In times of stress it is often difficult for clinicians to retrieve vital information needed to manage their patient. When faced with a difficult airway they may have been taught numerous maneuver/steps to manage the presented challenge. Retrieval can be improved with psychomotor rehearsal which involves both motor and mental rehearsal. Similar to kata used in learning a series of choreographed movements in karate we need to 'chunk' the steps used to manage a difficult airway so that they can be executed with minimal thought. Otherwise referred to as cued-fixed action responses the clinician recognizes difficulty in the form of a specific cue ie. a grade 3 epiglottis only view for DL or the "too good" view of being too close with VL which triggers a choreographed series of movements (fixed action response) to correct the difficulty. EVLI: Epiglottoscpy, Valleculoscopy, Laryngoscopy and Intubation represent the airway kata that need rehearsal to become imprinted in our motor memory. It is an example of system 1 training that may help us manage airway adversity in times of stress.
In times of stress it is often difficult for clinicians to retrieve vital information needed to manage their patient. When faced with a difficult airway they may have been taught numerous maneuver/steps to manage the presented challenge. Retrieval can be improved with psychomotor rehearsal which involves both motor and mental rehearsal. Similar to kata used in learning a series of choreographed movements in karate we need to 'chunk' the steps used to manage a difficult airway so that they can be executed with minimal thought. Otherwise referred to as cued-fixed action responses the clinician recognizes difficulty in the form of a specific cue ie. a grade 3 epiglottis only view for DL or the "too good" view of being too close with VL which triggers a choreographed series of movements (fixed action response) to correct the difficulty. EVLI: Epiglottoscpy, Valleculoscopy, Laryngoscopy and Intubation represent the airway kata that need rehearsal to become imprinted in our motor memory. It is an example of system 1 training that may help us manage airway adversity in times of stress.