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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery
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Surgeon-patient communication during awake procedures.

Claire S Smith1, Kristina Guyton2, Joseph J Pariser2

  • 1Pritzker School of Medicine, The University of Chicago, Chicago, IL, USA.

American Journal of Surgery
|August 28, 2016
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Summary

Surgeons find communication during awake surgery complex, using varied strategies to ensure patient comfort. Challenges arise in balancing teaching with patient care during these procedures.

Keywords:
CommunicationDoctor–patient relationshipEthicsQualitative researchSurgery

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Area of Science:

  • Medical Education
  • Surgical Communication
  • Patient Experience

Background:

  • Growing trend of performing surgical procedures on awake patients.
  • Communication complexities during awake surgeries are not well-documented in existing literature.

Purpose of the Study:

  • To explore surgeons' approaches to communication during awake surgical procedures.
  • To identify strategies and challenges related to communication in awake surgery.

Main Methods:

  • Interviews conducted with 23 surgeons from two hospitals.
  • Constant comparative method used for qualitative analysis of interview data until saturation.

Main Results:

  • Surgeons discussed pros and cons of awake procedures.
  • Detailed insights into patient-staff, patient-trainee, and intra-team communication.
  • Surgeons highlighted how communication skills for awake procedures are taught and learned.

Conclusions:

  • Surgeons acknowledge the importance of communication in awake procedures and employ diverse comfort strategies.
  • Multiparty communication challenges exist, particularly balancing teaching duties with patient comfort.