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논문 기본 정보

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학술저널
저자정보
Cho, Kyoung-Ah (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Kim, Hyuk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Lee, Brian Seonghwa (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Kwon, Woon-Yong (Department of Emergency Medicine, Seoul National University Hospital) Kim, Mi-Seon (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Seo, Kwang-Suk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University) Kim, Hyun-Jeong (Department of Dental Anesthesiology, School of Dentistry, Seoul National University)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제14권 제1호
발행연도
2014.1
수록면
17 - 27 (11page)

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Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.
#Basic life support #BLS #CPR #Dental emergency #Dentist

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참고문헌 (17)

참고문헌 신청
Fast TB / 1986 / Emergency preparedness:a survey of dental practitioners / J Am Dent Assoc 112(4):499~501 google schola Dym H / 2008 / Preparing the dental office for medical emergencies / Dent Clin North Am 52(3):605~608 google schola Girdler NM / 1999 / Prevalence of emergency events in British dental practice and emergency management skills of British dentists / Resuscitation 41(2):159~167 google schola Muller MP / 2008 / A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience / Emerg Med J 25(5):296~300 google schola Travers AH / 2010 / Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122(18 Suppl 3):S676~S684 google schola

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