Table 4.

Anesthesia Providers’ Level of Practices Towards Cardiopulmonary Resuscitation. (n=226)

Questions Concerning the Practice of Anesthesia Providers Regarding CPR:		Outcome
		Yes		No
		N	%	N	%
1)Is 0.6 mg of atropine in cardiopulmonary resuscitation the correct dose?		152	67.3	74	32.7
2)Do you administer epinephrine after the second shock, and amiodarone was given after the third shock?		144	68.1	72	31.9
3)When evaluating an arterial blood gas in the post-resuscitation phase, do you titrate the breaths-per-minute to achieve a partial pressure of carbon dioxide at value of 35–45 mmHg?		168	74.3	58	25.7
4)Is the depth of compression on an infant 1/3 depth of the chest size or 4 cm?		152	67.3	74	32.7
5)Do you use excessive ventilation during cardiopulmonary resuscitation?		148	65.5	78	34.5
6)An adult patient in Intensive Care Unit gets cardiac arrest after an arrhythmia do you use biphasic defibrillator energy of 120–200J as initial dose?		156	69.0	70	31.0
7)Once an advanced airway is in place, on an adult do you give 1 breath every 6 seconds (10 breath/min) with continuous chest compressions?		166	73.5	60	26.5
8)In pregnancy do you have to provide continuous lateral uterine displacement?		158	69.9	68	30.1
9)In pregnant women experiencing cardiac arrest with no return of spontaneous circulation within 30 minutes, do you consider performing an immediate perimortem cesarean delivery?		102	45.1	124	54.9
10) Pregnant women who are arrested (eclampsia) and receiving magnesium sulfate IV should they continue receiving it.?		144	68.1	72	31.9
11) The purpose of targeted temperature management after CPR is Protect the brain and other vital organs?		194	85.8	32	14.2
12) The recommended volume of lactated Ringer’s solution that should be given for the treatment of hypotension in the post-cardiac arrest phase is one-two liters?		160	70.8	66	29.2
Total practice level	Good	170		75%
	Poor	56		25%

Notes: The majority (67.3%) correctly identified the recommended dose of 0.6mg atropine for cardiopulmonary resuscitation. A similar proportion (68.1%) knew the proper administration of epinephrine and amiodarone during Advanced Cardiac Life Support (ACLS). Additionally, 74.3% of providers correctly answered about titrating ventilation to achieve a Carbon Dioxide (CO2) level of 35–45mmHg in the post-resuscitation phase. Another 67.3% correctly identified the recommended compression depth of 1/3 chest depth or 4cm for infants. However, 65.5% of providers were found to use excessive ventilation during CPR. In terms of defibrillation, 69% accurately stated the initial biphasic defibrillation energy of 120–200J for adults in cardiac arrest, and 73.5% knew the recommended ventilation rate of 10 breaths per minute with continuous chest compressions after advanced airway placement. Finally, 85.8% and 70.8% accurately identified the recommended volume of 1–2 liters of lactated Ringer’s solution for post-cardiac arrest hypotension. Moreover, 75% of anesthesia providers exhibit good CPR practices, whereas 25% have poor practices.