The Use of Cognitive Aids During Emergencies in Anesthesia: A Review of the Literature

@article{Marshall2013TheUO,
  title={The Use of Cognitive Aids During Emergencies in Anesthesia: A Review of the Literature},
  author={Stuart Duncan Marshall},
  journal={Anesthesia \& Analgesia},
  year={2013},
  volume={117},
  pages={1162–1171}
}
  • S. Marshall
  • Published 1 November 2013
  • Medicine
  • Anesthesia & Analgesia
Cognitive aids are prompts designed to help users complete a task or series of tasks. [...] Key Method Medical, nursing, and psychology databases were searched using broad criteria to find cognitive aids that have been reported in the literature for use in anesthetic emergencies. The reference lists of the articles selected for review were also screened to identify additional studies.Expand
The Ryder Cognitive Aid Checklist for Trauma Anesthesia
TLDR
This work adapted a recently published “trauma and emergency checklist” for the initial phase of resuscitation and anesthesia of critically ill trauma patients into an applicable perioperative cognitive aid in the form of a pictogram that can be downloaded by the medical community. Expand
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
TLDR
Successful quality improvement initiatives utilize cognitive aids such as checklists and have been shown to optimize pediatric patient experience and anesthesia outcomes and reduce perioperative complications. Expand
The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The Society for Pediatric Anesthesia Critical Events Checklists
TLDR
This article will review the developmental steps in producing the SPA crisis checklists, including creation of content, incorporation of human factors elements, and validation in simulation. Expand
Examination of Anesthetic Practitioners’ Decisions for the Design of a Cognitive Tool for Airway Management
TLDR
This ongoing research combined two studies using Cognitive Task Analysis methods as part of a Decision-Centered Design process: observations and Critical Decision Method interviews that will inform subsequent research phases concerning the development and evaluation of design concepts. Expand
Lost in translation? Comparing the effectiveness of electronic-based and paper-based cognitive aids.
TLDR
Lelaidier and colleagues demonstrated that non-technical (teamwork) skills displayed by anaesthetists in a number of anaesthetic emergencies were improved by the provision of a cognitive aid on a mobile phone, the first to suggest an improvement in this area of performance. Expand
Attitudes of pediatric intensive care unit physicians towards the use of cognitive aids: a qualitative study
TLDR
The authors' sample of PICU physicians were open to cognitive aids in their practice, as long as such aids preserve the primacy of clinical judgment, focus on team communication, demonstrate effectiveness through preliminary testing, and are designed and implemented with the local culture and work environment in mind. Expand
Helping experts and expert teams perform under duress: an agenda for cognitive aid research
TLDR
This study attempted to prove that cognitive aids can be used to improve the retention and performance of technical aspects of emergency management several months after initial exposure, and showed there are still lessons to be learned about the purpose and function of emergency cognitive aids. Expand
Cognitive Aids: Does Patient Safety Depend on a Manual?
TLDR
Cognitive aids such as checklists are useful for helping clinicians remember critical steps during complex processes of care and make communication easier by flattening hierarchies and structuring interactions. Expand
Does an electronic cognitive aid have an effect on the management of severe gynaecological TURP syndrome? A prospective, randomised simulation study
TLDR
The cognitive aid improved the implementation of evidence-based practices in a simulated intraoperative scenario and could help to close the translational gap between guideline publication and implementation in acute patient care. Expand
Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies
TLDR
Overall, it is shown that uptake of the SPA CECs is poor and it is demonstrated that when they are utilized, they enhance the performance of trainees in simulated operating room (OR) critical events. Expand
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References

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Awareness and use of a cognitive aid for anesthesiology.
TLDR
A cognitive aid for use in rare emergencies proved clinically useful to anesthesia providers and was used most commonly for difficult airway. Expand
Cognitive aid for neonatal resuscitation: a prospective single-blinded randomized controlled trial.
TLDR
The infrequent use of the cognitive aid may be the reason that it did not improve performance and further research is required to investigate whether cognitive aids can be useful if their use is incorporated into the NRP training. Expand
A cognitive aid for cardiac arrest: you can't use it if you don't know about it.
TLDR
Both new and experienced caregivers find the cognitive aid helpful when responding to "code" situations, however, cognitive aids cannot be helpful if the intended users are unaware of their availability. Expand
A cognitive aid for neonatal resuscitation: a randomized controlled trial
TLDR
A randomized single-blinded trial found that a cognitive aid did not improve performance at simulated resuscitation, in contrast to previous retrospective and unblended studies. Expand
Use of Cognitive Aids in a Simulated Anesthetic Crisis
TLDR
A strong correlation was shown between the use of a cognitive aid and the correct treatment of MH and the effect was less pronounced in the more experienced CA 2 cohort, but there was still a strong correlation between performance and cognitive aid use. Expand
Just-in-time Training for Medical Emergencies: Computer versus Paper Checklists for a Tracheal Intubation Task
TLDR
A comparison of paper-based and computer- based checklists for just-in-time training for medical emergencies suggests the clear superiority of the computer-based checklist for untrained responders. Expand
ASRA Checklist Improves Trainee Performance During a Simulated Episode of Local Anesthetic Systemic Toxicity
TLDR
Use of the ASRA Checklist significantly improved the trainees’ medical management and nontechnical performance during a simulated episode of severe LAST. Expand
Improving cardiopulmonary resuscitation skills retention: effect of two checklists designed to prompt correct performance.
TLDR
Results indicate that the detailed checklist was an effective strategy to improve the post-course performance of CPR, and supports the hypothesis that remembering the steps of CPR is too complex for some. Expand
It Is Time to Use Checklists for Anesthesia Emergencies: Simulation Is the Vehicle for Testing and Learning
TLDR
There is still much work required to optimize the use of checklists, in anesthesia and elsewhere, and to educate and train practitioners so that checklists are accepted as the cultural norm, according to a study by Neal et al. Expand
Errors and Omissions in Anesthesia: A Pilot Study Using a Pilot’s Checklist
TLDR
A list of items to be checked when preparing to administer general anesthesia for a Cesarean delivery using expert opinion was created and a verbal checklist was tested on 20 anesthesiologists using a high-fidelity anesthesia simulator. Expand
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