Effect of an education program for healthcare professionals focused on the detection and management of reverse triggering: Secondary analysis of a quasi-experimental study; Efecto de un programa de educación para profesionales sanitarios en la detección y manejo del gatillaje reverso: Análisis secundario de un estudio cuasiexperimental

Venegas; I.R.; Gutierrez-Arias; R.

Keywords: mechanical, Health education; Health personnel; Patient, ventilator asynchrony; Respiration, artificial Critical care; Respiratory therapy; Ventilators

Abstract

Introduction: Reverse triggering (RT) is a frequent type of patient-ventilator asynchrony (PVA). Despite the potential complications associated with this type of asynchrony, there is a scarcity of literature regarding the effects of training programs aimed at developing the necessary competencies among healthcare professionals to help them identify and resolve this type of PVA. Objective: To assess the effect on Chilean intensive care professionals of an education program specifically focusing on RT detection and management using ventilation graph analysis, both immediately as well as after 30 days. Methods: A secondary analysis based on the data used in a quasi-experimental study was conducted. The study applied an education program to improve detection and management of various types of PVA by healthcare staff working in critical care, using ventilation graph analysis. Assessments were conducted before (T0), immediately after (T1) a six-hour online session, and 30 days later (T2). Information from the questions designed to identify the ability to recognize and resolve RT was extracted. Results: In total, 49 healthcare professionals were included, 94% of them physical therapists, with a mean experience of three years (IQR 0.9 to 4). At T0, 20% answered the three questions correctly, with a significant increase at T1 (73.47%) and at T2 (69.39%) (p<0.001). Conclusions: In Chile, attending a specific education program focused on PVA recognition and resolution could result in an improved ability among critical care staff to identify and resolve RT based on ventilation graph analysis. © © 2025 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Más información

Título según SCOPUS: Effect of an education program for healthcare professionals focused on the detection and management of reverse triggering: Secondary analysis of a quasi-experimental study; Efecto de un programa de educación para profesionales sanitarios en la detección y manejo del gatillaje reverso: Análisis secundario de un estudio cuasiexperimental
Título de la Revista: Colombian Journal of Anesthesiology
Volumen: 54
Número: 1
Editorial: Sociedad Colombiana de Anestesiologia y Reanimacion
Fecha de publicación: 2025
Idioma: English
DOI:

10.5554/22562087.e1168

Notas: SCOPUS