Identifying intraoperative events in a simulated laparotomy video: a multinational study of inattentional blindness among anesthesiologists
Authors' conclusion
Anesthesiologists noticed fewer unexpected/rare clinical events than expected/common ones in an attention-demanding video of a simulated trauma patient, in keeping with IB. Prior simulation training was associated with an improved ability to notice anticipated/expected events, but did not reduce IB.
Study context
- Population
- Anesthesiologists watching an attention-demanding video of a simulated trauma patient undergoing laparotomyconvenience sample
- Participants
- 280 participants
- Exposure
- Noticing of expected/common vs unexpected/rare events, by age, simulation education and restfulness
- Outcome
- Participants' ability to notice the expected/unexpected events
Methodological detailsmulticentre, multinational, convenience sample, simulation video
- Multicentre
- Multinational
- Convenience sample
- Simulation video
Main finding
As reported in the abstract
- Anesthesiologists across all ages noticed fewer unexpected/rare events than expected/common ones
Observational data: associations, not effects.
Secondary outcomes
Missed expected/common events by age
- Younger anesthesiologists missed fewer common events than older participants
- P = 0.02
Perception of unexpected/rare events by age
- No consistent association between age and perception of unexpected/rare events; youngest cohort (< 30 yr) outperformed other age groups
- P = 0.28
Prior simulation education
- Did not affect misses of unexpected/rare events but associated with fewer misses of expected/common events
Self-perceived restfulness
- Did not impact perception of events
Original publication
Identifying intraoperative events in a simulated laparotomy video: a multinational study of inattentional blindness among anesthesiologists. Can J Anaesth. Published 25 June 2024. doi:10. 1007/ s12630-024-02788-0
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