Survey of Resident’s Knowledge and Attitude About Preoperative Evaluation

Abstract

BACKGROUNDIn health care system, there is a growing emphasis on the reduction of heath care costs while assuring a high-quality care and improved outcomes. At the time of pre-anaesthetic evaluation often a battery of tests, not fully justified, is advised by the residents as well as anaesthesiologists. The present study is aimed to assess the residents' existing knowledge and attitude regarding preanaesthetic evaluation. MATERIALS AND METHODSThe present cross-sectional, observational paper-based questionnaire survey (comprised of 10 questions) was conducted upon 76 residents of surgical sub-specialities of a tertiary care centre to evaluate the domain of knowledge regarding preoperative investigations, risk assessment for anaesthesia, general guideline of preoperative medication for coexisting diseases and fluid therapy during fasting condition. RESULTSRegarding the knowledge of preoperative investigations, only 1.3 -9.2% of all residents choose the correct options. Majority of residents (Around 71 -93%) favoured to prescribe a battery of investigations for preoperative anaesthesia fitness. In response to questions to evaluate the knowledge of risk assessment for anaesthesia, the proportion of residents opted correct response ranges from 61 -90%. Also inconsistent responses were observed regarding continuation of preoperative drugs for two co-existing diseases. CONCLUSIONResidents bear poor knowledge regarding preanaesthesia evaluation as is evident from gross incorrect responses, especially considering the baseline standard of questionnaire. Further enrichment of residents' knowledge is desired, which can be accomplished through educational interventions and frequent updating. This might help in proper utilisation of existing resources, thereby increasing surgical turnover and resultant increased patient satisfaction.