Article

Errors and clinical supervision of intubation attempts by the inexperienced

Published in: Southern African Journal of Anaesthesia and Analgesia
Volume 24 , issue 2 , 2018 , pages: 47–53

DOI: 10.1080/22201181.2018.1435385

Author(s): VM Satyapal Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South Africa , CC Rout Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South Africa , TE Sommerville Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South Africa

Keywords: clinical supervision , core clinical skills , skills assessment , skills transfer , tracheal intubation , video recording

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Abstract

Background: Tracheal intubation is an essential skill for anaesthetists and other disciplines that require emergency establishment of a secure airway. Early attempts in patients often meet with failure. Existing publications focus mainly on trainees in emergency settings and highlight the role of experience in success; most recommend prior simulation training. Common factors identified as contributing to difficulty have been difficult airways, emergencies and rapid sequence induction. Early intubation skill development in patients with anticipated straightforward airways in a controlled environment has received little attention.

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