OBJECTIVE: To assess the current levels of knowledge, attitudes, practices (KAP), and institutional support regarding Chemical, Biological, Radiological, and Nuclear (CBRN) disaster preparedness among anesthesia professionals in India, and to identify predictors and barriers to effective readiness. METHODS: A cross-sectional, web-based survey was conducted among 294 anesthesia professionals across India. The validated questionnaire assessed 4 domains: knowledge (11 items), attitude (6 items), practice (8 items), and institutional support (9 items). Descriptive statistics, multivariable linear regression, and non-parametric group comparisons were performed. Thematic analysis was applied to open-ended responses. RESULTS: < 0.001). CBRN training and trauma network affiliation independently predicted knowledge. Attitude, practice, and institutional scores showed no significant association with training status, designation, or institution type. Barriers included lack of formal training (n = 224), inadequate PPE (n = 183), and absence of SOPs (n = 177). Thematic analysis revealed five key themes, emphasizing the need for structured training and role clarity. CONCLUSIONS: CBRN preparedness among Indian anesthesiologists remains suboptimal. Cognitive gains from training are evident, but broader institutional and behavioral readiness requires systemic reforms, stakeholder engagement, and simulation-integrated curricula.
Gondode et al. (Thu,) studied this question.
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