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Master Thesis

Prescription et interprétation de l’électrocardiogramme préopératoire par les internes d’anesthésie-réanimation : une étude prospective

Abstract : Introduction: the electrocardiogram (EKG) has become essential for the patient’s preoperative cardiac evaluation. It enables the diagnosis of EKG anomalies identified as factors of postoperative cardiovascular events, which is one of the main postoperative medical risks. The use of its prescription is subject to recommendations, and the quality of its complex interpretation hasn’t been extensively studied. Our principal study’s objective was to evaluate the analysis of EKG by the anaesthesia-reanimation residents of the CHU of Caen and secondarily the relevance of its prescription as well as the perioperative anaesthesia care that ensues from it. Materiel and method: nine clinical cases were created based on an electronic preoperative consultation, each case was associated with an EKG. The anaesthetist (resident of senior physician) filled up a questionnaire on the prescription and the interpretation of the EKG as well as the perioperative anaesthesia care. The part of the questionnaire on perioperative care was designed on the script concordance test (SCT), the senior physicians acted as the experts. Results: forty-two questionnaires were analyzed from August 2018 to December 2018 (10 senior physicians and 32 residents). EKG analysis was correct for 62 % (IC95 % 59-65 %) of all participants. Following of the SFAR recommendations regarding preoperative EKG prescription was 87 % (IC95 % 85-89 %) of all participants. The results for EKG prescription and EKG analysis were similar between residents and senior physicians. Concerning perioperative care, only 9 residents had a higher grade than the experts’ average grade. Conclusion: EKG analysis by the anaesthesia-reanimation residents of the CHU of Caen is a competence partially acquired. New teaching methods to acquire and maintain this competence are available, seem promising, and should be evaluated on anaesthesia-reanimation residents.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02305117
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Submitted on : Thursday, October 3, 2019 - 5:29:49 PM
Last modification on : Sunday, October 25, 2020 - 7:06:09 AM

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  • HAL Id : dumas-02305117, version 1

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Clémence Bénard. Prescription et interprétation de l’électrocardiogramme préopératoire par les internes d’anesthésie-réanimation : une étude prospective. Médecine humaine et pathologie. 2019. ⟨dumas-02305117⟩

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