Medical Simulation and Emergency Management Research Group, Department of Anaesthesia, General Intensive Care and Pain Management, Medical University of Vienna, Austria.
Minerva Anestesiol. 2012 Apr;78(4):434-41. Epub 2012 Jan 12.
Even though anaesthetists do not resuscitate children on a daily basis, they need to perform paediatric life support regularly due to their different duties. As the knowledge of international guidelines varies widely, highly standardized European Paediatric Life Support (EPLS) courses have been introduced to improve standards of care. This national survey among Austrian anaesthetists and EPLS course participants evaluated the impact of this course at the end of the guideline period 2005-2010.
After approval by the institutional review board an online survey about paediatric resuscitation guidelines was sent to EPLS course participants of the guideline period 2005 (EPLS group) and members of the Austrian Society of Anaesthesia, Resuscitation and Intensive Care (ÖGARI) two weeks before publication of the resuscitations guidelines 2010. Respondents without an EPLS course were assigned to the non-EPLS group.
Of 333 respondents 247 finished the survey. One hundred eighty five persons were assigned to EPLS group and 62 to the non-EPLS group. Members of the EPLS group performed significantly better than the non-EPLS group (76 ± 19% correct answers EPLS group vs. 63 ± 18% correct answers non-EPLS group, p<0.0001). Furthermore, the EPLS group performed better than anesthetists with regular resuscitation training and or resuscitation experience but without an EPLS course.
The attendance of an EPLS course within the guideline period 2005 significantly increased the theoretical knowledge of paediatric resuscitation guidelines.
尽管麻醉师并非每天都要对儿童进行复苏,但由于其职责不同,他们需要定期进行儿科生命支持。由于国际指南的知识差异很大,因此引入了高度标准化的欧洲儿科生命支持(EPLS)课程,以提高护理标准。这项针对奥地利麻醉师和 EPLS 课程参与者的全国性调查评估了该课程在 2005-2010 年指南期间结束时的影响。
在机构审查委员会批准后,我们向 2005 年指南期间的 EPLS 课程参与者(EPLS 组)和奥地利麻醉学、复苏和重症监护协会(ÖGARI)成员发送了一份关于儿科复苏指南的在线调查,在 2010 年复苏指南发布前两周。没有 EPLS 课程的受访者被分配到非 EPLS 组。
在 333 名受访者中,有 247 名完成了调查。185 人被分配到 EPLS 组,62 人被分配到非 EPLS 组。EPLS 组的表现明显好于非 EPLS 组(EPLS 组 76±19%正确答案与非 EPLS 组 63±18%正确答案相比,p<0.0001)。此外,EPLS 组的表现优于有常规复苏培训和/或复苏经验但没有 EPLS 课程的麻醉师。
在 2005 年指南期间参加 EPLS 课程显著提高了儿科复苏指南的理论知识。