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///2018 Abstract Details
2018 Abstract Details2019-08-02T15:57:01-05:00

Knowledge and Comfort with Neonatal Resuscitation Among Anesthesiologists: A Pilot Study

Abstract Number: S5B-4
Abstract Type: Original Research

Wenxi Gao MD, MSc1 ; David Moss MD2; Roman Schumann MD3; Dan Drzymalski MD4

BACKGROUND:

Care of the mother is the primary responsibility of the obstetric anesthesiologist, but occasionally help with neonatal resuscitation may be requested. Few anesthesiologists have formal Neonatal Resuscitation Program (NRP) training. The aim of this study was to develop a measurement tool to assess anesthesiologists’ knowledge and comfort with NRP in an academic institution. We hypothesized that pediatric fellowship trained anesthesiologists demonstrate greater knowledge and comfort compared to non-pediatric anesthesiologists.

METHODS:

We developed a survey instrument that assesses knowledge and sense of comfort with NRP and included demographic data. Knowledge questions were generated based on key concepts from a relevant textbook to assess cardiac and respiratory physiology and general care (1). Comfort questions measuring on a 7-point Likert scale were adapted from the “attitudes section” of a similar survey study (2). Face and content validity were established. The survey tool was distributed to 36 faculty anesthesiologists at a single academic medical center. The Mann-Whitney U test was used for statistical analysis and a P<0.05 was considered significant. Correlations between discrete, quantitative variables were tested using Spearman’s rho.

RESULTS:

The internal consistency of the survey questions was adequate (Cronbach's alpha = 0.7). Table 1 shows a correlation matrix for knowledge vs. comfort that revealed the two were well correlated (rho=0.7, P=0.001). The percent correctly answered knowledge questions was significantly greater for pediatric vs. non-pediatric anesthesiologists (69±10% vs. 51±16%, mean difference -18% [95% -34 to -2], P=0.03). The average comfort rating was significantly greater for pediatric vs. non-pediatric anesthesiologists (5.9±0.3 vs. 3.0±1.2, mean difference -2.9 [95% -4.1 to -1.7], P=0.0001).

CONCLUSIONS:

Our survey is a reliable and valid tool to assess anesthesiologists’ knowledge and comfort with NRP. As may be expected, knowledge and comfort with NRP was highest among pediatric anesthesiologists. A larger sample size and application of the survey instrument to obstetric fellowship trained and obstetric practicing anesthesiologists is warranted.

REFERENCES:

1. Weiner et al. AAP, 2016.

2. Maxwell et al. Congenit Heart Dis, 2014.



SOAP 2018