Assessing the level of knowledge, practical skills and self-confidence of anesthesia residents in the field of Cardiopulmonary Cerebral Resuscitation by academic year of Shiraz University of Medical Sciences in 2018

Document Type : Original Article


1 Shiraz Anesthesiology and Critical Care Research Center, Department of Anesthesia and Critical Care Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Education Development Office, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3 Statistics and information office, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Training plays a pivotal role in correct implementation of Cardiopulmonary Resuscitation (CPR). Ideal training affects, Knowledge, attitude and skills of the trainees. CPR is amongst the most important and essential topics in residency training program, especially in the field of anesthesia. The aim of this study was to evaluate knowledge, attitude and skill of anesthesia residents according to their own opinion.
Methods: This study was a cross-sectional census and included anesthesiology residents of first to fourth post graduate year (PGY). Assistants who were reluctant to participate or answer all the questions were not included. Also, informed consent was obtained. The data collection instrument was a 45-item, five-choice researcher-made Likert scale questionnaire. The questionnaires were distributed among anesthesia residents and gathered after completion for analysis.
Results: There were 63 participants in the study. Age and knowledge level of the four groups did not show significant differences. The level of knowledge and skills of the first and second year, first and third year and first and fourth year residents were significantly different. The level of skills and self-confidence of first and second year residents was significantly different from the third and fourth year. The attitude toward level of importance of training in operating room was not significantly different among the four PGYs. Above 85% of the first to fourth year residents agreed with the importance of learning resuscitation in the ICU, and its six and twelve months’ repetition.
 Conclusion: The level of knowledge, practical skills and self-confidence of anesthesia residents in the field of cardiopulmonary resuscitation increases in accordance with advancement of post graduate year.


  1. American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Practice Guideline. Circulation. 2005; 13;112(24 Suppl):IV1-203.
  2. Vahabi S, Alishahi F, Sheikhi E, Anbari Kh. The effectiveness of CPR training during anesthesia internship rotation on improvement of interns, knowledge and clinical skills of Lorestan University of Medical Sciences. Yafteh. 2015; 17(2): 32-41.
  3. feazdeesfani H, Zarif Soltani MM, Sharifi MD, Mousavi SM, Farzaneh R, Kamandi M, et al. Assessment of theoretical knowledge of Cardio-Pulmonary resuscitation in residents of various specialties in Mashhad universities of medical sciences. HMED Horizon of Medical Education Development. 2019; 9(1): 14-22.
  4. Holmberg M, Holmberg S, HerlitzJ. Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out-of-hospital cardiac arrest patients in Sweden. Eur Heart J. 2001; 22(6): 511-9.
  5. Mohsenpour M, Imani Z, Abdolkarimi M. The effect of education of cardiopulmonary resuscitation (C.P.R) on knowledge of nursing staff and C.P.R team members in a hospital in Kerman province. J Qual Res Health Sci. 2010; 9(1,2): 1-7
  6. Chamberlain DA, Hazinski MF. Education in resuscitation. Resuscitation. 2003; 59(1): 11-43
  7. He J, Neal B, Gu D, Suriyawongpaisal P, Xin X, Reynolds R, et al. International collaborative study of cardiovascular disease in Asia: design, rationale and preliminary results. Ethn Dis. 2004 spring; 14(2): 260.
  8. Gebremedhn EG, Gebregergs GB, Anderson BB, Nagaratnam V. Attitude and skill levels of graduate health professionals in performing cardiopulmonary resuscitation. AMEP. 2017; 8: 43–50.
  9. Park G. The effect of applying basic CPR training by 2010 HA guideline to nursing students. IJBSBT. 2016; 8(1): 191-198
  10. Tsegaye W, Tesfaye M, Alemu M. Knowledge, attitude and practice of cardiopulmonary resuscitation and associated factors in Ethiopian university medical students. J Gen Pract. 2015; 3(4): 206-10.
  11. Kavosi A, Parviniannasab AM, Hessam M, Shariati AR, Jouybari L, Sanagu A. Barriers to the success of cardiopulmonary resuscitation teams from the perspective of nurses. Jorjani Biomed J. 2013; 1(1): 16-22.
  12. Desalu I, Oyedepo O, Olatosi O. Training and confidence level of junior anaesthetists in CPR- Experience in a developing country. IJA. 2008; 52(3): 297-300.
  13. Isazadehfar Kh, Sedaghat M, Entezari Asl M. Cardiopulmonary resuscitation training for medical students in anesthesiology rotation in Ardabil medical university (Iran). JME. 2008; 12(1,2): 37-41.
  14. Jafari chokan NM, Reihani H, kamandi M, FeizDisfani H. Assessment of medical residents’ knowledge and familiarity with cardiopulmonary resuscitation. Med J Mashhad Uni Med Sci. 2017; 60(1): 409-17.
  15. Avazbakhsh MH, Mirhosseini H, Entezari A, Jarahzadeh MH, Mirhosseini S. Evaluating the awareness of anesthesia and operating room senior students about accurate cardiopulmonary resuscitation in second semester 2012-2013 held by yazd university of medical sciences. J Anesth Pain. 2016; 6(4): 55-61.
  16. Afzalzadeh M, SarajKhorami N, Nazari AA, Lari Najafi M. Effect of training workshop and problem solving methods in training of cardiopulmonary resuscitation (CPR) on nursing and anesthesia students’ performance and awareness of Dezful university of medical sciences. Life Sci J. 2014; 11(9s): 598-607.