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Participation of Trainees, Trainers, and Program Directors of Anesthetists and Anesthesia Technicians in the Neonatal Resuscitation Program in Turkiye

Year 2023, Volume: 13 Issue: 4, 702 - 705, 31.07.2023
https://doi.org/10.16899/jcm.1299559

Abstract

Backgroun/Aims: The Newborn Resuscitation Program aims to ensure that healthcare professionals prevent complications that may occur in the baby, mainly due to asphyxia. Like some other health providers, anesthesia staffs also participate in this program. We aim to determine the rate of participation and contribution of anesthesiologists and anesthesia technicians to programs. We discussed why participation in this program is essential and what results in it will have when evaluated with the after-effects.
Method: After the approval of the Gulhane Scientific Research Ethics Committee, the participant records of the courses, which has been organized since 1998, were examined. The records show the number of anesthesia staff according to the total number of people and their distribution by year. We compared total participants to anesthesia staff with the inclusion of trainees, trainers, and course directors in our country. The distribution of these sums and what these numbers might mean were investigated.
Results: Only one anesthetist attended the first course as a trainee in 1998. The highest participation as anesthetist and anesthesia technician was in 2010, with 494 participants, 218 and 276, respectively. Since the beginning of the course, 2392 anesthesiologists and 3124 anesthesia technicians out of 75,256 trainees have received training. The average is 3.57 percent. Sixteen out of 47 anesthesiologists and 7 out of 11 anesthesia technicians actively contribute to the programs as trainers. Only five anesthetists and two technicians determined the course directors. All of those directors are active in the program.
Conclusion: The number of trainers and course directors is relatively low compared to the total number of people working in the anesthesia branch nationwide. As anesthesia staff is critical for neonatal resuscitations, increasing anesthesia staff participation can significantly reduce neonatal mortality and morbidity.

References

  • 1- Kapadia VS, La CV, Kakkilaya V et al. Impact of the Neonatal Resuscitation Program–Recommended Low Oxygen Strategy on Outcomes of Infants Born Preterm. J Pediatr 2017;191:35-41.
  • 2- Bansal SC, Nimbalkar AS, Patel DV et al. Current Neonatal Resuscitation Practices among Paediatricians in Gujarat, India. Int J Pediatr 2014; 676374: 7 http://dx.doi.org/10.1155/2014/676374
  • 3- Trevisanuto D, Ferrarese P, Cavicchioli P et al. Knowledge gained by pediatric residents after neonatal resuscitation program courses. Pediatr Anesth 2005; 15: 944–947.
  • 4- Surcouf JW, Chauvin SW, Ferry J et al. Enhancing residents’ neonatal resuscitation competency through unannounced simulation-based training. Med Edu Online 2013; 18: 18726 - http://dx.doi.org/10.3402/meo.v18i0.18726
  • 5- Poultona DA, Schmölzer GM, Morley CJ et al. Assessment of chest rise during mask ventilation of preterm infants in the delivery room. Resuscitation 2011; 82: p. 175–179
  • 6- Bismilla Z, Finan E, McNamara PJ et al. Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation. J Perinat 2010; 30: p.182-187;doi 10.1038/jp.2009.152.
  • 7- Khoo EJ, Chua SH, Kutzsche S. Applying educational theories into planning a psychomotor learning activity: An undergraduate Neonatal Resuscitation Program experience. Arch Argent Pediatr 2019;117(2):e181-e187 / e181
  • 8- Tezel B, İlhan M, Günay I et al. Neonatal resuscitation program provider courses in Turkey. J Dr Behcet Uz Child Hosp 2015; 5(2):101-108. doi:10.5222/buchd.2015.101.
  • 9- Ribeliene J, Kudreviciene A, Kregzdiene R et al. National neonatal resuscitation training program in Lithuania (2003–2013). Abstracts / Resuscitation 96S 2015; 43: 157. http://dx.doi.org/10.1016/j.resuscitation.2015.09.305.
  • 10-Lim G , Facco FL, Nathan N et al. A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes. Anesthesiology. 2018; 129(1): 192–215. doi:10.1097/ALN.0000000000002182.
  • 11- Gaiser R, Lewin SB, Cheek TG et al. Anesthesiologists’ Interest in Neonatal Resuscitation Certification. J Clin Anesth 2001; 13:374–376.
  • 12- Gunay I, Agin H, Devrim I et al. Resuscitation skills of pediatric residents and effects of Neonatal Resuscitation Program training. Pediatr Int 2013; 55: 477–480.
  • 13- Doglioni N, Micaglio M, Zanardo V. Efficacy of the neonatal resuscitation program (NRP) course on knowledge retained by residents: Comparison among pediatrics, anesthesia and gynecology. Resuscitation 2010; 81: 1741–1742.
  • 14- Drzymalski DM, Gao W, Moss DR et al. Factors associated with neonatal resuscitation knowledge and comfort across academic anesthesia institutions. J Matern Fetal Neo M 2020; 35:20, 3891-3897, DOI: 10.1080/14767058.2020.1843018
  • 15- Singhal N, Lockyer J, Fidler H et al. Helping Babies Breathe: Global neonatal resuscitation program development and formative educational evaluation. Resuscitation 2012; 83: 90–96.

Türkiye'deki Yenidoğan Canlandırma Programına Anestezi Uzmanları ve Anestezi Teknisyenlerinin Kursiyerler, Eğitmen ve Program Yöneticileri olarak Katılımı

Year 2023, Volume: 13 Issue: 4, 702 - 705, 31.07.2023
https://doi.org/10.16899/jcm.1299559

Abstract

Amaç: Yenidoğan Canlandırma Programı, sağlık profesyonellerinin başta asfiksi olmak üzere bebekte oluşabilecek komplikasyonları önlemesini sağlamayı amaçlamaktadır. Diğer bazı sağlık çalışanları gibi anestezi çalışanları da bu programa katılmaktadır. Bu çalışmada anestezist ve anestezi teknikerlerinin programlara katılım ve katkı oranlarını belirlemeyi amaçlıyoruz. Bu programa katılımın neden gerekli olduğunu ve sonrasındaki etkilerle birlikte değerlendirildiğinde ne gibi sonuçlar doğuracağını tartışılmıştır.
Metod: Gülhane Bilimsel Araştırmalar Etik Kurulu onayı alındıktan sonra 1998 yılından beri düzenlenen kurslara ait katılımcı kayıtları incelenmiştir. Kayıtlar, anestezi personelinin toplam kişi sayısına göre ve yıllara göre dağılımını göstermektedir. Ülkemizdeki stajyerler, eğitmenler ve kurs direktörlerini dahil ederek toplam katılımcıları anestezi personeli ile karşılaştırdık. Bu toplamların dağılımı ve bu sayıların ne anlama gelebileceği araştırıldı.
Bulgular: İlk kursa 1998 yılında sadece bir anestezist stajyer olarak katılmıştır. Anestezist ve anestezi teknikeri olarak en yüksek katılım sırasıyla 218 ve 276 olmak üzere 494 katılımcı ile 2010 yılında olmuştur. Kursun başlangıcından bu yana 75.256 kursiyerden 2392 anestezi uzmanı ve 3124 anestezi teknikeri eğitim almıştır. Katılı ortalama yüzde 3,57’dir. 47 anestezi uzmanından 16'sı ve 11 anestezi teknisyeninden 7'si programlara eğitmen olarak aktif olarak katkıda bulunmaktadır. Kurs yöneticilerini sadece beş anestezist ve iki teknisyen belirledi. Bu yöneticilerin tamamı programda aktiftir.
Sonuç: Eğitmen ve kurs yöneticisi sayısı ülke genelinde anestezi branşında çalışan toplam kişi sayısına göre görece düşüktür. Anestezi personeli yenidoğan resüsitasyonları için kritik öneme sahip olduğundan, anestezi personelinin katılımını artırmak yenidoğan ölüm ve hastalık oranlarını önemli ölçüde azaltabilir.

References

  • 1- Kapadia VS, La CV, Kakkilaya V et al. Impact of the Neonatal Resuscitation Program–Recommended Low Oxygen Strategy on Outcomes of Infants Born Preterm. J Pediatr 2017;191:35-41.
  • 2- Bansal SC, Nimbalkar AS, Patel DV et al. Current Neonatal Resuscitation Practices among Paediatricians in Gujarat, India. Int J Pediatr 2014; 676374: 7 http://dx.doi.org/10.1155/2014/676374
  • 3- Trevisanuto D, Ferrarese P, Cavicchioli P et al. Knowledge gained by pediatric residents after neonatal resuscitation program courses. Pediatr Anesth 2005; 15: 944–947.
  • 4- Surcouf JW, Chauvin SW, Ferry J et al. Enhancing residents’ neonatal resuscitation competency through unannounced simulation-based training. Med Edu Online 2013; 18: 18726 - http://dx.doi.org/10.3402/meo.v18i0.18726
  • 5- Poultona DA, Schmölzer GM, Morley CJ et al. Assessment of chest rise during mask ventilation of preterm infants in the delivery room. Resuscitation 2011; 82: p. 175–179
  • 6- Bismilla Z, Finan E, McNamara PJ et al. Failure of pediatric and neonatal trainees to meet Canadian Neonatal Resuscitation Program standards for neonatal intubation. J Perinat 2010; 30: p.182-187;doi 10.1038/jp.2009.152.
  • 7- Khoo EJ, Chua SH, Kutzsche S. Applying educational theories into planning a psychomotor learning activity: An undergraduate Neonatal Resuscitation Program experience. Arch Argent Pediatr 2019;117(2):e181-e187 / e181
  • 8- Tezel B, İlhan M, Günay I et al. Neonatal resuscitation program provider courses in Turkey. J Dr Behcet Uz Child Hosp 2015; 5(2):101-108. doi:10.5222/buchd.2015.101.
  • 9- Ribeliene J, Kudreviciene A, Kregzdiene R et al. National neonatal resuscitation training program in Lithuania (2003–2013). Abstracts / Resuscitation 96S 2015; 43: 157. http://dx.doi.org/10.1016/j.resuscitation.2015.09.305.
  • 10-Lim G , Facco FL, Nathan N et al. A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes. Anesthesiology. 2018; 129(1): 192–215. doi:10.1097/ALN.0000000000002182.
  • 11- Gaiser R, Lewin SB, Cheek TG et al. Anesthesiologists’ Interest in Neonatal Resuscitation Certification. J Clin Anesth 2001; 13:374–376.
  • 12- Gunay I, Agin H, Devrim I et al. Resuscitation skills of pediatric residents and effects of Neonatal Resuscitation Program training. Pediatr Int 2013; 55: 477–480.
  • 13- Doglioni N, Micaglio M, Zanardo V. Efficacy of the neonatal resuscitation program (NRP) course on knowledge retained by residents: Comparison among pediatrics, anesthesia and gynecology. Resuscitation 2010; 81: 1741–1742.
  • 14- Drzymalski DM, Gao W, Moss DR et al. Factors associated with neonatal resuscitation knowledge and comfort across academic anesthesia institutions. J Matern Fetal Neo M 2020; 35:20, 3891-3897, DOI: 10.1080/14767058.2020.1843018
  • 15- Singhal N, Lockyer J, Fidler H et al. Helping Babies Breathe: Global neonatal resuscitation program development and formative educational evaluation. Resuscitation 2012; 83: 90–96.
There are 15 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Yeşim Şenaylı 0000-0003-4145-9187

Başak Tezel This is me 0000-0001-9280-6746

Early Pub Date July 28, 2023
Publication Date July 31, 2023
Acceptance Date July 26, 2023
Published in Issue Year 2023 Volume: 13 Issue: 4

Cite

AMA Şenaylı Y, Tezel B. Participation of Trainees, Trainers, and Program Directors of Anesthetists and Anesthesia Technicians in the Neonatal Resuscitation Program in Turkiye. J Contemp Med. July 2023;13(4):702-705. doi:10.16899/jcm.1299559