Identification of Sleep Medicine and Anesthesia Core Topics for Anesthesia Residency: A Modified Delphi Technique Survey.

Autor:	Berezin L; From the Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada., Nagappa M; Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre and St. Joseph Health Care, Western University, London, Ontario, Canada., Wong J; From the Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.; Department of Anesthesiology and Pain Medicine, Women's College Hospital, Toronto, Ontario, Canada., Clivatti J; Department of Anesthesia, Ajax Pickering Hospital, Lakeridge Health, Ajax, Ontario, Canada., Singh M; From the Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada., Auckley D; Division of Pulmonary, Critical Care and Sleep Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio., Charchaflieh JG; Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut., Jonsson Fagerlund M; Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Solna, Sweden.; Department of Physiology and Pharmacology, Section for Anesthesiology and Intensive Care, Karolinska Institutet, Stockholm, Sweden., Gali B; Division of Critical Care, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota., Joshi GP; Division of Critical Care, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota., Overdyk FJ; Trident Anesthesia Group, Trident Medical Center, Charleston, South Carolina., Margarson M; Department of Anesthesia, St Richard's Hospital, Chichester, United Kingdom., Mokhlesi B; Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, Illinois., Moon T; Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas., Ramachandran SK; Department of Anaesthesia, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts., Ryan CM; Department of Medicine, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada., Schumann R; Departments of Anesthesiology and Surgery, Tufts University School of Medicine, Boston, Massachusetts.; Department of Anesthesiology and Critical Care, Veterans Affairs Boston Healthcare System, Boston, Massachusetts., Weingarten TN; Department of Anesthesia and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota., Won CHJ; Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut.; Veterans Affair Connecticut Healthcare System, New Haven, Connecticut., Chung F; From the Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Anesthesia and analgesia [Anesth Analg] 2021 May 01; Vol. 132 (5), pp. 1223-1230.
DOI:	10.1213/ANE.0000000000005446
Abstrakt:	Background: Sleep disorders affect up to 25% of the general population and are associated with increased risk of adverse perioperative events. The key sleep medicine topics that are most important for the practice of anesthesiology have not been well-defined. The objective of this study was to determine the high-priority sleep medicine topics that should be included in the education of anesthesia residents based on the insight of experts in the fields of anesthesia and sleep medicine. Methods: We conducted a prospective cross-sectional survey of experts in the fields of sleep medicine and anesthesia based on the Delphi technique to establish consensus on the sleep medicine topics that should be incorporated into anesthesia residency curricula. Consensus for inclusion of a topic was defined as >80% of all experts selecting "agree" or "strongly agree" on a 5-point Likert scale. Responses to the survey questions were analyzed with descriptive statistical methods and presented as percentages or weighted mean values with standard deviations (SD) for Likert scale data. Results: The topics that were found to have 100% agreement among experts were the influence of opioids and anesthetics on control of breathing and upper airway obstruction; potential interactions of wake-promoting/hypnotic medications with anesthetic agents; effects of sleep and anesthesia on upper airway patency; and anesthetic management of sleep apnea. Less than 80% agreement was found for topics on the anesthetic implications of other sleep disorders and future pathways in sleep medicine and anesthesia. Conclusions: We identify key topics of sleep medicine that can be included in the future design of anesthesia residency training curricula. Competing Interests: Conflicts of Interest: See Disclosures at the end of the article. (Copyright © 2021 International Anesthesia Research Society.)
Databáze:	MEDLINE
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