Feely N M, Popat M T, Rutter S V
Nuffield Department of Anaesthetics, Oxford Radcliffe Hospitals, Oxford OX3 9DU, UK.
Anaesthesia. 2008 Jun;63(6):621-5. doi: 10.1111/j.1365-2044.2008.05447.x.
We conducted a postal survey of 210 anaesthetists in the Oxford region to determine their views and practice regarding the timing of regional anaesthesia when combined with general anaesthesia for adults undergoing limb surgery and to compare the results with those obtained in a similar survey conducted in 2001. Of the 151 respondents (72% response rate), 102 (68%) regularly combined regional and general anaesthesia for adult limb surgery. Over 80% believed that central neuraxial blocks should be performed before general anaesthesia. This matched their current practice, marking a change from 2001. Significantly fewer anaesthetists believed it necessary to perform peripheral nerve blocks before general anaesthesia than in 2001, marking another significant change in practice. Overall, the results indicate an increased popularity of regional blocks in combination with general anaesthesia when compared with 2001 practice, which we believe is related to high quality advanced training modules now on offer to senior trainees in the Oxford region.
我们对牛津地区的210名麻醉医生进行了一项邮寄调查，以确定他们对于成年肢体手术患者在全身麻醉基础上联合使用区域麻醉的时机的看法和做法，并将结果与2001年进行的一项类似调查的结果进行比较。在151名受访者中（回复率为72%），102人（68%）经常在成年肢体手术中联合使用区域麻醉和全身麻醉。超过80%的人认为应在全身麻醉前实施中枢神经阻滞。这与他们目前的做法相符，与2001年的情况有所不同。认为有必要在全身麻醉前实施外周神经阻滞的麻醉医生比2001年显著减少，这标志着做法上的另一重大变化。总体而言，结果表明与2001年的做法相比，区域阻滞联合全身麻醉的受欢迎程度有所提高，我们认为这与牛津地区目前为高级住院医师提供的高质量进阶培训模块有关。
