Winning the war against anaphylaxis requires continued professional patient manegement till discharge
Abstract
Objective: Anaphylaxis and anaphylactic shock are not alien to the anesthesiologists. Many anesthetics and even non-enesthetic drugs used in the hospitals may teigger it. Successful management extends even beyond the initial recovery. The aim of this study was to determine the current knowledge of the doctors of different specialities concerning the management of anaphylaxis after diagnosis till discharge of the patient.
Methodology: A total of 750 doctors from assorted specialties were assessed and this survey based descriptive study was conducted between June 2019 and October 2019. Participantss were asked to describe the approach after first diagnosis till the discharge time. In this way the tasks to be completed after the diagnosis in an anaphylaxis case were enquired.
We used a 10-question survey, developed by using primarily World Allergy Organiztion (WAO) questionare guideline. In all the questions, multiple answers and free text comments were asked.
Results: The level of knowledge of each participant was calculated for a total of ten questions. The correct answer ratio showed that doctors had significant knowledge gaps related to management of anaphylaxis after the first intervention. The total knowledge score index (KSI) score was found to be 41.55 ± 15.91; judged to be very low.
No correlation was found between KSI and the age of doctors (p > 0.05), or duration of practice (p > 0.05), or having attended or not any episode of anaphylaxis. However, there was significant difference in mean KSI according to the time of last update of information about anaphylaxis (p < 0.05).
Conclusion: The study data confirm that the knowledge and the awareness of healthcare staff about the importance of the subsequent continued management of anaphylaxis after the initial steps needs to be enhanced. Repeated interval reeducation seems to be important to solve this problem.
Key words: Anaphylaxis; Management; Education
Citation: Kocak O, İgde M. Winning the war against anaphylaxis requires continued professional patient manegement till discharge. Anaesth. pain intensive care 2020;24(4):411-419.
Received: 21 May 2020, Reviewed: 30 May 2020, Accepted: 10 June 2020
