Journal article

The effects of a displayed cognitive aid on non-technical skills in a simulated "can't intubate, can't oxygenate' crisis

SD Marshall, R Mehra



Guidelines outlining recommended actions are difficult to implement in the stressful, time-pressured situation of an airway emergency. Cognitive aids such as posters and algorithms improve performance during some anaesthetic emergencies; however, their effects on team behaviours have not been determined. In this study, 64 participants were randomly assigned into control (no cognitive aid) and intervention (cognitive aid provided) groups before a simulated 'can't intubate, can't oxygenate' scenario. Video analysis was undertaken of the non-technical skills and technical performance during the scenarios. All categories had higher Anaesthetists' Non-Technical Skills (ANTS) scores when a cogniti..

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University of Melbourne Researchers


Funding Acknowledgements

The study was supported by the Alfred Hospital to purchase disposable equipment through course registration fees for the advanced airway course. We acknowledge the assistance of the organisers and faculty of the advanced airway course for administrative support and for performing the roles of clinical staff. Specifically, we thank Pierre Bradley, Andrew Heard and Aushra Saldukas for their support. Thanks also to Professor Penelope Sanderson, Dr. Cate McIntosh and A/Professor Brendan Flanagan for their advice on the design and conduct of the study.