Gül GÜNAYDIN, Çağdaş YILDIRIM, Murat Genc

Doktorların Prone Kardiyopulmoner Resüsitasyon Bilgi ve Uygulamaları: Bir Anket Çalışması

Amaç: Prone KPR özellikle son dönemde COVID-19 pandemisiyle birlikte tekrar gündeme gelmiştir. Prone pozisyonda takip edilen ileri havayolu olan hastalarda ya da prone pozisyonda opere edilen hastalarda gelişen arrestin yönetilmesinde Prone KPR kullanılabilir. Hastaların prone takip edildiği acil servis ve yoğun bakımlarda çalışan hekimlerin bu konuda bilgi sahibi olması önem arz etmektedir. Bu çalışmada acil servis ve yoğun bakım hekimlerinin prone KPR konusunda eğitim alıp almadığı, bilgi düzeyi ve prone KPR uygulayıp uygulamadığının belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmamız Aralık 2020-Mart 2021 tarihleri arasında şehir merkezinde yıllık yaklaşık 650000 acil başvurusu ve 700 yoğun bakım yatağı olan bir hastanede çalışan hekimlerin katıldığı bir anket çalışmasıdır. Katılımcılara 18’u demografik bilgiler ve eğitim durumlarını sorgulayan, 6’sı teorik bilgi ölçen toplamda 24 soruluk anket yöneltilmiştir. Verilerin analizi IBM SPSS 16.0 for Windows programında gerçekleştirilmiş ve anlamlılık değeri p < 0,05 olarak kabul edilmiştir. Çalışmamız Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu’nun 16.12.2020 tarih ve 118 sayılı kararı ile etik ve bilimsel açıdan uygun bulunmuştur. Bulgular: Çalışmaya 85’i asistan hekim, 27’si uzman hekim olmak üzere toplam 112 hekim katıldı. Katılımcıların 101’i acil serviste çalışırken 11’i yoğun bakımda çalışmaktaydı. Verilen yanıtlar incelendiğinde katılımcıların çoğunluğunun prone hasta takip etmiş olmasına rağmen daha önce prone KPR ile ilgili eğitim almadığı (%86,6) ve prone KPR yapmadığı (%92) gözlendi. Sonuç: COVİD-19 sırasında prone hasta takibi ve prone KPR artmış olmasına rağmen hekimlerin prone KPR konusunda bilgi ve deneyim eksikliği devam etmekte olup, bu konuya KPR eğitimlerinde yer verilmesine ihtiyaç vardır.

Knowledge and Practice of Prone Cardiopulmonary Resuscitation Among Physicians: A Survey Study

Aim: Prone CPR has gained popularity recently during the COVID-19 pandemic. Prone CPR can be used to manage cardiopulmonary arrest in patients who are being treated in a prone position with an advanced airway in place or in patients who are being operated on in the prone position. It is important that physicians who work in the emergency department and intensive care units, where patients are treated in a prone position, have knowledge about prone CPR. In this study, our goal was to determine emergency department and intensive care physicians’ level of knowledge about prone CPR as well as whether they have received training on prone CPR and whether they have applied prone CPR in their practice. Material and Methods: This study surveyed physicians working in a hospital in the city center with approximately 650,000 emergency department presentations aannually and 700 intensive care beds; the survey was conducted between December 2020 and March 2021. The participants were asked a total of 24 question, 18 of which elicited demographic information and educational status and six of which measured theoretical knowledge about prone CPR. The analysis of the data was performed using IBM SPSS 16.0 for Windows, and the significance value was accepted as p < 0.05. Results: A total of 112 physicians participated in the study, 85 of whom were residents and 27 of whom were specialists. While 101 of the participants were working in the emergency room, 11 were working in the intensive care unit. The data indicated that, although the majority of the participants followed prone patients, they had not received training on prone CPR (86.6%) and did not perform prone CPR (92%). Conclusion: Despite the increase in the number of patients followed in prone position and the use of prone CPR during the COVID-19 pandemic, physicians’ lack of knowledge and experience with prone CPR continues; therefore, prone CPR needs to be included in CPR education.

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