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一项关于麻醉科住院医师对复苏指南知识掌握情况的调查。

A survey of anaesthesiology residents' knowledge of resuscitation guidelines.

作者信息

Grześkowiak Małgorzata, Bartkowska-Śniatkowska Alicja, Rosada-Kurasińska Jowita

机构信息

Department of Teaching Anaesthesiology and Intensive Therapy, Poznań University of Medical Sciences, 61-861 Poznań, Poland.

出版信息

Anestezjol Intens Ter. 2010 Oct-Dec;42(4):187-9.

PMID:21252833
Abstract

BACKGROUND

Several surveys have been published, documenting the lack of knowledge of cardiopulmonary resuscitation (CPR) among anaesthesiology residents. As a result, we decided to assess the competency of local trainees in basic and advanced CPR.

METHODS

The survey was conducted among 26 residents in anaesthesiology who were asked twice (at the beginning, and at the end of refresher courses) to complete an open test on adult and paediatric CPR guidelines.

RESULTS

The results in the first, introductory surveys were poor. Most of the wrong answers concerned the age borderline between an adult and a child; the correct CPR sequences and their modification in children; and paediatric medication. The respondents were not able to define all reversible causes of cardiac arrest. The second survey were somewhat better, but the respondents could still not name the correct lidocaine dosage in all age groups.

CONCLUSIONS

Residents in anaesthesiology show the tendency their knowledge of resuscitation guidelines to decay. Refresher life support courses should be mandatory for this group of physicians.

摘要

背景

已有多项调查发表,记录了麻醉科住院医师对心肺复苏(CPR)知识的欠缺。因此,我们决定评估当地实习生在基础和高级心肺复苏方面的能力。

方法

对26名麻醉科住院医师进行了调查,要求他们(在进修课程开始时和结束时)两次完成关于成人及儿童心肺复苏指南的开放性测试。

结果

首次入门调查的结果较差。大多数错误答案涉及成人与儿童的年龄界限;正确的心肺复苏顺序及其在儿童中的调整;以及儿科用药。受访者无法确定心脏骤停的所有可逆原因。第二次调查结果有所改善,但受访者仍无法说出所有年龄组正确的利多卡因剂量。

结论

麻醉科住院医师表现出复苏指南知识衰退的倾向。应为这组医生强制开设进修生命支持课程。

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