Gomar Carmen, Sabaté Sergi, Mayoral Víctor, Canet Jaume, Alcón Amalia, Aliaga Luis
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Clínic i Provincial, Villarroel 170, Barcelona, Spain.
Med Clin (Barc). 2006 May 24;126 Suppl 2:19-26. doi: 10.1157/13088797.
The aim of this arm of the ANESCAT 2003 study was to describe the temporal distribution and types of anesthesia used in Catalonia, Spain, in 2003, along with the associated human resources used.
Data were used from a survey of 23,136 anesthetic procedures collected on 14 randomly selected days in 2003 and an individual questionnaire was completed by 765 anesthesiologists working in Catalonia.
Anesthesia practice was divided into that associated with surgery (78.4%), obstetrics (11.3%), and other nonsurgical procedures (10.4%). Of all anesthetic procedures performed, 84.3% took place in operating theaters and 7.0% in obstetric areas. Emergency procedures accounted for 20.3% of the total. Most procedures (71.2%) were undertaken within 08:00 and 16:00 h, and the lowest number of procedures performed on workdays took place on Fridays. The median duration of anesthesia was 60 minutes. The most common technique was regional anesthesia (41.4%), with spinal block being the most widely used. There were an estimated 12.5 anesthesiologists per 100,000 inhabitants, with a median (10th-90th percentile) age of 45 (34-57) years; women made up 47.2% of that group. The mean number of standard working hours was 46 hours per week and 65% of anesthesiologists also undertook on duty shifts. Anesthesiologists spent 77% of their time performing anesthesia and the remainder in postoperative recovery and critical care units and pain clinics.
Emergency anesthesia represents 20% of the total workload and obstetrics and nonsurgical procedures another 20%. The use of regional anesthesia was very widespread. The population density of anesthesiologists is comparable to that of other European countries, but with a higher proportion of women.
2003年ANESCAT研究的这一部分旨在描述2003年西班牙加泰罗尼亚地区麻醉的时间分布、使用类型以及相关人力资源情况。
数据来自于对2003年随机选取的14天内收集的23136例麻醉手术的调查，加泰罗尼亚地区765名麻醉医生完成了个人问卷。
麻醉实践分为与外科手术相关的麻醉（78.4%）、产科麻醉（11.3%）和其他非手术操作的麻醉（10.4%）。在所有进行的麻醉手术中，84.3%发生在手术室，7.0%发生在产科区域。急诊手术占总数的20.3%。大多数手术（71.2%）在8:00至16:00之间进行，工作日手术量最少的是周五。麻醉的中位持续时间为60分钟。最常用的技术是区域麻醉（41.4%），其中脊髓阻滞使用最为广泛。估计每10万居民中有12.5名麻醉医生，年龄中位数（第10至90百分位数）为45岁（34 - 57岁）；该群体中女性占47.2%。标准工作时间平均每周为46小时，65%的麻醉医生还需值夜班。麻醉医生77%的时间用于实施麻醉，其余时间在术后恢复室、重症监护病房和疼痛诊所。
急诊麻醉占总工作量的20%，产科和非手术操作的麻醉占另外20%。区域麻醉的使用非常广泛。麻醉医生的人口密度与其他欧洲国家相当，但女性比例更高。
