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Airway Fire Prevention and Management in the Operating Room: A Mixed Methods Study on the Effectiveness of an

Sonal Bhat1, R Anand2, Lulu Sherif Mahmood3

  • 1Department of Anaesthesiology, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India.

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Summary

This study developed an Interprofessional Simulation module (IPSE) to train operating room personnel on preventing and managing rare but dangerous airway fires during laser surgery. The IPSE module significantly improved knowledge, attitudes, and team performance in fire prevention and management.

Keywords:
Formation interprofessionnelleIncendies des voies respiratoires par laserInterprofessional educationSimulationlaser airway firessimulation

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Area of Science:

  • Medical Education
  • Surgical Safety
  • Healthcare Simulation

Background:

  • Laser airway fires during surgery are rare but catastrophic events in Indian operation theaters.
  • Routine healthcare training often lacks specific protocols for laser airway fire prevention and management.

Purpose of the Study:

  • To develop, implement, and evaluate an Interprofessional Simulation module (IPSE) for operating room (OR) personnel.
  • To enhance the prevention and management of airway fires within the OR setting.

Main Methods:

  • A mixed-method study involving 31 OR professionals (anesthesiology/ENT residents, nurses, allied health practitioners).
  • Utilized didactic lectures followed by in situ simulation scenarios.
  • Assessed knowledge, attitudes, and team performance using validated questionnaires and observer checklists, with qualitative analysis of debriefing sessions.

Main Results:

  • Significant improvements observed in participants' knowledge (P=0.001), attitudes (P=0.001), and performance (P=0.012) post-module.
  • Knowledge and team performance improvements were sustained at 6 months (P=0.041).
  • Qualitative analysis revealed themes of enhanced communication, defined roles, critical decision-making, and confidence gains.

Conclusions:

  • The Interprofessional Simulation module (IPSE) is effective in improving OR team knowledge and performance for laser airway fire prevention and management.
  • Simulation-based training offers a promising approach to enhance surgical safety in managing rare but critical events.