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Titolo:
INTENSIVE-CARE PHYSICIANS INSUFFICIENT KNOWLEDGE OF RIGHT-HEART CATHETERIZATION AT THE BEDSIDE - TIME TO ACT
Autore:
GNAEGI A; FEIHL F; PERRET C;
Indirizzi:
UNIV LAUSANNE HOSP,INST CLIN PHYSIOPATHOL LAUSANNE SWITZERLAND UNIV LAUSANNE HOSP,MED INTENS CARE UNIT LAUSANNE SWITZERLAND
Titolo Testata:
Critical care medicine
fascicolo: 2, volume: 25, anno: 1997,
pagine: 213 - 220
SICI:
0090-3493(1997)25:2<213:IPIKOR>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; PULMONARY-ARTERY CATHETERIZATION; RANDOMIZED CLINICAL-TRIAL; RISK SURGICAL PATIENTS; OXYGEN DELIVERY; SUPRANORMAL VALUES; MORTALITY; SURGERY; MORBIDITY; ELEVATION;
Keywords:
CATHETERIZATION, PULMONARY ARTERY; CRITICAL CARE; INTENSIVE CARE UNITS; PHYSICIANS; FRANCE; SWITZERLAND; BELGIUM; CLINICAL COMPETENCE; QUESTIONNAIRES; PULMONARY ARTERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
A. Gnaegi et al., "INTENSIVE-CARE PHYSICIANS INSUFFICIENT KNOWLEDGE OF RIGHT-HEART CATHETERIZATION AT THE BEDSIDE - TIME TO ACT", Critical care medicine, 25(2), 1997, pp. 213-220

Abstract

Objective: To evaluate French, Swiss, and Belgian intensive care physicians' knowledge about the pulmonary artery catheter. Design: Survey study by questionnaire. Setting: Eighty-six European university and nonuniversity intensive care units (ICUs). Subjects: One hundred thirty-four ICUs identified from the directories of two European intensive care medicine societies were asked to participate. Five hundred thirty-five critical care physicians working in 86 ICUs participated. Interventions: In any particular ICU, all physicians were to complete-simultaneously, anonymously and without prior notice- multiple choice questionnaire consisting of 31 questions regarding ail aspects of bedside pulmonary artery catheterization. This questionnaire was the same one already used and extensively validated in a similar study conducted several years earlier in the United States and Canada. Measurements and MainResults: The percentage of correct answers per participant (score) was tabulated. Sixty eight percent of respondents still in training (n =232) believed that their knowledge of the pulmonary artery catheter was less than adequate; 36% of those who had completed their postgraduate training (n = 294) also believed their knowledge to be inadequate. The mean score of all respondents was 72.2 +/- 14.4%, significantly lower (p < .0001) in case of uncompleted postgraduate training (67.3 +/-14.7%, lower quartile 56.7%, median 70.0%, upper quartile 76.7%), as compared with completed postgraduate training (76.1 +/- 13.0%, lower quartile 70.0%, median 80.0%, upper quartile 86.7%). When using multivariate analysis, the location of the ICU in a university hospital, the belief of respondent that his/her knowledge of the pulmonary artery catheter was adequate, and the responsibility for supervising catheter insertion were the only independent predictors of good performance on the questionnaire (p < .001 for all three variables). It was impossibleto identify any subcategory of physicians with a uniformly good knowledge of the pulmonary artery catheter. The proportion of incorrect answers to some basic items was disturbingly high. For instance, similar to 50% of the respondents, whether trained or in training, did not correctly identify pulmonary artery occlusion pressure from a clear chartrecording. Conclusions: Knowledge of right-heart pulmonary artery catheterization is not uniformly good among ICU physicians. Accreditationpolicies and teaching practices concerning this technique need urgentrevision.

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Documento generato il 12/07/20 alle ore 05:19:24