Join now to get access to this content and more.
Become a SOAP member and have access to our benefits.
- For Review: SOAP Consensus Statement on Neuraxial Procedures in Thrombocytopenic Parturients
- Sample Centers of Excellence Applications
- ASA Corner
- SOAP Policy and Procedure Manual (P&P Manual)
- SOAP Expert Opinions
- SOAP's Learning Modules
- 2019 Annual Meeting Lecture Videos
- December 2018 - SOAP Unofficial Guide to ASA Committees Webinar
- Submit a Position
- View Job Postings
- Previous Meeting Archives
- Previous Meeting Abstract Search
- CMS Guidelines
- Member Benefits
- Newsletter Clinical Articles
- ACOG Documents
- Search our Patient Safety Archive
- Ask SOAP a Question
- Global Health Opportunities
- And more…
Knowledge and Comfort with Neonatal Resuscitation Among Anesthesiologists: A Pilot Study
Abstract Number: S5B-4
Abstract Type: Original Research
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.
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.
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).
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.
1. Weiner et al. AAP, 2016.
2. Maxwell et al. Congenit Heart Dis, 2014.