215 posters, 5 topics, 22 sessions, 596 authors, 283 institutions
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Obstetric Anaesthesia Annual Scientific Meeting 2025
May 15 - 16, 2025 | ICC, 2 Lanyon Place, Belfast BT1 3WH
6780367
QI bundle for patient safety in Obstetric Genral Anaesthesia
Part of Topic
Quality Improvement
QI Bundle for patient safety in Obstetric General Anaesthesia
Sean Harbison*1, Niamh Toner1, Nicki Alexander2, Kate Theodosiou2, Julia Critchley2
1South East Scotland School of Anaesthesia, 2Simpson Centre For Reproductive Health, Royal Infirmary of Edinburgh, NHS Lothian, UK
Background
•Increased rates of difficult intubation, including failed intubation, airway complications and awareness1
•
•Checklists and system-based approaches can facilitate improved outcomes by removing mental load from clinicians
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•We have implemented a quality improvement bundle alongside an RSI checklist recommending:
qRamped position
qBIS
qLow flow nasal oxygen (LFNO)
Videolaryngoscopy (VL) use
Methods
•Data collected on all Obstetric GAs from January 2023 to September 2024
•
•Data was recorded by anaesthetists involved in the case for ramped position, BIS, LFNO, use of VL and successful intubations
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•Local Clinical Governance team and Caldicott approval was granted
Results
•Total of 548 Obstetric GA cases during study period
•
•Intubation data available for 473/548 (86.3%) cases
•
•All measured outcomes were >91%
•
Successful 1st pass intubation was achieved in 96.2% of cases
Discussion
•Obstetric GAs can be stressful and challenging – often performed by trainees out of hours
•
•A consistent, systems-based approach can ensure that patients are kept safe
•
•We show that with the use of a QI bundle alongside an RSI checklist maintains a high rate of successful first pass intubations, with few failed or difficult intubations