Safety, quality & education

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: A simulation-based observational study

J Clin AnesthPublished Prospective simulation-based observational study

Main finding · Vital signs at crisis acknowledgmentResult — go to the resultRespiratory rate 20 vs. 18 breaths/min

Authors' conclusion

Despite overall heterogeneity in clinical performance, anesthesiologists acknowledged crises per standard definitions of hypotension. Thresholds for crisis acknowledgment did not significantly differ between PAICs and AOs, suggesting minimal effect from active care responsibility.

Study context

Population
Attending anesthesiologists from a variety of practice settings in an anesthesia crisis resource management course
Participants
60 participants
Exposure
Primary anesthesiologist in charge (PAICs) vs anesthesiologist observers (AOs)
  • PAICn = 19
  • AOn = 41reference
Outcome
Vital signs and qualitative factors prompting crisis acknowledgment
Methodological detailssingle simulation centre
  • Single simulation centre

Main finding

Vital signs at crisis acknowledgment

Respiratory rate

20 vs. 18 breaths/min

P = 0.038

As reported in the abstract

Crises acknowledged around mean arterial pressure (MAP) (mmHg)
65
Crises acknowledged around oxygen saturation
94%
Participants identifying crises at MAP <65 mmHg
45%
Range of timing of crisis acknowledgment (s)
421

Observational data: associations, not effects.

Original publication

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: A simulation-based observational study. J Clin Anesth. Published 24 August 2023. doi:10.1016/j.jclinane.2023.111235

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