Knowledge and Opinions of Consultant and Resident Anesthesiologists on the Features and Use of Defibrillators and Automatic External Defibrillators: A Cross-Sectional Survey Study in Turkiye
Knowledge and Opinions on Defibrillator
DOI:
https://doi.org/10.5281/zenodo.10885992Keywords:
Cardiac arrest, ventricular fibrillation, pulseless ventricular tachycardia, defibrillation, automatic external defibrillationAbstract
Abstract
Objective: When there is a rhythm like ventricular fibrillation or pulseless ventricular tachycardia, prompt and effective defibrillation is the critical intervention in cardiac arrest. Therefore, knowing what to do and being familiar with the instruments used for this purpose is vital. The present study aimed to investigate the possibility of insufficient knowledge and opinions of consultant and resident anesthesiologists about defibrillators and to put forward constructive proposals for reforming, if necessary.
Material and Methods: This cross-sectional survey study included consultant and resident anesthesiologists. We sent questionnaires to 467 anesthesiologists via e-mail. The questionnaire included demographics, working status, duration, residency institution, workplace, experience with the defibrillator and automated external defibrillator (AED), previous cardiopulmonary resuscitation (CPR) training, and technical knowledge of defibrillators &AEDs.
Results: Three hundred and forty (72.8%) anesthesiologists filled out the questionnaires. Their mean age was 38.3±8.3 years. Twenty-five percent of them were residents. Of the anesthesiologists, 325(95.6%) used a defibrillator, 129(37.9%) witnessed out-hospital cardiac arrest, 69(20.3%) used AEDs, and 216(63.5%) attended CPR courses. There are significant differences in opinions and knowledge of anesthesiologists about defibrillator/defibrillation when compared to working duration, workplace, being a consultant, and having a previous CPR course.
Conclusion: Experience and information about defibrillators among anesthesiologists seem to be lacking. Continuous retraining through the guidelines can be considered as a possible updating method.
Downloads
References
REFERENCES
Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics-2011 update: a report from the American Heart Association. Circulation 2011;123: e18–209.
Cobb LA, Fahrenbruch CE, Olsufka M, Copass MK. Changing incidence of out of-hospital ventricular fibrillation, 1980-2000. JAMA 2002; 288:3008 - 3013.
Nolan JP. High-quality cardiopulmonary resuscitation. Curr Opin Crit Care 2014; 20:227–233.
Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation 2013; 128:417–135.
Hazinski MF, Nolan JP, Billi JE, et al. Part 1: executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation 2010;81 Suppl 1: e1-e25.
Travers AH, Perkins GD, Berg RA, et al. Part 3: adult basic life support and automated external defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation 2015;132(16 suppl 1): S51–S83.
Deakin CD, Nolan JP, Sunde K, Koster RW. European Resuscitation Council Guidelines for Resuscitation 2010 Section 3. Electrical therapies: Automated external defibrillators, defibrillation, cardioversion and pacing. Resuscitation 2010; 81:1293–1304.
Ho CL, Cheng KW, Ma TH, Wong YH,Cheng KL, Kam CW. Characterization of available automated external defibrillators in the market based on the product manuals in 2014. World J Emerg Med. 2016; 7:138-146.
Jacobs I, Sunde K, Deakin CD, et al. Part 6: Defibrillation: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation 2010; 81 Suppl 1: e71–e85.
Gregory A, MacAlloon C. Automated external defibrillators: everywhere? J Paramedic Prac 2011 3:4, 174-178.
Fordyce CB, Hansen CM, Kragholm K, et al. Association of Public Health Initiatives with Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations. JAMA Cardiol. 2017; 2:1226-1235.
Highlights of the 2010 American Heart Association Guidelines for CPR and ECC. In Eds Hazinski MF. https://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf accessed on 14th Nov 2017.
Leary M, Schweickert WM, Neefe S, Tsypenyuk B, Falk SA, Holena DN. Improving Providers' Role Definitions to Decrease Overcrowding and Improve In-Hospital Cardiac Arrest Response. Am J Crit Care 2016; 25:335-339.
Fraser KN, Kou MM, Howell JM, Fullertob KT, Sturek C. Improper defibrillator pad usage by emergency medical care providers for children: an opportunity for reeducation. Am J Emerg Med. 2014; 32:953-957.
Akpek EA, Kayhan Z. Knowledge of basic life support: a pilot study of the Turkish population by Baskent University in Ankara. Resuscitation 2003; 58:187–192.
Olajumoke TO, Afolayan JM, Raji SA, Adekunle MA. Cardiopulmonary resuscitation - knowledge, attitude and practices in Osun State, Nigeria. J West Afr Coll Surg. 2012; 2:23-32.
Edelson DP, Yuen TC, Mancini ME, et al. Hospital cardiac arrest resuscitation practice in the US: a nationally representative survey. J Hosp Med. 2014; 9:353-357.
Krawczyk P, Kononowicz AA, Andres J. Barriers in the implementation of the Resuscitation Guidelines: European survey of defibrillation techniques. Scand J Trauma Resusc Emerg Med. 2016; 24:28.
Medical Advisory Secretariat Ministry of Health and Long-Term Care. Use of Automated External Defibrillators in Cardiac Arrest. Ontario Health Technology Assessment Series 2005; Vol. 5, No. 19.
Wurmb T, Vollmer T, Sefrin P, et al. Monitoring of in-hospital cardiac arrest events with the focus on Automated External Defibrillators– a retrospective observational study. Scand J Trauma Resusc Emerg Med. 2015; 23:87.
Bonnet B, Gama Dessavre D, Kraus K, Ramirez-Marquez JE. Optimal placement of public-access AEDs in urban environments. Computers & Industrial Engineering. 2015; 269–280.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Chronicles of Precision Medical Researchers
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
