Simulation Study Assessing Healthcare Provider's Knowledge of Pre-Eclampsia and Eclampsia in a Tertiary Referral Center

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Gillian HiltonBrendan Carvalho

Abstract

The aim of the study was to assess knowledge of labor and delivery healthcare providers at a tertiary referral center in the management of pre-eclampsia and eclampsia. Thirteen multidisciplinary teams participated in this institutional review board-exempt study. Each group encountered the same scenario that involved a pre-eclamptic parturient who progressed to eclampsia. The participants were unaware of the scenario topic before the drill and that key interventions would be recorded and timed. Seven of 13 groups were randomized to have a cognitive aid available. Twelve of 13 groups attempted to lower the blood pressure; however, only 7 of 12 groups used the correct first-line antihypertensive medication as per the American College of Obstetricians and Gynecologists' guidelines. All groups requested and administered the correct bolus dose of magnesium (4-6 g intravenously). Only 2 of 13 groups took appropriate action to lower the blood pressure to a "safe range" before induction of general anesthesia, and 4 of the 13 anesthesiologists made drug modifications for induction of anesthesia. None of the 7 groups randomized to have a cognitive aid used it. Our results show widespread magnesium sulfate utilization; however, the use of ...Continue Reading

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Citations

Jun 20, 2017·Best Practice & Research. Clinical Anaesthesiology·Ross HofmeyrRobert Dyer
Aug 20, 2019·Anesthesia and Analgesia·Gillian AbirSara N Goldhaber-Fiebert
May 27, 2020·Anesthesiology Research and Practice·Antonia BlaniéDan Benhamou

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