Are Anesthesiology Providers Good Guessers? Heart Rate and Oxygen Saturation Estimation in a Simulation Setting.

Journal

Anesthesiology research and practice
ISSN: 1687-6962
Titre abrégé: Anesthesiol Res Pract
Pays: United States
ID NLM: 101532982

Informations de publication

Date de publication:
2019
Historique:
received: 22 04 2019
accepted: 04 06 2019
entrez: 21 8 2019
pubmed: 21 8 2019
medline: 21 8 2019
Statut: epublish

Résumé

Anesthesia providers may need to interpret the output of vital sign monitors based on auditory cues, in the context of multitasking in the operating room. This study aims to evaluate the ability of different anesthesia providers to estimate heart rate and oxygen saturation in a simulation setting. Sixty anesthesia providers (residents, nurse anesthetics, and anesthesiologists) were studied. Four scenarios were arranged in a simulation context. Two baseline scenarios with and without waveform visual aid, and two scenarios with variation of heart rate and/or oxygen saturation were used to assess the accuracy of the estimation made by the participants. When the accurate threshold for the heart rate was set at less than 5 beats per minute, the providers only had a correct estimation at two baseline settings with visual aids ( The ability of anesthesia providers with different levels of experience to assess baseline and variations of heart rate and oxygen saturation is unsatisfactory, especially when oxygen desaturation and bradycardia coexist, and when the subject has less years of experience.

Sections du résumé

BACKGROUND BACKGROUND
Anesthesia providers may need to interpret the output of vital sign monitors based on auditory cues, in the context of multitasking in the operating room. This study aims to evaluate the ability of different anesthesia providers to estimate heart rate and oxygen saturation in a simulation setting.
METHODS METHODS
Sixty anesthesia providers (residents, nurse anesthetics, and anesthesiologists) were studied. Four scenarios were arranged in a simulation context. Two baseline scenarios with and without waveform visual aid, and two scenarios with variation of heart rate and/or oxygen saturation were used to assess the accuracy of the estimation made by the participants.
RESULTS RESULTS
When the accurate threshold for the heart rate was set at less than 5 beats per minute, the providers only had a correct estimation at two baseline settings with visual aids (
CONCLUSION CONCLUSIONS
The ability of anesthesia providers with different levels of experience to assess baseline and variations of heart rate and oxygen saturation is unsatisfactory, especially when oxygen desaturation and bradycardia coexist, and when the subject has less years of experience.

Identifiants

DOI: 10.1155/2019/5914305 PMID: 31428146 PMC: PMC6679872
pubmed: 31428146
doi: 10.1155/2019/5914305
pmc: PMC6679872
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5914305

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Efrain Riveros Perez (E)

Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120 15th Street, Augusta, GA, USA.
Outcomes Research Consortium, Cleveland Clinic, Cleveland, OH, USA.
ORCID: 0000-0002-3874-5783

Enoe Jimenez (E)

Research Assistant, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.

Camila Albo (C)

Medical Student, Medical College of Georgia at Augusta University, Augusta, GA, USA.

Yashi Sanghvi (Y)

Undergraduate Student, Biomedical Engineering, Cornell University, Ithaca, NY, USA.

Nianlan Yang (N)

Post-doctoral fellow, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.

Alexander Rocuts (A)

Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120 15th Street, Augusta, GA, USA.

Classifications MeSH