Assessment of Anesthesia Providers' Knowledge and Self-Reported Practices on Safe Handling of Key Anesthetic and Emergency Drugs in Benghazi, Libya

Abstract

Anesthesia safety is a critical field that relies on the precise administration of potent pharmacological agents, where any error can lead to severe patient morbidity or mortality. This descriptive cross-sectional study was conducted to evaluate the knowledge and self-reported practices of 100 anesthesia providers regarding the safe handling of key anesthetic and emergency medications in major hospitals in Benghazi, Libya. Data were collected using a structured and validated questionnaire that focused on five essential drugs: propofol, succinylcholine, rocuronium, atropine, and adrenaline. The assessment covered multiple domains, including therapeutic indications, side effects, contraindications, storage requirements, and safety protocols. The results revealed that the majority of participants were young, aged 20-29 years (48%), and held a diploma qualification (80%). Foundational knowledge was generally strong across the cohort. For instance, 96% of providers correctly identified the use of propofol for induction, and 86% were aware of the strict 6-hour disposal window after opening a vial. Knowledge of neuromuscular blockers was also substantial, with 85-93% correctly identifying their indications and 90-93% recognizing the necessity of refrigerated storage. Regarding emergency drugs, 92% correctly identified bradycardia as the primary indication for atropine, and 98% recognized adrenaline as the first-line treatment for cardiac arrest. Despite these strengths, the study identified critical knowledge gaps, particularly concerning adrenaline concentrations, where only 80% of participants correctly identified the standard 1:1000 concentration. Furthermore, minor misconceptions were noted regarding the storage of atropine and the use of succinylcholine. In conclusion, while anesthesia providers in Benghazi demonstrate satisfactory foundational knowledge, targeted educational interventions are necessary. It is recommended to implement structured continuous professional development and simulation-based training to address specific gaps, standardize safety protocols, and ultimately optimize patient safety outcomes in clinical practice.