Rashmi Sharma

Abstract

Background and Aim: The knowledge and skills about Basic Life Support (BLS) is the most important determining factor of cardiopulmonary resuscitation (CPR) success rates. This study was conducted on BLS skills to assess the effects of pre training evaluation followed by post training evaluation and retention of knowledge after six months among medical and dental students. Materials and Methods: Cross sectional study was conducted by assessing the responses of 20 basic questions regarding Basic Life Support prepared from BLS 2015 AHA Guideline. Total number of 300 respondents were selected for the survey which included 200 medical and 100 dental students. The assessment of the knowledge of the students was done in three phases in the form of (pre test) performance in pre training evaluation, immediately after training (post test) and at follow up after six months (retention test). The data was analysed and expressed as mean, standard deviation and percentage. T test were used for statistical analysis and P values Results: Among Medical students the average score in pre test was 56.92+18.90%, in post test the score was 80.87+17.97%, and in retention test the score was 72.45+17.85%. Among Dental students the average score in pre test was 50.40+16.34%, in post test the score was 67.70+15.75%, and in retention test the score was 59.45+15.96%. P values Conclusion: The knowledge of BLS before training was inadequate. The present BLS training programme was effective in enhancing the knowledge of resuscitation among the students. To enhance the retention power time to time retraining by working on mannequins to practice and perfect their skills is highly recommended for the students. Keywords: Basic life support, Cardiac arrest, Medical students, Dental students, Training.

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Abstract

Introduction and Aim: Supraglottic airway devices are increasingly being used as an excellent alternative to mask ventilation and tracheal intubation with least complications. The present randomized, prospective study was conducted to compare the I-Gel with LMA-Supreme with respect to time taken for insertion, insertion success rate, ease of insertion of gastric tube, hemodynamic changes before and after insertion and post-operative airway morbidity. Materials and Methods: Fifty American Society of Anaesthesiologist (ASA) grade-I and II patients between 20-60 years age, of either sex, were randomly assigned to two groups of 25 patients each. Group A: LMA- supreme was inserted and Group B: I-gel was inserted Hemodynamic responses were recorded before induction and at the intervals after insertion of LMA Supreme/I-Gel. Time taken for insertion, insertion success rate and ease of insertion of gastric tube was noted. Patients were inspected for any trauma immediately, sore throat and hoarseness of voice 24 hours after the surgery. Statistical analysis was carried out with student’s t-test and chi-square test and value of P Results: Insertion time of I-Gel (11.24 ± 1.94 seconds) was faster than the LMA-Supreme (15.44 ± 2.48 seconds) and the results were statistically significant (P = 0.03). Ease of insertion of gastric tube was more in LMA Supreme (25/25) as compared to I Gel (23 / 25). The two groups were comparable as far as the insertion success rate, hemodynamics and post-operative airway morbidity were concerned. Conclusion: I-Gel is better than LMA-Supreme in terms of faster insertion time. Insertion success rate, ease of insertion of gastric tube, hemodynamics and post-operative airway morbidity is comparable in both the groups. Keywords: LMA SUPREME, I-GEL, SGA, Gastric drainage tube, Endotracheal intubation, Haemodyanamic response.

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