Changing Guidelines of Cardiopulmonary Resuscitation and Basic Life Support for General Dental Practitioners and Oral and Maxillofacial Surgeons

Gadipelly, Srinivas; Neshangi, Srisha

doi:10.1007/s12663-014-0649-1

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Cardiorespiratory arrest, defined as an abrupt and unexpected cessation of heart function and spontaneous breathing, is potentially reversible, albeit catastrophic if not promptly addressed. 1 , 2 While the heart exhibits a relatively high tolerance to anoxia, the central nervous system suffers irreparable damage after 3 to 4 minutes of oxygen deprivation. Hence, immediate and effective resuscitation, underpinned by sound theoretical and practical knowledge, is of paramount importance.…”

Section: Introductionmentioning

confidence: 99%

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Assessing the Proficiency in Basic and Advanced Life Support Among Physicians in Ecuador: A Cross-Sectional Study

Izquierdo-Condoy,

Naranjo-Lara,

Arias Rodríguez

et al. 2024

AMEP

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Purpose Cardiorespiratory arrest’s unpredictability poses a global health challenge, with gaps in physicians’ life support knowledge potentially leading to poor patient outcomes, a factor yet unstudied among Ecuadorian physicians. This study aims to elucidate the state of physicians’ theoretical knowledge in Ecuador based on Basic Life Support (BLS) and Advanced Life Support (ALS) guidelines. Patients and methods A national cross-sectional online 35-questions survey was conducted between February and March 2023 using a self-administered, expert-validated questionnaire. Participants’ responses were obtained through official social media groups (WhatsApp and Facebook). The survey evaluated the theoretical knowledge of BLS and ALS, with scores based on the number of correct answers out of a maximum of 10.0 points. For descriptive analysis, frequencies, percentages, means, and standard deviations (SD) were used. The T -test and one-way ANOVA were utilized to analyze the associations between knowledge levels and demographic and academic training variables of Ecuadorian doctors. Values of p < 0.05 were considered statistically significant for all analyses. Results The survey garnered responses from 385 physicians, with a majority being female (56.6%) and possessing less than 3 years of work experience (75.1%). Of these, 71.7% and 51.9% held BLS and ALS certifications, respectively. Knowledge scores for BLS (5.8/10 ± 1.6) surpassed those for ALS (4.7/10 ± 1.8) (p < 0.001). Physicians with less than 3 years of work experience exhibited higher knowledge scores in both BLS and ALS tests (p < 0.05). Conclusion This study revealed a notable deficiency in the theoretical knowledge of BLS and ALS among surveyed Ecuadorian physicians. Factors such as prior certification and years of work experience appeared to influence knowledge levels. Continual training and updates in life support protocols at universities and healthcare institutions are key to enhancing physicians’ skills and patient outcomes.

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Section: Introductionmentioning

confidence: 99%

“…The quality of these maneuvers is pivotal to successful resuscitation. 2 , 7 Conversely, ALS encompasses more technically intricate maneuvers targeting the remaining links in the chain of survival, including rapid defibrillation and post-resuscitation care. ALS is typically conducted in hospital settings.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Proficiency in Basic and Advanced Life Support Among Physicians in Ecuador: A Cross-Sectional Study

Izquierdo-Condoy,

Naranjo-Lara,

Arias Rodríguez

et al. 2024

AMEP

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show abstract

“…As medical emergencies do occur in the dental treatment process, there is a need for improved teaching of life support skills for dental education in standardized training. Dentists are also expected to be able to apply cardiopulmonary resuscitation techniques during medical emergencies [8]. However, studies have reported increased mortality and morbidity in both prehospital settings and interhospital transfers caused by poor airway care [9,10].…”

Section: Introductionmentioning

confidence: 99%

Assessment of life support skills of resident dentists using OSCE: cross-sectional survey

et al. 2022

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Background The aim of this cross-sectional survey was to apply the Objective Structured Clinical Examination (OSCE) to evaluate the cardiopulmonary resuscitation (CPR) and endotracheal intubation skills of resident dentists for stage assessment in standardized training. Methods A total of 146 third-year resident dentists were recruited and randomly assigned to perform either CPR or endotracheal intubation. Their performance was scored by experienced anesthesiologists with standardized scoring criteria. Participants were also asked to rated their self-assessed competence, willingness, and perceptions on training status using Likert-type scales in a questionnaire. Student’s ttest was applied to compare scores for CPR and endotracheal intubation performed by resident dentists with different characteristics. The results of the questionnaires were analyzed and visualized by the R package ‘Likert’. Significance was set at the P < 0.05 level. Results The mean OSCE score for endotracheal intubation (59.1 ± 12.5) was lower than that of CPR (72.4 ± 8.8). Participants with Master’s degrees scored higher than those with Bachelor’s degrees and Doctor of Philosophy (PhD) degrees in the assessment of CPR and endotracheal intubation. Low scores of self-assessed competence and willingness were observed, especially for endotracheal intubation. Resident dentists showed poor satisfaction on training volume and frequency of CPR and endotracheal intubation. Conclusion Resident dentists showed poor performance on CPR and endotracheal intubation assessed by the OSCE. Relatively low self-assessed competence and willingness were reported in endotracheal intubation. The medical emergency curriculum for resident dentists should be more consistent and standardized to help resident dentists enhance the proficiency of life support skills.

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Sudden Cardiac Arrest in a Dental Patient Awaiting Examination

Sumphaongern

Yamahara

Wakita

2023

Anesthesia Progress

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Sudden cardiac arrest (SCA) is an uncommon event in dental practice; however, the frequency of dentists encountering SCA and other major medical emergencies is increasing. We report the successful resuscitation of a patient who developed SCA while awaiting examination and treatment at a dental hospital. The emergency response team was called upon, and cardiopulmonary resuscitation/basic life support (CPR/BLS), including chest compression and mask ventilation, was promptly initiated. An automated external defibrillator was used, which indicated that the patient's cardiac rhythm was unsuitable for electrical defibrillation. The patient returned to spontaneous circulation after 3 cycles of CPR and intravenous epinephrine. The knowledge and skill levels of dentists regarding resuscitation under emergency circumstances should be addressed. Emergency response systems must be well established, and CPR/BLS knowledge and training should be updated regularly, including optimal management of both shockable and nonshockable rhythms.

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Changing Guidelines of Cardiopulmonary Resuscitation and Basic Life Support for General Dental Practitioners and Oral and Maxillofacial Surgeons

Cited by 4 publications

References 10 publications

Assessing the Proficiency in Basic and Advanced Life Support Among Physicians in Ecuador: A Cross-Sectional Study

Assessing the Proficiency in Basic and Advanced Life Support Among Physicians in Ecuador: A Cross-Sectional Study

Assessment of life support skills of resident dentists using OSCE: cross-sectional survey

Sudden Cardiac Arrest in a Dental Patient Awaiting Examination

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