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Anesthesiologists' interest in neonatal resuscitation certification
R Gaiser1, S B Lewin, T G Cheek
1Department of Anesthesiology, Hospital of the University of Pennsylvania, Philadelphia, 19104, USA. gaiserr@mail.med.upenn.edu
Journal of Clinical Anesthesia
|August 11, 2001
Summary
Anesthesiologists frequently participate in neonatal resuscitation, with most lacking certification but desiring it. The American Society of Anesthesiologists (ASA) should offer training programs for neonatal resuscitation skills.
Area of Science:
- Anesthesiology
- Neonatal Care
- Resuscitation Medicine
Background:
- Neonatal resuscitation guidelines recommend against anesthesiologist involvement.
- Anesthesiologists may be involved in neonatal resuscitation despite recommendations.
Purpose of the Study:
- To assess the involvement and interest in neonatal resuscitation certification among anesthesia residency graduates.
- To understand the current practices and training needs in neonatal resuscitation for anesthesiologists.
Main Methods:
- A survey questionnaire was distributed to graduates of the University of Pennsylvania Anesthesia Program (1989-1999).
- 156 out of 189 surveyed graduates responded, providing data on their involvement and certification in neonatal resuscitation.
Main Results:
- 65% of respondents with obstetric anesthesia responsibilities reported involvement in neonatal resuscitation.
- Only 16% were certified, while 81% expressed interest in certification.
- Anesthesiologists in hospitals with <1000 deliveries/year were 11 times more likely to perform neonatal resuscitation.
Conclusions:
- Anesthesiologists are involved in neonatal resuscitation, contrary to some guidelines.
- A significant majority of involved anesthesiologists are uncertified but interested in certification.
- The American Society of Anesthesiologists (ASA) should develop programs for neonatal resuscitation training and certification.