O.8 A new checklist to improve safety for emergency general anaesthesia in the obstetric population

摘要

Introduction: Emergency general anaesthesia (GA) in the obstetric population is high risk; often performed out-of-hours, by junior staff and with a high incidence of unanticipated difficult airway. Intubation checklists are established in non-theatre environments. Currently there is no checklist for obstetric emergency GA in our region. We hypothesised that the use of a checklist would improve adherence to important safety measures, without taking significantly longer. Methods: A simulated scenario was performed individually by 60 anaesthetists of different grades; the intervention group (n=30) used the new checklist. The control group (n=30) used current best practice. Time to intubation was measured and performance was assessed using a 16-point safety rating scale, based onkey elements from the OAA-DAS guidelines.