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Resuscitation after cardiac surgery awareness: an Egyptian national survey
BACKGROUND: Cardiac surgery patients have different resuscitative needs than other patients who experience in-hospital cardiac arrest; this was addressed in the guidelines. However, it is unknown how widely the guidelines are practiced, or a training protocol is followed in different cardiac surgery...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8819195/ http://dx.doi.org/10.1186/s43057-022-00067-6 |
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author | Abdelghafar, Moslem Abdelmoneim, Taher Mohamed, Alaa Abdalla, Mohamed |
author_facet | Abdelghafar, Moslem Abdelmoneim, Taher Mohamed, Alaa Abdalla, Mohamed |
author_sort | Abdelghafar, Moslem |
collection | PubMed |
description | BACKGROUND: Cardiac surgery patients have different resuscitative needs than other patients who experience in-hospital cardiac arrest; this was addressed in the guidelines. However, it is unknown how widely the guidelines are practiced, or a training protocol is followed in different cardiac surgery units in Egypt. METHODS: A 21-question survey was created and included: Participant demographics, prevalence of cardiac arrest, cardiac arrest protocol, emergency resternotomy technique, training protocols. Survey was disseminated through social media messaging platforms during the period between November 2020 and January 2021. RESULTS: Ninety-five responses were from 11 centres across Egypt. In total, 68.5% of the respondents were surgeons, 76.8% of participants were junior surgeons. For patients who go into VF after cardiac surgery, respondents would attempt a median of 3 shocks with only 24.2% commencing defibrillation shocks before external cardiac massage, whilst the majority initiating CPR immediately and performing emergency resternotomy in a median time of 10 min. In total, 56.8% would give 1 mg of adrenaline as soon as the cardiac arrest was established. If a surgeon was not available, only 36.8% of respondents would allow any trained personnel to perform the emergency resternotomy. Only 9.5% practice regularly on emergency sternotomies. Seventy-five percent think tailored training is important and staff should be oriented about it in the future. CONCLUSION: An action plan is required to improve the training of the junior surgeons regarding the Cardiac Advanced Life Support Protocol to implement it in a timely organised manner. This should be endorsed and audited by a national society or body by keeping a national registry and mandatory recertification. |
format | Online Article Text |
id | pubmed-8819195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-88191952022-02-07 Resuscitation after cardiac surgery awareness: an Egyptian national survey Abdelghafar, Moslem Abdelmoneim, Taher Mohamed, Alaa Abdalla, Mohamed Cardiothorac Surg Review BACKGROUND: Cardiac surgery patients have different resuscitative needs than other patients who experience in-hospital cardiac arrest; this was addressed in the guidelines. However, it is unknown how widely the guidelines are practiced, or a training protocol is followed in different cardiac surgery units in Egypt. METHODS: A 21-question survey was created and included: Participant demographics, prevalence of cardiac arrest, cardiac arrest protocol, emergency resternotomy technique, training protocols. Survey was disseminated through social media messaging platforms during the period between November 2020 and January 2021. RESULTS: Ninety-five responses were from 11 centres across Egypt. In total, 68.5% of the respondents were surgeons, 76.8% of participants were junior surgeons. For patients who go into VF after cardiac surgery, respondents would attempt a median of 3 shocks with only 24.2% commencing defibrillation shocks before external cardiac massage, whilst the majority initiating CPR immediately and performing emergency resternotomy in a median time of 10 min. In total, 56.8% would give 1 mg of adrenaline as soon as the cardiac arrest was established. If a surgeon was not available, only 36.8% of respondents would allow any trained personnel to perform the emergency resternotomy. Only 9.5% practice regularly on emergency sternotomies. Seventy-five percent think tailored training is important and staff should be oriented about it in the future. CONCLUSION: An action plan is required to improve the training of the junior surgeons regarding the Cardiac Advanced Life Support Protocol to implement it in a timely organised manner. This should be endorsed and audited by a national society or body by keeping a national registry and mandatory recertification. Springer Berlin Heidelberg 2022-02-07 2022 /pmc/articles/PMC8819195/ http://dx.doi.org/10.1186/s43057-022-00067-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Abdelghafar, Moslem Abdelmoneim, Taher Mohamed, Alaa Abdalla, Mohamed Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title | Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title_full | Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title_fullStr | Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title_full_unstemmed | Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title_short | Resuscitation after cardiac surgery awareness: an Egyptian national survey |
title_sort | resuscitation after cardiac surgery awareness: an egyptian national survey |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8819195/ http://dx.doi.org/10.1186/s43057-022-00067-6 |
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