Impact of a Mechanical Ventilation Curriculum on Respiratory Therapist Recognition of Patient-Ventilator Asynchrony. (Record no. 147)

MARC details
000 -LEADER
fixed length control field 03279nam a22004217a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0020-1324
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.4187/respcare.09903 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code respcare.09903 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36318981
245 ## - TITLE STATEMENT
Title Impact of a Mechanical Ventilation Curriculum on Respiratory Therapist Recognition of Patient-Ventilator Asynchrony.
251 ## - Source
Source Respiratory Care. 67(12):1597-1602, 2022 Dec.
252 ## - Abbreviated Source
Abbreviated source Respir Care. 67(12):1597-1602, 2022 Dec.
253 ## - Journal Name
Journal name Respiratory care
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Dec
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2022-12-13
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 2003 - 2008, Available in print through MWHC library: 1999 - 2008
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Respiratory therapists (RTs) play a crucial role in managing mechanically ventilated patients, such as addressing patient-ventilator asynchronies that may contribute to patient harm. Waveform analysis is integral to the evaluation of patient-ventilator asynchronies; despite this, no published studies have assessed the ability of practicing RTs to interpret ventilator waveform abnormalities.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: RTs may benefit from additional training in ventilator waveform interpretation, especially early in their clinical training. More work is needed to determine the optimal length and content of a mechanical ventilation curriculum for RTs. Copyright © 2022 by Daedalus Enterprises.
520 ## - SUMMARY, ETC.
Abstract METHODS: The study took place between June 2017-February 2019. Eighty-six RTs from 2 academic medical centers enrolled in a one-day mechanical ventilation course. The scores of 79 first-time attendees were included in the analysis. Prior to and following the course, RTs were asked to identify abnormalities on a 5-question, multiple-choice ventilator waveform exam. They were also asked to provide a self-assessment of their ventilator management skills on a 1 (complete novice) to 5 (expert) scale.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Initial scores were low but improved after one day of ventilator instruction (19.4 +/- 17.1 vs 29.6 +/- 19.0, P < .001). No significant difference was noted in mean confidence levels between the pre- and post-course assessments (3.8 +/- 0.9 vs 3.8 +/- 1.0, P = .56). RTs with fewer years of clinical experience (0-10 y) had a statistically significant improvement in their post-course test scores relative to their pre-course scores (0-5 y: 12.5 +/- 10.1 to 46.0 +/- 10.8, P < .001; 6-10 y: 18.7 +/- 15.8 to 32.1 +/- 16.7, P = .02), whereas those with > 11 y of clinical experience did not (11-20 y: 22.4 +/- 15.5 to 27.4 +/- 19.0, P = .44; 21+ y: 19.6 +/- 22.1 to 15.3 +/- 13.8, P = .50).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Respiration, Artificial
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Ventilators, Mechanical
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Curriculum
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Respiratory Therapy
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kriner, Eric
Institution Code MWHC
790 ## - Authors
All authors Acho M, Chatterjee S, Kriner E, Lee BW, Sartain NN, Seam N, Sun J
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.4187/respcare.09903">https://dx.doi.org/10.4187/respcare.09903</a>
Public note https://dx.doi.org/10.4187/respcare.09903
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/13/2022   36318981 36318981 12/13/2022 12/13/2022 Journal Article

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