TY - JOUR T1 - Can repeated educational interaction improve doctors' knowledge of NIV management? JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p2079 AU - William Kent AU - Seher Zaidi AU - Pat Fairclough AU - Thomas Bongers Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p2079.abstract N2 - Introduction: Exacerbations of chronic obstructive pulmonary disease (COPD) requiring non-invasive ventilation (NIV) are common and often poorly managed [1]. Amongst other aspects, doctors on call in Southport may be asked for advice in adjusting settings appropriately.Methods: On the background of a 6-12 monthly rolling teaching program a new educational intervention on NIV was established. Doctors of all grades completed a questionnaire containing 3 questions prior to receiving a presentation about NIV. The teaching was then repeated 3 months later and the same questionnaire completed afterwards. 3 clinical vignettes asked for the best change in settings in response to common scenarios (involving intensive care, low PaO2, persistent acidaemia).Results: 21 questionnaires were collected before the first teaching session and 16 after the second. The table below shows the number of correct responses for each question.View this table:Questionnaire responsesConclusion: The survey shows that there is a lack of knowledge in important aspects of NIV. After an educational intervention some improvement was observed. We therefore conclude that an educational intervention such as ours combined with ward-based practical sessions are likely to be the best ways to improve standards of care. Frequency and intensity need further exploration.References:1. Roberts CM, et al. Acidosis, non-invasive ventilation and mortality in hospitalised COPD exacerbations. Thorax. 2011 Jan;66(1):43-8. ER -