Grau T, Fatehi S, Motsch J, Bartusseck E
Klinik für Anaesthesiologie, Ruprecht-Karls-Universität Heidelberg.
Anaesthesist. 2004 Sep;53(9):847-55. doi: 10.1007/s00101-004-0720-2.
The current practice of regional anaesthesia in German-speaking countries was investigated in a survey. The second part of the trilogy presents data about its use, success rates, and techniques. In 2002 questionnaires were mailed to 750 randomly selected departments of anaesthesia of which 384 hospitals participated. Peripheral regional anaesthesia is used above all in traumatology and orthopaedics, 45% of the hospitals with paediatric surgery never used neuroaxial blocks. The residents achieved mean success rates of 69.7+/-11.8% for supraclavicular plexus block to 85.5+/-9.0% for spinal anaesthesia, the specialists in anaesthesia 79.2+/-11.3% (supraclavicular plexus block) to 91.0+/-6.8% (spinal anaesthesia). Standards for basic techniques, recording of success rates, and for quality assurance of peripheral nerve blocks should be worked out to improve the application of peripheral regional anaesthesia procedures. In neuroaxial anaesthesia satisfying success rates were reached in German-speaking countries. In paediatric anaesthesia its use still has many opponents.
一项调查研究了德语国家目前区域麻醉的实践情况。该三部曲的第二部分展示了有关其使用情况、成功率和技术的数据。2002年,向750个随机选取的麻醉科邮寄了调查问卷,其中384家医院参与了调查。外周区域麻醉主要用于创伤学和骨科,45%的小儿外科医院从未使用过神经轴阻滞。住院医师锁骨上神经丛阻滞的平均成功率为69.7±11.8%,脊髓麻醉为85.5±9.0%;麻醉专科医生锁骨上神经丛阻滞的成功率为79.2±11.3%,脊髓麻醉为91.0±6.8%。应制定外周神经阻滞基本技术、成功率记录及质量保证的标准,以改进外周区域麻醉程序的应用。在德语国家,神经轴麻醉取得了令人满意的成功率。在小儿麻醉中,其使用仍然遭到许多反对。