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. 2006 Nov-Dec;13(6):635–642. doi: 10.1197/jamia.M2123

Table 3.

Table 3. Correct Diagnosis and Treatment for the Simulated Events: A Correct Diagnostic Time Was Noted When Volunteers Stated the Above Phrases during Each of the Respective Events within 5 Minutes. A Correct Treatment Time Was Noted when Clinician Volunteers Performed the above Treatments Corresponding to Each of the Events. An Incorrect Treatment Time Was Indicated during the Normal Scenario If a Volunteer Performed a Maneuver as Described

Event Correct Diagnosis Correct Treatment
Obstructed endotracheal tube
  • “upper airway blockage,”

  • “obstructed endotracheal tube,”

  • “obstruction in the tube,”

  • “upper airway restrictions,”

  • “secretions in the tube,”

  • “mucus plug in the tube”

suctioned endotracheal tube
Endobronchial intubation
  • “endobronchial intubation,”

  • “main stemming,”

  • “tube down too far,”

  • “problem with tube placing”

pulled back on the endotracheal tube to the correct depth allowing proper ventilation
Intrinsic PEEP
  • “breath stacking,”

  • “autoPEEPing,” “air trapping,”

  • “intrinsic PEEP,”

  • “too low I:E ratio”

changed I:E ratio
Hypoventilation
  • “low tidal volumes,”

  • “volumes are low,”

  • “problems getting the volume in”

changed to ventilator’s pressure limit knob to increase the delivered tidal volume
Normal
  • “patient was normal,”

  • “everything seems okay,”

no treatment required
“I don’t see anything wrong” Incorrect treatment: bronchodilators, adjusted the ventilator settings, altered the position of the endotracheal tube, or suctioned the endotracheal tube