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Heterogeneity Among Countries in the Subspecialty of Cardiovascular Anesthesia in Latin America: Survey Results.
Riva, Juan; Calviño, Jimena; Bouchacourt, Juan Pablo; Turconi, Leticia; Cavalleri, Fiorella; Caetano, Nigro Neto; Enriquez, Luis; Tonelotto, Bruno; Lema, Guillermo; Motta, Pablo.
Afiliação
  • Riva J; Departamento de Anestesiología Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
  • Calviño J; Departamento de Anestesiología Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
  • Bouchacourt JP; Departamento de Anestesiología Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
  • Turconi L; Departamento de Anestesiología Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay. Electronic address: leticiaturconi@gmail.com.
  • Cavalleri F; Departamento de Anestesiología Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
  • Caetano NN; Dante Pazzanese Institute of Cardiology, São Paulo, Brazil.
  • Enriquez L; Clinica Imbanaco Quiron Salud, Cali, Colombia.
  • Tonelotto B; Hospital Sirio - Libanes, São Paulo, Brazil.
  • Lema G; División de Anestesiología, Facultad de Medicina, PUC, Santiago, Chile.
  • Motta P; Texas Children's Hospital, Houston, TX.
J Cardiothorac Vasc Anesth ; 38(2): 371-378, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38212186
ABSTRACT

OBJECTIVES:

To evaluate demographics, workload, training, facilities, and equipment in cardiovascular anesthesia (CVA) in Latin America (LA).

DESIGN:

A descriptive cross-sectional study with data collected through a survey.

SETTING:

A multicenter, international web-based questionnaire that included 37 multiple-choice questions.

PARTICIPANTS:

Physicians and specialists in anesthesiology who regularly participated in cardiovascular surgeries and were members of the scientific societies of the Latin American Confederation of Anesthesiology.

INTERVENTIONS:

None MEASUREMENTS AND MAIN

RESULTS:

A total of 484 completed questionnaires were collected. A total of 97.8% of the respondents had a university degree in anesthesiology. Most did not receive formal training in CVA, and only 41.5% received formal training. Moreover, most of them were trained in their own country, and a smaller percentage were trained abroad. Half of the respondents reported receiving <12 months of training. A third part of the respondents had received training in transesophageal echocardiography. Only 5.8% of the respondents worked exclusively in CVA, and a high percentage dedicated <60% of their weekly work hours to this subspecialty. A total of 80.6% of the centers had <3 cardiac surgery operating rooms. Only one-third of the centers performed heart/lung transplantation, venoarterial extracorporeal membrane oxygenation, venovenous extracorporeal membrane oxygenation, and ventricular assist device implantation.

CONCLUSIONS:

A significant lack of training programs in anesthesiology practice and complex procedures in medical centers in LA are evident. Thus, basic accredited programs should be developed in medical centers in LA.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Anestesia em Procedimentos Cardíacos / Anestesiologia Tipo de estudo: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Cardiothorac Vasc Anesth Assunto da revista: ANESTESIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Uruguai País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Anestesia em Procedimentos Cardíacos / Anestesiologia Tipo de estudo: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Cardiothorac Vasc Anesth Assunto da revista: ANESTESIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Uruguai País de publicação: Estados Unidos