Anesthetic drugs & techniques

An exploratory study of distractions during the induction phase of pediatric procedural sedation with propofol

Paediatr AnaesthPublished Observational study

Authors' conclusion

Distractions impacted sedation team workflow but had no association with patient outcomes.

Study context

Population
Children with acute lymphocytic leukemia undergoing propofol sedation for oncology procedures outside the OR
Participants
45 video recordings
Outcome
Frequency, source, target and impact of distractions during induction of procedural sedation
Methodological detailsexploratory, video-recorded
  • Exploratory
  • Video-recorded

Main finding

As reported in the abstract

Frequency, source, target and impact of distractions during propofol induction
Total distractions
567
Distractions per induction, mean (±SD)
12.6 (±5.6)
Mean induction time
3 min 12 s
Extraneous events (most common source), % of all distractions
55% (312/567)
Distractions resulting in multitasking
46%, n = 262
Distractions causing brief or complete disruption from a primary task
17%
Sedation nurses impacted (most often)
62%
Impact score of coordination issues (Likert scale), mean ± SD
3.7 ± 1.0
Impact score of usability issues (Likert scale), mean ± SD
3.5 ± 0.9

Observational data: associations, not effects.

Safety

No significant association between distractions and adverse events or induction length

Original publication

An exploratory study of distractions during the induction phase of pediatric procedural sedation with propofol. Paediatr Anaesth. Published 7 March 2023. doi:10.1111/pan.14649

Composed by AI from the published abstract and checked against it. How Briefs are made →

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