Koerber J P, Roberts G E W, Whitaker R, Thorpe C M
Queen Elizabeth Hospital, Adelaide, SA, Australia.
Anaesthesia. 2009 Jan;64(1):54-9. doi: 10.1111/j.1365-2044.2008.05681.x.
A questionnaire survey examining rapid sequence induction techniques was sent to all anaesthetists in Wales. The questionnaire presented five common clinical scenarios: emergency appendicectomy; elective knee arthroscopy with a symptomatic hiatus hernia; elective knee arthroscopy with an asymptomatic hiatus hernia; elective Caesarean section; and emergency laparotomy for bowel obstruction. Completed surveys were received from 421 anaesthetists, a 68% response rate. Rapid sequence induction was chosen by 398/400 respondents (100%) for bowel obstruction, 392/399 (98%) for Caesarean section, 388/408 (95%) for appendicectomy, 328/395 (83%) for symptomatic hiatus hernia but only 98/399 (25%) for asymptomatic hiatus hernia (p < 0.001). Trainees were more likely to use a rapid sequence induction technique than consultants and staff grades for the appendicectomy (p = 0.025), symptomatic hiatus hernia (p = 0.004) and asymptomatic hiatus hernia (p = 0.001) scenarios and were also more likely to use a thiopental-suxamethonium combination for rapid sequence induction (p < 0.001).
一项关于快速顺序诱导技术的问卷调查已发送给威尔士的所有麻醉师。问卷呈现了五种常见的临床场景：急诊阑尾切除术；伴有有症状食管裂孔疝的择期膝关节镜检查；伴有无症状食管裂孔疝的择期膝关节镜检查；择期剖宫产；以及肠梗阻的急诊剖腹手术。共收到421名麻醉师填写的调查问卷，回复率为68%。对于肠梗阻，398/400名受访者（100%）选择了快速顺序诱导；剖宫产为392/399（98%）；阑尾切除术为388/408（95%）；有症状食管裂孔疝为328/395（83%）；但无症状食管裂孔疝仅为98/399（25%）（p<0.001）。在阑尾切除术（p = 0.025）、有症状食管裂孔疝（p = 0.004）和无症状食管裂孔疝（p = 0.001）场景中，实习医生比顾问医生和 staff grades 更有可能使用快速顺序诱导技术，并且在快速顺序诱导中也更有可能使用硫喷妥钠 - 琥珀胆碱组合（p<0.001）。
