The Knowledge Profile, Competence and Pending Problems of Chinese Anesthesiologists in Dealing with Malignant Hyperthermia: A Cross-Sectional Survey

Tan, Lingcan; Yu, Hong; Yan, Jiun-Lin; Liu, Chunyuan; Xiao, Kun; Jin, Yixin; Zuo, Yunxia; Zhu, Tao; Deng, Xiaoqian

doi:10.2147/jmdh.s387025

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…A previous study completed by a total of 1,357 valid questionnaires was conducted by the West China Hospital of Sichuan University in 2021, providing valuable insights into the regional landscape of the cognitive evaluations and difficulties associated in dealing with MH among Chinese anesthesiologists in China, with 41.0% of participants representing the Sichuan Province. 8 In contrast, the extensive participation of anesthesiologists in this study from diverse provinces enhances the overall representation and significance of the findings. This study has shed light on the primary challenges confronted by anesthesiologists all around China, namely the difficulties in acquiring dantrolene and the insufficient experience and knowledge in managing MH.…”

Section: Discussionmentioning

confidence: 89%

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The Anesthesiologists’ Perception of Malignant Hyperthermia and Availability of Dantrolene in China: A Cross-Sectional Survey

Wang,

Yu,

Gao

et al. 2024

RMHP

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Background Malignant hyperthermia (MH) is a hypermetabolic syndrome with high mortality rates. Early detection and prompt intravenous administration of dantrolene are crucial for effective management of MH. However, there is currently a lack of comprehensive nationwide surveys on the availability of dantrolene and anesthesiologists’ understanding of MH in China. Methods A nationwide survey was conducted between January 2022 and June 2022. Online questionnaires on the cognition of MH among anesthesiologists in China were sent through social platforms to anesthesiologists in mainland China. Data regarding participants’ perception of MH-related knowledge, availability of domestic dantrolene, and reported MH cases were collected in this study. Results Responses were collected from a total of 11,354 anesthesiologists representing 31 provinces across the Chinese mainland. Among the 11 scoring questions, the highest accuracy rates were observed for the question regarding therapeutic drugs for MH (99.3%) and the characteristics of MH (98.0%). Conversely, the question pertaining to the earliest clinical signs of MH had the lowest accuracy rate (23.5%). Significant variations were observed in the scores among different professional titles ( P =0.003), academic degree ( P <0.001), hospital classification ( P <0.001), and urban hierarchy ( P <0.001). Of the respondents, 919 (8.1%) anesthesiologists reported dantrolene availability in their hospitals, and 631 (5.6%) indicated unclear. A total of 136 hospitals in this survey reported at least one previous case of MH. Conclusion Mainland China faces challenges such as insufficient experience in diagnosing and treating MH, as well as difficulty in obtaining dantrolene. To improve the public awareness of MH, it is imperative to establish and promote a refined MH training system. Additionally, a streamlined and rapid dantrolene linkage emergency system should be implemented to ensure prompt access to the drug.

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Section: Discussionmentioning

confidence: 89%

“…According to our survey, there is a widespread lack of knowledge related to MH across China. Anesthesiologists who participated in the national questionnaire had a median score of 6 (5,8), with the accuracy rate is 54.5%. Factors associated with scores are displayed in Table 2.…”

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confidence: 99%

The Anesthesiologists’ Perception of Malignant Hyperthermia and Availability of Dantrolene in China: A Cross-Sectional Survey

Wang,

Yu,

Gao

et al. 2024

RMHP

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“…Розуміння інтернами важливості командної роботи свідчить про усвідомлення ними істини, що досягнення позитивного результату у професійній діяльності анестезіолога значною мірою залежить від злагодженої діяльності усіх лікарів, задіяних у лікувальному процесі. А труднощі в отриманні професійної допомоги та погана командна робота є основними проблемами більшості анестезіологів при розв'язанні кризових ситуацій [16].…”

Section: оригінальні дослідження / Original Researchesunclassified

Formation of professional competence in anesthesiology interns (sociological research data)

Loskutov

Markov

2023

ЕМ

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Background. A sociological study has been conducted among anesthesiology interns of the second year of study whose results make it possible to interpret the formation of a body of knowledge, abilities and skills in them, which are gained in the process of training on the specialty “Anesthesiology and intensive care”. Among the tasks in postgraduate medical education, those stand out that involve the training of competent specialists capable of quickly solving practical tasks in health care with the introduction of innovative technologies. The aim of the study: to establish trends in the formation of professional competence among anesthesiology interns through their sociological survey. Materials and methods. At the end of 2022, a sociological survey was conducted among anesthesiology interns (a total of 63 doctors of both sexes, average age was 24.2 years). Results. When choosing the future profession of an anesthesiologist, 49.20 % of respondents indicated that it was their own choice; 23.80 % of interns noted the influence of parents on the choice of future specialty, 15.87 % indicated their friends or acquaintances or other factors. The interns noted the presence of personal experience of working in health care institutions — 88.88 % answered positively (at the same time, 14.28 % of respondents mentioned previous experience of working in an intensive care unit as a nurse) and 11.12 % denied such experience. Most respondents said what attracts them to anesthesiology as a specialty: the possibility of obtaining a quick positive result of their activity — 85.71 % and the satisfaction of saving a human life — 57.14 %. A significant part of the interviewees noted such a factor as prestige (38.09 %) and a small number of interns noted “other” (6.34 %). Among the subjects and disciplines during training at a higher educational institution, the most important for anesthesiologists, according to the interns, are physiology and pathophysiology — 93.65 %, pharmacology — 80.95 %, normal or pathological anatomy — 46.03 %, physics — 28.57 %, chemistry — 25.39 %; 1.58 % of the respondents answered that all subjects are important at the same time or clinical pharmacology. When choosing a future specialty, interns chose from such medical specialties as surgery (39.6 %), neurology (9.52 %), emergency medicine (19.04 %), and others. Among the directions in anesthesiology, interns consider obstetric anesthesiology (47.62 % of respondents), cardiac anesthesiology (66.66 %), neuroanesthesiology (53.96 %), trauma anesthesia (68.25 %), pediatric anesthesiology (46.03 %), anesthesia in abdominal surgery (46.03 %), intensive care (3.17 %), and 4.76 % of respondents answered that all directions in anesthesiology are important. Intern doctors noted the following necessary personality traits and human values for successful work as an anesthesiologist: determination (74.60 %), leadership qualities (44.44 %), excellent health (33.33 %), the ability to quickly make the right decisions (90.47 %), other (11.11 %). The interns indicated which directions in anesthesiology they would like to thoroughly study during the face-to-face training at the department, namely: cardiopulmonary resuscitation (92.06 % of respondents), intensive care in emergency situations (85.71 %), ultrasound diagnosis in anesthesiology (71.42 %), acute poisonings (68.25 %), prevention and treatment of pain syndromes (80.95 %), features of providing assistance to the victims (39.68 %) and others: emergency medical care and management of patients with combat trauma in the intensive care unit (4.76 %), features of anesthesia in various pathological conditions, regional anesthesia, pharmacotherapy of emergencies, intensive care for acute pathologies (1.58 % of respondents). Conclusions. The conducted sociological research among anesthesiology interns of the second year of study allowed to detect the following trends in the formation of professional competence of anesthesiology interns: a significant amount of information and high professional requirements for anesthesiologists imply constant improvement of their knowledge and skills that is impossible without a sufficiently high level of motivation. The presence of previous work experience of intern doctors in health care institutions emphasizes the meaningfulness of the choice of future specialty, social and professional understanding of the essence of practical medicine, ensures communication skills with colleagues. Among the subjects and disciplines taught in higher education institutions, in the opinion of anesthesiology interns, the most important are: physiology and pathophysiology, pharmacology, normal or pathological anatomy, physics and chemistry. When choosing the future specialty “Anesthesiology and intensive care”, interns most often chose from such medical specialties as surgery, neurology, and emergency medicine. For successful work as an anesthesiologist, according to anesthesiology interns, the most relevant are: determination, leadership qualities, excellent health, the ability to quickly make the right decisions, etc. Among the directions in anesthesiology, interns of the second year of study expressed their desire to thoroughly study: cardiopulmonary resuscitation, intensive care in emergency situations, ultrasound diagnosis in anesthesiology, acute poisonings, prevention and treatment of pain syndromes, features of providing assistance to the victims, and others.

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Continuing professional development (CPD) for anesthetists: A systematic review

Petersen

Bray

Østergaard

2023

Acta Anaesthesiol Scand

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BackgroundIn accordance with the focus on patient safety and quality in healthcare, continuing professional development (CPD) has received increasing levels of attention as a means to ensure physicians maintain their clinical competencies and are fit to practice. There is some evidence of a beneficial effect of CPD, though few studies have evaluated its effect within anesthesia. The primary aim of this systematic review was to establish which CPD activities anesthetists are engaged in and their effectiveness. The secondary aim was to explore which methods are employed to evaluate anesthetists’ clinical performance.MethodsDatabases searched: Medline, Embase and Web of Science, in May 2023. Additional papers were identified through searching the references of included studies. Eligible studies included anesthetists, either exclusively or combined with other healthcare professionals, who underwent a learning activity or assessment method as part of a formalized CPD program or a stand‐alone activity. Non‐English language studies, non‐peer reviewed studies and studies published prior to 2000 were excluded. Eligible studies were quality assessed and narratively synthesized, with results presented as descriptive summaries.ResultsA total of 2112 studies were identified, of which 63 were eligible for inclusion, encompassing more than 137,518 participants. Studies were primarily of quantitative design and medium quality. Forty‐one studies reported outcomes of single learning activities, whilst 12 studies investigated different roles of assessment methods in CPD and ten studies evaluated CPD programs or combined CPD activities. A 36 of the 41 studies reported positive effects of single learning activities. Investigations of assessment methods revealed evidence of inadequate performance amongst anesthetists and a mixed effect of feedback. Positive attitudes and high levels of engagement were identified for CPD programs, with some evidence of a positive impact on patient/organizational outcomes.DiscussionAnesthetists are engaged in a variety of CPD activities, with evidence of high levels of satisfaction and a positive learning effect. However, the impact on clinical practice and patient outcomes remains unclear and the role of assessment is less well‐defined. There is a need for further, high‐quality studies, evaluating a broader range of outcomes, in order to identify which methods are most effective to train and assess specialists in anesthesia.

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The Knowledge Profile, Competence and Pending Problems of Chinese Anesthesiologists in Dealing with Malignant Hyperthermia: A Cross-Sectional Survey

Cited by 3 publications

References 27 publications

The Anesthesiologists’ Perception of Malignant Hyperthermia and Availability of Dantrolene in China: A Cross-Sectional Survey

The Anesthesiologists’ Perception of Malignant Hyperthermia and Availability of Dantrolene in China: A Cross-Sectional Survey

Formation of professional competence in anesthesiology interns (sociological research data)

Continuing professional development (CPD) for anesthetists: A systematic review

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