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Master Thesis

Gestion péri-opératoire des antiagrégants plaquettaires et anticoagulants : évaluation des connaissances des internes en anesthésie-réanimation du CHU de Caen

Abstract : Introduction: antiplatelet (AP) and anticoagulant (AC) therapies are common amongst our patients, and their management for surgery can be difficult. Several guidelines have been published these last few years. We therefore conducted a survey of residents in anesthesia and intensive care medicine (DESAR) at the Caen University Hospital to assess their knowledge level of preoperative anticoagulant management. Material and methods: a 36 item questionnaire was submitted to the residents that included 6 sections: AP management, vitamin K antagonists (VKA), heparin, direct oral anticoagulants, locoregional anesthesia in a perioperative context and one section about pharmacology. A total score out of 20 was assigned to each participant. Results: the participation rate was 78%. The average score was 12.94 / 20, ranging from 10.56 / 20 for year 1 residents to 15.13 / 20 for year 5 residents. All years combined, the correct response rates for each part exceeds 50%. Discussion: this approach is part of a continuing professional development. Residents at the end of their studies (years 4 and 5) had significantly higher scores than their younger colleagues. However, management of AP and AC seems to be less satisfactory for all residents when it comes to emergency situations, except for the management of VKA. The extension of this work towards an assessment at inter-regional or national level would be an interesting prospect. Conclusion: the resident’s knowledge about AP and AC can be improved. A better spread of the protocols and guidelines, with repeated teaching sessions would consolidate the knowledge of all residents.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02045759
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Submitted on : Friday, February 22, 2019 - 11:54:12 AM
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Alexandre Uk Hel Chau. Gestion péri-opératoire des antiagrégants plaquettaires et anticoagulants : évaluation des connaissances des internes en anesthésie-réanimation du CHU de Caen. Médecine humaine et pathologie. 2018. ⟨dumas-02045759⟩

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