The development of a scoring tool for the measurement of performance in managing hypotension and intra-operative cardiac arrest during spinal anaesthesia for caesarean section

Horsten, Garth; Wise, Robert; Ramroop, Shaun; Rodseth, Reitze

doi:10.1080/22201181.2015.1054617

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…programmes. 10,13 To the best of our knowledge this is the first cross-sectional study of the perceptions and attitudes towards SBE in South Africa. Understanding SBE within the context of anaesthesia will allow for its further development and growth.…”

Section: Research and Collaborationmentioning

confidence: 99%

“…6 Little is known about the current practices of SBE within South Africa, with limited published research relating to SBE in anaesthesia. 10 The objectives of this study were to describe: i) the state of SBE in anaesthesia within South Africa and a selection of other settings; ii) the learner groups targeted with SBE; iii) the tools used to assess performance during SBE events; iv) the learning objectives targeted; v) the evaluation of the quality and impact This survey aims to provide a greater understanding of the current state of SBE in South Africa, facilitating further collaboration, research and growth.…”

Section: Introductionmentioning

confidence: 99%

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SASS: South African Simulation Survey – a review of simulation-based education

Swart

Duys

Hauser

2019

South Afr J Anaesth Analg

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Background: Simulation-based education (SBE) has been shown to be an effective and reproducible learning tool. SBE is used widely internationally. The current state of SBE in South Africa is unknown. To the best of our knowledge this is the first survey that describes the use and attitudes towards SBE within South Africa. Methods: An online survey tool was distributed by email to: i) the South African Society of Anaesthesiologists (SASA) members; and ii) known simulation education providers in South Africa. The respondents were grouped into anaesthesia and non-anaesthesia participants. Descriptive statistics were used to analyse the data. Ethics approval was obtained: HREC REF 157/2017. Results: The majority of the respondents provide SBE and integrate it into formal teaching programmes. There is a will amongst respondents to grow SBE in South Africa, with it being recognised as a valuable educational tool. The user groups mainly targeted by SBE, were undergraduate students, medical interns, registrars and nurses. Learning objectives targeted include practical skills, medical knowledge, critical thinking and integrated management. Amongst anaesthesia respondents: the tool most commonly used to assess the quality of learner performance during SBE, for summative assessment, was ‘expert opinion’ (33%); the most frequent methods of evaluating SBE quality were participant feedback (42%) and peer evaluation (22%); the impact of SBE was most frequently assessed by informal discussion (42%) and learner feedback (39%). In anaesthesia SBE largely takes place within dedicated simulation facilities on site (47%). Most respondents report access to a range of SBE equipment. The main reported barriers to SBE were: finance, lack of trained educators, lack of equipment and lack of protected time. A limited number of respondents report engaging in SBE research. There is a willingness in both anaesthesia and non-anaesthesia groups (96% and 89% respectively) to collaborate with other centres. Conclusion: To the best of our knowledge this publication provides us with the first cross-sectional survey of SBE in anaesthesia and a selection of non-anaesthetic respondents within South Africa. The majority of respondents indicate that SBE is a valuable education tool. A number of barriers have been identified that limit the growth of SBE within South Africa. It is hoped that with a commitment to ongoing SBE research and evaluation, SBE can be grown in South Africa.

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Section: Research and Collaborationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

SASS: South African Simulation Survey – a review of simulation-based education

Swart

Duys

Hauser

2019

South Afr J Anaesth Analg

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“…Appropriate standardised tools should be developed to assess the performance of interns on common anaesthetic obstetric emergencies, such as those for the management of spinal hypotension and cardiac arrest. [26] We used elements of the DAS difficult obstetric airway algorithm as a basis for our study, where the assessed items were weighted in conjunction with local experts to yield the checklist assessment. There were strong correlations between the 2 assessors' checklist scores and their global ratings, thus supporting the reliability of the assessment data.…”

Section: Researchmentioning

confidence: 99%

A simulation-based study evaluating the preparedness of interns’ post-anaesthesia rotation in managing a failed obstetric intubation scenario: Is our training good enough?

et al. 2021

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Background. Difficult or failed intubation of obstetric patients may be up to 8 times higher than in general surgical patients. A decline in obstetric intubation opportunities may be a contributing factor, resulting in reduced training opportunities for junior doctors, who therefore do not acquire airway management skills. Objectives. To assess post-anaesthesia rotation interns' preparedness to manage a difficult/failed obstetric airway scenario. Methods. We recruited 49 interns, obtained informed consent and individually assessed them on a simulation-based scenario using a highfidelity manikin. Two independent assessors scored participants using a checklist assessment and a global rating scale. After the simulationbased scenario, participants completed a questionnaire on their internship training, rated the simulation experience and received debriefing. The borderline regression method was used to determine the checklist pass mark. Results. Analysis showed that 40% of interns passed. Correlation between assessors was strong for checklist scores and global ratings. The main reasons for failing were repeated attempts at intubation and failure to optimise the intubating position or conditions. There was concern regarding the infrequent use of a supraglottic airway device as a rescue. Twenty-eight interns had performed <5 general obstetric anaesthetic procedures. Conclusions. There are concerns regarding adequate anaesthetic preparation for interns to manage a difficult/failed intubation scenario in a full-term pregnancy. Despite the Essential Steps in Managing Obstetric Emergencies (ESMOE) airway module training, which all interns should receive, a high rate of success was not achieved in this study. Simulation-based training and assessment may be a valuable tool to improve intern training and preparedness.

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“…Its use has become widespread in medical education, and a recent SA anaesthesia study has shown that it is feasible as an assessment tool in this country. [37] Implementing anaesthesia simulation training in SA has the potential to improve anaesthesia skills of interns, community service doctors and rural doctors.…”

Section: Priority 9 Studies Of the Efficacy Of Simulation Training Tmentioning

confidence: 99%

National priorities for perioperative research in South Africa

et al. 2016

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Perioperative research is currently unco-ordinated in South Africa (SA). A large group of investigators and interested individuals collaborated under the auspices of the South African Perioperative Research Group (SAPORG), the members of which are listed in Appendix 1, to address this limitation. This initiative was undertaken because the group believed that: (i) collaborative research is necessary to address the clinical challenges encountered in perioperative care and outcomes, both in SA and globally; (ii) we have the capacity to conduct national and international collaborative research in SA; [1] (iii) collaborative research conserves the limited research resources in SA and globally; [2] (iv) there are urgent public health issues in perioperative medicine that need to be addressed to improve the health of the SA and/or global surgical populations; [1] and (v) a national research priority-setting process [3] is necessary to prioritise research in an environment of limited research resources. ObjectiveTo determine the top ten national research priorities for perioperative research in SA, using a national research prioritysetting process. MethodsA Delphi technique [4] was followed for this national research priority-setting project. It was conducted in four rounds. In the first round, an open email invitation was sent to approximately 600 individuals across SA, based predominantly on South African Surgical Outcomes Study (SASOS) participation [1] together with other perioperative and critical care research leaders who were identified to the group. Furthermore, the recipients were encouraged to forward the email to other individuals who might be interested in the research-setting process. In the first round respondents were asked to submit potential research questions or research priority areas. The responses were collated, and where appropriate research questions were amalgamated by BMB. This resulted in 116 potential research priority questions, covering a broad range of questions and including proposals within the following fields: national pragmatic trials, perioperative outcomes, cardiovascular, critical care, education, obstetrics, paediatrics, trauma and resuscitation, perioperative ultrasonography, burns and perioperative airway management.In the second round, these 116 potential research priority questions were circulated to all the respondents. They were asked to rank the top ten research questions, and where possible to provide justifications for inclusion or exclusion of priorities. In the third round, the same 116 questions were presented in rank order based on the responses from round two, with all submitted justifications attached. In this round the respondents were asked to consider re-ranking their previous submission from round two, based on the priorities ranking and justifications of the group. If the respondents preferred not to change their previous rankings, Background. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective. To de...

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The development of a scoring tool for the measurement of performance in managing hypotension and intra-operative cardiac arrest during spinal anaesthesia for caesarean section

Cited by 3 publications

References 8 publications

SASS: South African Simulation Survey – a review of simulation-based education

SASS: South African Simulation Survey – a review of simulation-based education

A simulation-based study evaluating the preparedness of interns’ post-anaesthesia rotation in managing a failed obstetric intubation scenario: Is our training good enough?

National priorities for perioperative research in South Africa

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