@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):203-213
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(3):203-213
The Evaluation Knowledge and Use of General Practitioners and Interns From Intubation with Medication
ARTICLE INFO
Article Type
Original ResearchAuthors
Mousavipour SA (*)Samadi K (1)
(*) Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz , Iran
(1) Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Correspondence
Address: Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranPhone: +98 (917) 7373177
Fax: +98 (71) 32359317
ashkan.galaxy@gmail.com
Article History
Received: September 10, 2017Accepted: May 23, 2018
ePublished: July 23, 2018
ABSTRACT
Aims
Among the main responsibilities of an intern and general practitioner
is airway management in patients. This study, thus, aims to assess interns’ and
general practitioners’ knowledge about endotracheal intubation.
Materials & Methods The studied cases involved physicians and interns responsible for and involved in intubation. Data was collected by a questionnaire developed based on experts’ comments asking about the respondents’ knowledge level.
Findings 78.65% of interns and 55% of GPs had average knowledge, 17.98% of interns and 18% of GPs had good knowledge, 3.37% of interns and 27% of GPs had poor knowledge.
Conclusion This can be helpful in emergency situations by the internes and general practitioners, and can be done by both of them. However, workshops and training courses are suggested to improve their performance and update their information.
Materials & Methods The studied cases involved physicians and interns responsible for and involved in intubation. Data was collected by a questionnaire developed based on experts’ comments asking about the respondents’ knowledge level.
Findings 78.65% of interns and 55% of GPs had average knowledge, 17.98% of interns and 18% of GPs had good knowledge, 3.37% of interns and 27% of GPs had poor knowledge.
Conclusion This can be helpful in emergency situations by the internes and general practitioners, and can be done by both of them. However, workshops and training courses are suggested to improve their performance and update their information.
CITATION LINKS
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[2]Farzianpoor F, Bazargan A. Evaluation of clinical education departments of Tehran hospitals. Tehran Univ Med J. 1999;57(2):72-8. [Persian]
[3]Jafari F, Hakimian MR, Saburi M. What is the Clinical Skills Learning Center (CSLC)?. Iran J Med Educ. 2001;3(1):21-9. [Persian]
[4]Hadadgar A, Joshan R, Changiz T, Shams B, Yousefi A. Where is here, what am I? Designing, implementation and evaluation of an introduction to clinical clerkship course for medical students. Iran J Med Educ. 2000;1(1):26-30. [Persian]
[5]Khorgami Z, Danaie G, Damari B. Clinical skills centers standards. Iran J Med Educ. 2002;2(Suppl 7):36. [Persian]
[6]Loyd A. Evidence-based practice: Chest compressions-only CPR. Gastroenterol Nurs. 2006;29(1):82-5.
[7]Heidenreich JW, Higdon TA, Kern KB, Sanders AB, Berg RA, Niebler R, et al. Single-rescuer cardiopulmonary resuscitation: ‘Two quick breaths’ --an oxymoron. Resuscitation. 2004;62(3):283-9.
[8]Ronaled D, Miller MD. Anesthesia. 5th Edition. London: Churchill Livingstone; 2000.
[9]Graham CA. Advanced airway management in the emergency department: What are the training and skills maintenance needs for UK emergency physicians?. Emerg Med J. 2004;21(1):14-9.
[10]Kovacs G, Adam J, Ross J, Tallon J, MacQuarrie K, Petrie D, et al. Acute airway management in the emergency department by non anesthesiologist. Can J Anaesth. 2004;51(2):174-80.
[11]Brown CA, Bair AE, Pallin DJ, Walls RM, NEAR III Investigators. Techniques, success and adverse events of emergency department adult intubation. Ann Emerg Med. 2015;65(4):363-70.e1
[12]Akan M, Oztekin S. Endotracheal intubation without neuromuscular blocking agents: Is it a good and safe option?. Anesth Pain Med. 2012;1(4):267-8.
[13]Dufour DG, Larose DL, Clement SC. Rapid sequence intubation in the emergency department. J Emerg Med. 1995;13(5):705-10.
[14]Yazdi B, Hekmatpou D, Koochaki M. Comparison of endotracheal intubation education with video laryngoscope and direct laryngoscopy on anaesthesiology students’ skill in Arak University Of Medical Sciences. Res Med Educ. 2010;2(2):1-9. [Persian]
[15]Beck GN, Masterson GR, Richard J, Bunting P. Comparison of intubation following propofol and alfentanil with intubation following thiopental and suxamethonium. Anaesthesia. 1993;48(10):876-80.
[16]Mehdizadeh J, Safikhani R, Motiee Langroudi M. Laryngotracheal injury following prolonged endotracheal intubation. Tehran Univ Med J. 2006;64(5):111-9. [Persian]
[17]Joo HS, Perks WJ, Belo SE. Sevoflurane with remifentanil allows rapid tracheal intubation without neuromuscular blocking agents. Can J Anaesth. 2001;48(7):646-50.
[18]Durmus M, Ender G, Kadir BA, Nurcin G, Erdogan O, Ersoy MO. Remifentanil with thiopental for tracheal intubation without muscle relaxants. Anesth Analg. 2003;96(5):1336-9.
[19]Erhan E, Ugur G, Alper I, Gunusen I, Ozyar B. Tracheal intubation without muscle relaxants: Remifentanil or alfentanil in combination with propofol. Eur J Anaesthesiol. 2003;20(1):37-43.
[20]Minto CF, Schnider TW, Shafer SL. Pharmacokinetics and Pharmacodynamics of Remifentanil. II. model application. Anaesthesiology. 1997;86(1):24-33.
[21]McKeating K, Bali IM, Dundee JW. The effects of thiopentone and propofol on upper airway integrity. Anaesthesia. 1988;43(8):638-40.
[22]Nieuwenhuijs DJ, Olofsen E, Romberg RR, Sarton E, Ward D, Engbers F, et al. Response surface modeling of remifentanil-propofol interaction on cardiorespiratory control and bispectral index. Anesthesiology. 2003;98(2):312-22.
[23]Trabold F, Casetta M, Duranteau J, Albaladejo P, Mazoit J, Samii K, et al. Propofol and remifentanil for intubation without muscle relaxant: The effect of the order of injection. Acta Anaesthesiol Scand. 2004;48(1):35-9.
[24]Akan M, Oztekin S. Endotracheal intubation without neuromuscular blocking agents: Is it a good and safe option?. Anesth Pain Med. 2012;1(4):267-8.
[25]Dufour DG, Larose DL, Clement SC. Rapid sequence intubation in the emergency department. J Emerg Med. 1995;13(5):705-10.
[26]Rognås LK, Hansen TM. EMS-physicians' self reported airway management training and expertise: A descriptive study from the Central Region of Denmark. Scand J Trauma Resusc Emerg Med. 2011;19:10.
[27]Stevenson AG, Graham CA, Hall R, Korsah P, McGuffie AC. Tracheal intubation in the emergency department: The Scottish district hospital perspective. Emerg Med J. 2007;24(6):394-7.
[28]Chatrath V, Singh I, Chatrath R, Arora N. Comparison of Intubating conditions of rocuronium bromide and vecuronium bromide with succinylcholine using “timing principle”. J Anaesthesiol Clin Pharmacol. 2010;26(4):493-7.
[29]Azoulay E, Kouatchet A, Jaber S, Lambert J, Meziani F, Schmidt M, et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2013;39(2):292-301.
[30]Foglia EE, Ades A, Napolitano N, Leffelman J, Nadkarni V, Nishisaki A. Factors associated with adverse events during tracheal intubation in the NICU. Neonatology. 2015;108(1):23-9.
[31]Kumar A, Saran J, Chandra R, Nanda SH. A Comparative clinical evaluation of intubating conditions and haemodynamic effects after administration of succinyl cholline & rocuronium bromide. J Evol Med Den Sci. 2015;4(28):4769-80.
[32]Latto IP, Vaughan RS. Difficulties in tracheal intubation. Philadelphia: Saunders; 1997.
[2]Farzianpoor F, Bazargan A. Evaluation of clinical education departments of Tehran hospitals. Tehran Univ Med J. 1999;57(2):72-8. [Persian]
[3]Jafari F, Hakimian MR, Saburi M. What is the Clinical Skills Learning Center (CSLC)?. Iran J Med Educ. 2001;3(1):21-9. [Persian]
[4]Hadadgar A, Joshan R, Changiz T, Shams B, Yousefi A. Where is here, what am I? Designing, implementation and evaluation of an introduction to clinical clerkship course for medical students. Iran J Med Educ. 2000;1(1):26-30. [Persian]
[5]Khorgami Z, Danaie G, Damari B. Clinical skills centers standards. Iran J Med Educ. 2002;2(Suppl 7):36. [Persian]
[6]Loyd A. Evidence-based practice: Chest compressions-only CPR. Gastroenterol Nurs. 2006;29(1):82-5.
[7]Heidenreich JW, Higdon TA, Kern KB, Sanders AB, Berg RA, Niebler R, et al. Single-rescuer cardiopulmonary resuscitation: ‘Two quick breaths’ --an oxymoron. Resuscitation. 2004;62(3):283-9.
[8]Ronaled D, Miller MD. Anesthesia. 5th Edition. London: Churchill Livingstone; 2000.
[9]Graham CA. Advanced airway management in the emergency department: What are the training and skills maintenance needs for UK emergency physicians?. Emerg Med J. 2004;21(1):14-9.
[10]Kovacs G, Adam J, Ross J, Tallon J, MacQuarrie K, Petrie D, et al. Acute airway management in the emergency department by non anesthesiologist. Can J Anaesth. 2004;51(2):174-80.
[11]Brown CA, Bair AE, Pallin DJ, Walls RM, NEAR III Investigators. Techniques, success and adverse events of emergency department adult intubation. Ann Emerg Med. 2015;65(4):363-70.e1
[12]Akan M, Oztekin S. Endotracheal intubation without neuromuscular blocking agents: Is it a good and safe option?. Anesth Pain Med. 2012;1(4):267-8.
[13]Dufour DG, Larose DL, Clement SC. Rapid sequence intubation in the emergency department. J Emerg Med. 1995;13(5):705-10.
[14]Yazdi B, Hekmatpou D, Koochaki M. Comparison of endotracheal intubation education with video laryngoscope and direct laryngoscopy on anaesthesiology students’ skill in Arak University Of Medical Sciences. Res Med Educ. 2010;2(2):1-9. [Persian]
[15]Beck GN, Masterson GR, Richard J, Bunting P. Comparison of intubation following propofol and alfentanil with intubation following thiopental and suxamethonium. Anaesthesia. 1993;48(10):876-80.
[16]Mehdizadeh J, Safikhani R, Motiee Langroudi M. Laryngotracheal injury following prolonged endotracheal intubation. Tehran Univ Med J. 2006;64(5):111-9. [Persian]
[17]Joo HS, Perks WJ, Belo SE. Sevoflurane with remifentanil allows rapid tracheal intubation without neuromuscular blocking agents. Can J Anaesth. 2001;48(7):646-50.
[18]Durmus M, Ender G, Kadir BA, Nurcin G, Erdogan O, Ersoy MO. Remifentanil with thiopental for tracheal intubation without muscle relaxants. Anesth Analg. 2003;96(5):1336-9.
[19]Erhan E, Ugur G, Alper I, Gunusen I, Ozyar B. Tracheal intubation without muscle relaxants: Remifentanil or alfentanil in combination with propofol. Eur J Anaesthesiol. 2003;20(1):37-43.
[20]Minto CF, Schnider TW, Shafer SL. Pharmacokinetics and Pharmacodynamics of Remifentanil. II. model application. Anaesthesiology. 1997;86(1):24-33.
[21]McKeating K, Bali IM, Dundee JW. The effects of thiopentone and propofol on upper airway integrity. Anaesthesia. 1988;43(8):638-40.
[22]Nieuwenhuijs DJ, Olofsen E, Romberg RR, Sarton E, Ward D, Engbers F, et al. Response surface modeling of remifentanil-propofol interaction on cardiorespiratory control and bispectral index. Anesthesiology. 2003;98(2):312-22.
[23]Trabold F, Casetta M, Duranteau J, Albaladejo P, Mazoit J, Samii K, et al. Propofol and remifentanil for intubation without muscle relaxant: The effect of the order of injection. Acta Anaesthesiol Scand. 2004;48(1):35-9.
[24]Akan M, Oztekin S. Endotracheal intubation without neuromuscular blocking agents: Is it a good and safe option?. Anesth Pain Med. 2012;1(4):267-8.
[25]Dufour DG, Larose DL, Clement SC. Rapid sequence intubation in the emergency department. J Emerg Med. 1995;13(5):705-10.
[26]Rognås LK, Hansen TM. EMS-physicians' self reported airway management training and expertise: A descriptive study from the Central Region of Denmark. Scand J Trauma Resusc Emerg Med. 2011;19:10.
[27]Stevenson AG, Graham CA, Hall R, Korsah P, McGuffie AC. Tracheal intubation in the emergency department: The Scottish district hospital perspective. Emerg Med J. 2007;24(6):394-7.
[28]Chatrath V, Singh I, Chatrath R, Arora N. Comparison of Intubating conditions of rocuronium bromide and vecuronium bromide with succinylcholine using “timing principle”. J Anaesthesiol Clin Pharmacol. 2010;26(4):493-7.
[29]Azoulay E, Kouatchet A, Jaber S, Lambert J, Meziani F, Schmidt M, et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2013;39(2):292-301.
[30]Foglia EE, Ades A, Napolitano N, Leffelman J, Nadkarni V, Nishisaki A. Factors associated with adverse events during tracheal intubation in the NICU. Neonatology. 2015;108(1):23-9.
[31]Kumar A, Saran J, Chandra R, Nanda SH. A Comparative clinical evaluation of intubating conditions and haemodynamic effects after administration of succinyl cholline & rocuronium bromide. J Evol Med Den Sci. 2015;4(28):4769-80.
[32]Latto IP, Vaughan RS. Difficulties in tracheal intubation. Philadelphia: Saunders; 1997.