Effectiveness of Algorithm Based Teaching on Recognition and Management of Periarrest Bradyarrhythmias among Interns - a Randomized Control Study.

Kusha Nag; Rani P; V R Hemanth Kumar; Anand Monickam; Dewan Roshan Singh; T Sivashanmugam

Author(s)

Kusha Nag Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

Rani P Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

V R Hemanth Kumar Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

Anand Monickam Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

Dewan Roshan Singh Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

T Sivashanmugam Department of Anesthesiology, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India

Abstract

Background & Objectives: Anesthesiologists deal with arrhythmias frequently both inside and outside operating room. Knowledge for recognition of arrhythmias is complex and dificult to impart to students despite various teaching methods suggested previously. The available methods though reported to be efective, are apparently complex and tested only on small groups. We designed an algorithm for recognition of bradyarrhythmias and assessed its efectiveness in recognition of correct rhythm among interns of our hospital. Methodology: This randomised control study was conducted after approval from institutional research committee. Study group included seventy medical students of our university, undergoing compulsory rotatory internship at its constituent hospital and agreed to participate in the study. A teaching session on basic cardiac electrophysiology was conducted for both of the groups. This was followed by a pre-test 15 days later. Immediately after the pre-test, the participants were randomised into two groups and exposed to educational material on recognition and management of bradyarrhythmias based on algorithm approach in group A and power point presentation in group B. Assessment was conducted once immediately following the class and then on day 60. Ability to recognize correct rhythm and time taken to do so along with time taken to verbalize correct treatment was recorded. Results: On day 0 there was no significant diference between the two groups with respect to number of participants who could recognize correct rhythm (p = 0.314). Mean time taken to recognize correct rhythm was also comparable between the two groups. On day 60, significantly greater number of participants in algorithm group could identify correct rhythm as compared to those in power point based group (n= 22 versus 10; p = 0.007). Time taken in both groups was comparable on day 0 as well as day 60. Time taken to verbalise correct treatment was also comparable in both groups on both occasions. Conclusion: Algorithm-based approach is more effectively retained as compared to power point based teaching.

Publication Details

Page(s) 81-86

DOI DOI not available

Published Journal: Anaesthesia, Pain and Intensive Care, Volume: 22, Issue: 1, Year: 2018

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Keywords

ECG interpretation, Teaching tool, Algorithm, Retention skills

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