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Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study

BACKGROUND: Awake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure. METHODS: A qualitative, descriptive design was used and p...

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Autores principales: Knudsen, Kati, Nilsson, Ulrica, Högman, Marieann, Pöder, Ulrika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006435/
https://www.ncbi.nlm.nih.gov/pubmed/27576876
http://dx.doi.org/10.1186/s12871-016-0240-z
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author Knudsen, Kati
Nilsson, Ulrica
Högman, Marieann
Pöder, Ulrika
author_facet Knudsen, Kati
Nilsson, Ulrica
Högman, Marieann
Pöder, Ulrika
author_sort Knudsen, Kati
collection PubMed
description BACKGROUND: Awake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure. METHODS: A qualitative, descriptive design was used and patients were recruited from three county hospitals and one university hospital in Sweden. Data was collected by semi-structured interviews with 13 patients who underwent awake fiberoptic intubation. A qualitative content analysis extracted theme, categories, and subcategories. RESULTS: From the patient statements, one main theme emerged, feelings of being in a vulnerable situation but cared for in safe hands, which were described in five categories with 15 subcategories. The categories were: a need for tailored information, distress and fear of the intubation, acceptance and trust of the staff’s competence, professional caring and support, and no hesitation about new awake intubation. The patients felt they lacked information about what to expect and relied on the professionals’ expertise. Some patients felt overwhelmed by the information they were given and wanted less specific information about the equipment used but more information about how they would be cared for in the operating room. Undergoing awake intubation was an acceptable experience for most patients, whereas others experienced it as being painful and terrifying because they felt they could not breathe or communicate during the procedure itself. CONCLUSIONS: Tailored information about what to expect, ensuring eye contact and breathing instruction during the procedure seems to reduce patient distress when undergoing awake fiberoptic intubation. Most of the patients would not hesitate to undergo awake intubation again in the future if needed.
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spelling pubmed-50064352016-09-01 Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study Knudsen, Kati Nilsson, Ulrica Högman, Marieann Pöder, Ulrika BMC Anesthesiol Research Article BACKGROUND: Awake fiberoptic intubation is an alternative procedure for securing the airway and is a recommended option when a difficult airway is expected. The aim of the present study was to describe patient experiences with this procedure. METHODS: A qualitative, descriptive design was used and patients were recruited from three county hospitals and one university hospital in Sweden. Data was collected by semi-structured interviews with 13 patients who underwent awake fiberoptic intubation. A qualitative content analysis extracted theme, categories, and subcategories. RESULTS: From the patient statements, one main theme emerged, feelings of being in a vulnerable situation but cared for in safe hands, which were described in five categories with 15 subcategories. The categories were: a need for tailored information, distress and fear of the intubation, acceptance and trust of the staff’s competence, professional caring and support, and no hesitation about new awake intubation. The patients felt they lacked information about what to expect and relied on the professionals’ expertise. Some patients felt overwhelmed by the information they were given and wanted less specific information about the equipment used but more information about how they would be cared for in the operating room. Undergoing awake intubation was an acceptable experience for most patients, whereas others experienced it as being painful and terrifying because they felt they could not breathe or communicate during the procedure itself. CONCLUSIONS: Tailored information about what to expect, ensuring eye contact and breathing instruction during the procedure seems to reduce patient distress when undergoing awake fiberoptic intubation. Most of the patients would not hesitate to undergo awake intubation again in the future if needed. BioMed Central 2016-08-30 /pmc/articles/PMC5006435/ /pubmed/27576876 http://dx.doi.org/10.1186/s12871-016-0240-z Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Knudsen, Kati
Nilsson, Ulrica
Högman, Marieann
Pöder, Ulrika
Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title_full Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title_fullStr Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title_full_unstemmed Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title_short Awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
title_sort awake intubation creates feelings of being in a vulnerable situation but cared for in safe hands: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5006435/
https://www.ncbi.nlm.nih.gov/pubmed/27576876
http://dx.doi.org/10.1186/s12871-016-0240-z
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