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How anaesthesiologists understand difficult airway guidelines: an interview study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Univ Gavle, Dept Hlth & Caring Sci, Kungsbacksvagen 47, S-80176 Gavle, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.ORCID iD: 0000-0002-2867-0490
Orebro Univ, Sch Hlth Sci, Orebro, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
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2017 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 122, no 4, p. 243-248Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In the practice of anaesthesia, clinical guidelines that aim to improve the safety of airway procedures have been developed. The aim of this study was to explore how anaesthesiologists understand or conceive of difficult airway management algorithms.

METHODS: A qualitative phenomenographic design was chosen to explore anaesthesiologists' views on airway algorithms. Anaesthesiologists working in three hospitals were included. Individual face-to-face interviews were conducted.

RESULTS: Four different ways of understanding were identified, describing airway algorithms as: (A) a law-like rule for how to act in difficult airway situations; (B) a cognitive aid, an action plan for difficult airway situations; (C) a basis for developing flexible, personal action plans for the difficult airway; and (D) the experts' consensus, a set of scientifically based guidelines for handling the difficult airway.

CONCLUSIONS: The interviewed anaesthesiologists understood difficult airway management guidelines/algorithms very differently.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. Vol. 122, no 4, p. 243-248
Keywords [en]
Airway guidelines, algorithms, qualitative study
National Category
Medical and Health Sciences Work Sciences
Identifiers
URN: urn:nbn:se:uu:diva-342931DOI: 10.1080/03009734.2017.1406020ISI: 000423294800006PubMedID: 29299973OAI: oai:DiVA.org:uu-342931DiVA, id: diva2:1185334
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-03-15Bibliographically approved

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Knudsen, KatiPöder, UlrikaHögman, MarieannLarsson, AndersLarsson, Jan

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