Cognitive aids as part of decision making in anesthesiologists
Cristian Irvin Armenta, Darcy Danitza Marí Zapata, Fortis Olmedo Luis Leobardo, Diana Stephanie Calva Ruiz, Tania Sánchez Romero, Oralia Lara Padilla, Verónica Ruiz Vasconcelos
Abstract
Introduction: cognitive aids in medicine have shown great benefits, with their implementation it has been possible to reduce the human factor in decision-making, to bring a better intraoperative management, as well as a better survival for patients.Methods: a group of 30 anesthesiologists from the Angeles Lomas Hospital were evaluated, by being divided into 2 groups of 15 participants each group and presenting 2 clinical scenarios through a pre-established clinical simulation. Each one of the participants was presented with the same conditions, offering any medication or intervention allowed, as well as the use of cognitive aids giving the opportunity to use them or not. Using the Likert scale (never, little, agree, strongly agree) and the Stanford emergency manual, crisis management and decision-making time were evaluated in these situations.Results: a descriptive analysis was carried out using mean and standard deviation or medians with interquartile ranges (IQR) for numerical variables. Statistical significance was observed in stopping the procedure with 3 (IQR 3 - 3) vs. 3 (0-3), p = 0,03; indicate adequate dose with 3 (IQR 3 - 3) vs. 1 (1-3) p = 0,005; running or considered hyperkalemia 3 (IQR 3 - 3) vs. 0 (0-2), p = 0,003; consider alkalizing urine with 3 (IQR 2-3) vs. 1 (0-1), p = 0,001; maintains dantrolene infusion 3 (IQR 3-3) vs. 1 (0-2), p = 0,006., Which are parameters evaluated in case 1. There were no significant differences in the time comparison in clinical case 2.Conclusion: cognitive aids show statistical significance in the prognosis and management of patients to carry out a better practice in critical scenarios