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dc.contributor.authorDoleman, Brett
dc.contributor.authorBlackwell, James
dc.contributor.authorLund, Jonathan
dc.contributor.authorWilliams, John P
dc.contributor.authorBhalla, Ashish
dc.contributor.authorKarangizi, A
dc.contributor.authorButt, W
dc.date.accessioned2017-02-21T16:27:05Z
dc.date.available2017-02-21T16:27:05Z
dc.date.issued2016-08
dc.identifier.citationActa Anaesthesiol Scand. 2016 Aug;60(7):910-6. doi: 10.1111/aas.12716. Epub 2016 Mar 4.language
dc.identifier.urihttp://hdl.handle.net/20.500.12904/1270
dc.description.abstractBACKGROUND: 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.isoenlanguage
dc.subjectStresslanguage
dc.subjectAnaestheticslanguage
dc.subjectAnaesthetistslanguage
dc.titleAnaesthetists stress is induced by patient ASA grade and may impair non-technical skills during intubation.language
dc.typeArticlelanguage


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