthetists, which may impair non-technical skills. | language |
dc.language.iso | en | language |
dc.subject | Stress | language |
dc.subject | Anaesthetics | language |
dc.subject | Anaesthetists | language |
dc.title | Anaesthetists stress is induced by patient ASA grade and may impair non-technical skills during intubation. | language |
dc.type | Article | language |