How anaesthesiologists understand difficult airway guidelines—an interview study

  • Kati Knudsen Department of Health and Caring Sciences, University of Gävle, Sweden; and Department of Public Health and Caring Sciences, Uppsala University, Sweden
  • Ulrika Pöder Department of Public Health and Caring Sciences, Uppsala University, Sweden http://orcid.org/0000-0002-2867-0490
  • Ulrica Nilsson School of Health Sciences, Örebro University, Sweden;
  • Marieann Högman Department of Medical Sciences, Uppsala University, Sweden http://orcid.org/0000-0002-6392-6092
  • Anders Larsson Department of Surgical Sciences, Uppsala University, Sweden
  • Jan Larsson Department of Public Health and Caring Sciences, Uppsala University, Sweden
Keywords: Airway guidelines, algorithms, qualitative study

Abstract

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.

Downloads

Download data is not yet available.
Published
2018-01-04
How to Cite
Knudsen, K., Pöder, U., Nilsson, U., Högman, M., Larsson, A., & Larsson, J. (2018). How anaesthesiologists understand difficult airway guidelines—an interview study. Upsala Journal of Medical Sciences, 122(4), 243–248. https://doi.org/10.1080/03009734.2017.1406020
Section
Original Articles