Assessment of a point-of-care information system in simulated pediatric anesthesia emergencies

Introduction: The use of written protocols in simulated pediatric resuscitation scenarios was associated with a significant reduction in drug administration and equipment selection errors. Recently, the value of a point of care information system in helping anesthesiology residents in the diagnosis and treatment of simulated malignant hyperthermia was demonstrated. The present study evaluated the value of using a point of care information system in the treatment of simulated pediatric anesthesia emergencies. Methods: We evaluated the use of a point-of-care information system (OLEH, on line electronic help) during the treatment of three simulated pediatric anesthesia emergencies by anesthesia residents. Results: The score for anaphylaxis treatment was 16.2 ± 2.6 (maximal score 23) in the OLEH users group (n = 11) and 12 ± 3 in the non-users group (n = 17) (p = 0.002). Epinephrine in a correct dose was given by 10/11 of the OLEH users and by 9/17 of the non-users (p < 0.035). Adenosine in a correct dose for the treatment of supraventricular tachycardia was given by all 11 OLEH users and 8/17 of the nonusers (p < 0.02), and cardioversion was correctly performed for the treatment of wide complex tachycardia by all 8 OLEH users and 14/20 of the non-users (p < 0.08). The time elapsed from the beginning of the scenario to decision on adenosine dose or defibrillation energy was not different between groups. Conclusions: The findings support the use of a cognitive aid such as the OLEH for the management of anesthesia related pediatric emergencies.