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Anesthesiologists’ airway management expertise: Identifying subjective and objective knowledge gaps

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Bessmann, Ebbe L ; Rasmussen, Lars S ; Konge, Lars ; Kristensen, Michael S ; Rewers, Mikael ; Kotinis, Alexandros ; Rosenstock, Charlotte V ; Graeser, Karin ; Pfeiffer, Peter ; Lauritsen, Torsten ; Østergaard, Doris ; Adaptive E-learning Airway Study Group. / Anesthesiologists’ airway management expertise : Identifying subjective and objective knowledge gaps. In: Acta Anaesthesiologica Scandinavica. 2021 ; Vol. 65, No. 1. pp. 58-67.

Bibtex

@article{5adf613f508241c294276a3dc68cb38e,
title = "Anesthesiologists{\textquoteright} airway management expertise: Identifying subjective and objective knowledge gaps",
abstract = "BACKGROUND: Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anaesthesiologists´ unknown knowledge gaps. This study aimed to identify anaesthesiologists´ subjective and objective knowledge gaps as well as areas where anaesthesiologists are incorrect and unaware.METHODS: An adaptive E-learning programme with 103 questions on adult airway management was used for subjective and objective assessment of anaesthesiologists´ knowledge. All anaesthesiologists in the Capital Region of Denmark were invited to participate.RESULTS: The response rate was 67% (191/285). For preoperative planning, participants stated low confidence (subjective assessment) regarding predictors of difficult airway management in particular (69.1-79.1%). Test scores (objective assessment) were lowest for obstructive sleep apnoea as a predictor of difficult airway management (28.8% correct), with participants being incorrect and unaware in 33.5% of the answers. For optimisation of basic techniques, the lowest confidence ratings related to patient positioning and prediction of difficulties (57.4-83.2%), which agreed with the lowest test scores. Concerning advanced techniques, videolaryngoscopy prompted the lowest confidence (72.4-85.9%), while emergency cricothyrotomy resulted in the lowest test scores (47.4-67.8%). Subjective and objective assessments correlated and lower confidence was associated with lower test scores: preoperative planning [r = -0.58, P < 0.001], optimisation of basic techniques [r = -0.58, P = 0.002], and advanced techniques [r = -0.71, P < 0.001].CONCLUSION: We identified knowledge gaps in important areas of adult airway management with differing findings from the subjective and objective assessments. This underlines the importance of objective assessment to guide continuing education.",
keywords = "adaptive E-learning, airway management, competence, continuing education, continuing professional development, expertise, self-assessment, testing",
author = "Bessmann, {Ebbe L} and Rasmussen, {Lars S} and Lars Konge and Kristensen, {Michael S} and Mikael Rewers and Alexandros Kotinis and Rosenstock, {Charlotte V} and Karin Graeser and Peter Pfeiffer and Torsten Lauritsen and Doris {\O}stergaard and {Adaptive E-learning Airway Study Group}",
note = "{\textcopyright} 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.",
year = "2021",
month = jan,
doi = "10.1111/aas.13696",
language = "English",
volume = "65",
pages = "58--67",
journal = "Acta Anaesthesiologica Scandinavica",
issn = "0001-5172",
publisher = "Wiley-Blackwell Munksgaard",
number = "1",

}

RIS

TY - JOUR

T1 - Anesthesiologists’ airway management expertise

T2 - Identifying subjective and objective knowledge gaps

AU - Bessmann, Ebbe L

AU - Rasmussen, Lars S

AU - Konge, Lars

AU - Kristensen, Michael S

AU - Rewers, Mikael

AU - Kotinis, Alexandros

AU - Rosenstock, Charlotte V

AU - Graeser, Karin

AU - Pfeiffer, Peter

AU - Lauritsen, Torsten

AU - Østergaard, Doris

AU - Adaptive E-learning Airway Study Group

N1 - © 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

PY - 2021/1

Y1 - 2021/1

N2 - BACKGROUND: Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anaesthesiologists´ unknown knowledge gaps. This study aimed to identify anaesthesiologists´ subjective and objective knowledge gaps as well as areas where anaesthesiologists are incorrect and unaware.METHODS: An adaptive E-learning programme with 103 questions on adult airway management was used for subjective and objective assessment of anaesthesiologists´ knowledge. All anaesthesiologists in the Capital Region of Denmark were invited to participate.RESULTS: The response rate was 67% (191/285). For preoperative planning, participants stated low confidence (subjective assessment) regarding predictors of difficult airway management in particular (69.1-79.1%). Test scores (objective assessment) were lowest for obstructive sleep apnoea as a predictor of difficult airway management (28.8% correct), with participants being incorrect and unaware in 33.5% of the answers. For optimisation of basic techniques, the lowest confidence ratings related to patient positioning and prediction of difficulties (57.4-83.2%), which agreed with the lowest test scores. Concerning advanced techniques, videolaryngoscopy prompted the lowest confidence (72.4-85.9%), while emergency cricothyrotomy resulted in the lowest test scores (47.4-67.8%). Subjective and objective assessments correlated and lower confidence was associated with lower test scores: preoperative planning [r = -0.58, P < 0.001], optimisation of basic techniques [r = -0.58, P = 0.002], and advanced techniques [r = -0.71, P < 0.001].CONCLUSION: We identified knowledge gaps in important areas of adult airway management with differing findings from the subjective and objective assessments. This underlines the importance of objective assessment to guide continuing education.

AB - BACKGROUND: Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anaesthesiologists´ unknown knowledge gaps. This study aimed to identify anaesthesiologists´ subjective and objective knowledge gaps as well as areas where anaesthesiologists are incorrect and unaware.METHODS: An adaptive E-learning programme with 103 questions on adult airway management was used for subjective and objective assessment of anaesthesiologists´ knowledge. All anaesthesiologists in the Capital Region of Denmark were invited to participate.RESULTS: The response rate was 67% (191/285). For preoperative planning, participants stated low confidence (subjective assessment) regarding predictors of difficult airway management in particular (69.1-79.1%). Test scores (objective assessment) were lowest for obstructive sleep apnoea as a predictor of difficult airway management (28.8% correct), with participants being incorrect and unaware in 33.5% of the answers. For optimisation of basic techniques, the lowest confidence ratings related to patient positioning and prediction of difficulties (57.4-83.2%), which agreed with the lowest test scores. Concerning advanced techniques, videolaryngoscopy prompted the lowest confidence (72.4-85.9%), while emergency cricothyrotomy resulted in the lowest test scores (47.4-67.8%). Subjective and objective assessments correlated and lower confidence was associated with lower test scores: preoperative planning [r = -0.58, P < 0.001], optimisation of basic techniques [r = -0.58, P = 0.002], and advanced techniques [r = -0.71, P < 0.001].CONCLUSION: We identified knowledge gaps in important areas of adult airway management with differing findings from the subjective and objective assessments. This underlines the importance of objective assessment to guide continuing education.

KW - adaptive E-learning

KW - airway management

KW - competence

KW - continuing education

KW - continuing professional development

KW - expertise

KW - self-assessment

KW - testing

UR - http://www.scopus.com/inward/record.url?scp=85091158509&partnerID=8YFLogxK

U2 - 10.1111/aas.13696

DO - 10.1111/aas.13696

M3 - Journal article

C2 - 32888194

VL - 65

SP - 58

EP - 67

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

SN - 0001-5172

IS - 1

ER -

ID: 60798747