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Beyond the monitors: Anaesthesiologists' experiences of the process of extubation
Mittuniversitetet.ORCID iD: 0000-0001-5897-0788
Karolinska institutet.ORCID iD: 0000-0001-5403-4183
Mittuniversitetet.ORCID iD: 0000-0002-1614-7379
Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.ORCID iD: 0000-0001-9623-5813
2022 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 36, no 4, p. 988-996Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Although extubation is a high-risk phase associated with risk of severe complications for patients undergoing general anaesthesia, there is a lack of research about this phenomenon from the perspective of anaesthesiologists' experiences of the process of extubation in the anaesthesia setting.

AIM: To describe Swedish anaesthesiologists' experiences of the extubation process in the anaesthesia setting.

METHODS: A qualitative descriptive design study with individual semi-structured interviews was conducted in three hospitals in Sweden with a total of 17 anaesthesiologists. A qualitative manifest content analysis method was used to analyse the data.

RESULTS: The anaesthesiologists' experiences were described in two categories: To assemble sensibilities, where the anaesthesiologists are receptive to inputs, create tailored plans, are guided by emotions and experiences, and sense the atmosphere in the process of extubation; and To stay focused, where they understand the importance of preparation and being prepared, and of being calm and strategic, and of needing to trust the registered nurse anaesthetist in the process of extubation.

CONCLUSIONS: Decision-making regarding the process of extubation does not rely solely on monitoring signs; rather, the anaesthesiologists described how, by looking beyond the monitors and by being receptive to inputs from the patient and other professionals, their experience and intuition guides them through the process of extubation.

Place, publisher, year, edition, pages
2022. Vol. 36, no 4, p. 988-996
Keywords [en]
Anaesthesia setting, Anaesthesiologist, Content analysis, Decision making, Extubation process, Operating room, Qualitative, Teamwork
National Category
Nursing Anesthesiology and Intensive Care Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:esh:diva-8870DOI: 10.1111/scs.12996ISI: 000652752800001PubMedID: 34021616OAI: oai:DiVA.org:esh-8870DiVA, id: diva2:1558596
Available from: 2021-05-31 Created: 2021-05-31 Last updated: 2022-11-21Bibliographically approved

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Melin-Johansson, Christina

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Rönnberg, LindaNilsson, UlricaHellzén, OveMelin-Johansson, Christina
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