Article Text

6 Laryngospasm in recovery
  1. Nicola Stewart1,
  2. H Williams2,
  3. J Stedeford2,
  4. J Cornes2
  1. 1UK
  2. 2Gloucestershire Royal Hospital, UK


Background Emergence from anaesthesia is a common time for anaesthetic complications.1 When patients are taken to recovery they may be in the emergence phase. Recovery nurses should therefore be trained in the assessment and management of complications that arise.

Methodology A simulation based on the management of laryngospasm following removal of a laryngeal mask in theatre recovery was written. An ‘Advanced Life Support’ mannequin was used as the patient, and a remotely controlled iPad displayed observations in real time. A recovery nurse completed the scenario with assistance from another nurse. The nurse was asked to receive a patient and manage any complications (for each scenario this was laryngospasm). The debrief consisted of teaching based on the causes and management of laryngospasm, the contents of the emergency airway trolley, and a discussion around human factors. Each candidate completed a feedback form which used the 5 point Likert scale (1 = lowest, 5 = highest). Each simulation took 30 to 45 minutes.

Results 31 recovery nurses completed the simulation. The average score was 4.5 for ‘I felt I have learned’ (a little to a lot). All 31 candidates scored 5 for the scenario being relevant to their practice. 30 candidates scored 5 for finding the debrief useful. 20 candidates scored 4 or 5 for, ‘confidence in knowledge of topic before training’, (the average score was 3.6). This increased to 30 candidates scoring 4 or 5 for ‘confidence in knowledge of topic after training’. 26 candidates scored 4 or 5 when asked if the simulation made them consider their communication and team working skills.

Discussion There was an improvement in knowledge, confidence and non-technical skills following the simulation. All candidates felt the topic was relevant to their practice. Further sessions will be delivered on the airway trolley and application of cricoid pressure.

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