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Education, Research, and Quality Improvement |

The Impact of Hands-on Respiratory Management for Physicians and its Future Perspective

Keiko Hasegawa*, MD; Ryoma Tanaka, MD; Norihiro Kaneko, MD
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Kameda Medical Center, Kamogawa, Japan


Chest. 2012;142(4_MeetingAbstracts):539A. doi:10.1378/chest.1389709
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Abstract

SESSION TYPE: Education and Teaching in Critical Care Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: The Respiratory Management Hands-on Workshop for Physicians in-training (RMWP) began in November 2010 as an extracurricular program to respond the demands of systemic mechanical ventilation management education. To evaluate the impacts of RMWP, we conducted a preliminary survey, a pre/post-test, a questionnaire on the contents and a post-survey.

METHODS: The preliminary survey and the pre-test for the workshop attendees of May 2012 were conducted via web. The post-test and the anonymous questionnaire were conducted during the workshop. The post-survey of the past attendees, more than 100 physicians attended the workshop of November 2010, May 2011 and July 2011, was conducted in September 2011 via web.

RESULTS: A total of the 55% answered the post-survey and it revealed that the changes of mode(s) selection. The number of physicians using Assist-Control mode increased, whereas SIMV (Synchronized Intermittent Mandatory Ventilation) mode decreased. In the preliminary survey, the attendees tended to select SIMV and PCV (Pressure Controlled Ventilation) in clinical practice. In the pre-test, score of question about SIMV, PCV, Lung Compliance, and Graphic Monitoring were low. As to SIMV, the scores of experienced physicians were high. However, the scores of SIMV user were lower than those of SIMV non-users. As to PCV, the scores of experienced physicians were low. In the post-test, the scores of SIMV, Lung Compliance and Graphic Monitoring were significantly improved. In the questionnaire, the “self-reported” previous knowledge base of SIMV, PCV and Lung Compliance were not low despite of low scores in the pre-test. Hands-on session seemed to help understanding of modes such as SIMV.

CONCLUSIONS: The Preliminary survey and the pre-test indicated that attendees’ knowledge base requiring for respiratory management was not always correlated with physician’s experiences of mechanical ventilation. From the results of pre-/post-test and the post-survey of past attendees, RMWP would improve physicians’ understandings and change their clinical practice.

CLINICAL IMPLICATIONS: RMWP should provide both lectures and hands-on sessions with expert eyes to improve physicians’ understandings of respiratory management.

DISCLOSURE: The following authors have nothing to disclose: Keiko Hasegawa, Ryoma Tanaka, Norihiro Kaneko

No Product/Research Disclosure Information

Kameda Medical Center, Kamogawa, Japan

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