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oa South African Family Practice - Intubation and mechanical ventilation : knowledge of medical officers at a South African secondary hospital : research

 

Abstract

Medical officers frequently need to initiate the management of critically ill patients requiring endotracheal intubation and mechanical ventilation. The knowledge of hospital-based medical officers at a South African secondary hospital was evaluated on indications for endotracheal intubation and the initiation of mechanical ventilation in adults (defined as persons aged 13 years and older).


Data were collected through questionnaires using 18 multiple-choice questions. Questionnaires consisted of a short test on the basic principles of intubation and the initiation of mechanical ventilation.
Forty-four medical officers participated in this study, conducted in 2008. The mean test score for medical officers taking the test was 6.2, with a range of 2-10, out of a possible 15 marks. 77.3% of participants answered fewer than half of the questions correctly. Nobody answered more than 70% of the questions correctly. More than two thirds of the medical officers could not correctly identify indications for endotracheal intubation, 97.7% of medical officers could not correctly identify all of the contraindications to orotracheal intubation, and 97.7% were unable to choose appropriate initial ventilator settings.
Most medical officers at this secondary hospital were lacking in essential knowledge needed to make decisions on which patients required intubation and how to initiate mechanical ventilation. Pre- and postgraduate training on these basic principles needs to improve.

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/content/mp_safp/56/3/EJC156563
2014-05-01
2016-12-05
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