Department of Anaesthesia, West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
J Cardiothorac Vasc Anesth. 2011 Dec;25(6):1014-7. doi: 10.1053/j.jvca.2011.06.018. Epub 2011 Aug 25.
The authors sought to provide a snapshot of contemporary thoracic anesthetic practice in the United Kingdom and Ireland.
An online survey.
United Kingdom.
An invitation to participate was e-mailed to all members of the Association of Cardiothoracic Anaesthetists.
None.
A total of 132 responses were received; 2 were excluded because they did not originate from the United Kingdom. Values are number (percent). ANESTHETIC TECHNIQUE: The majority of respondents (109, 85%) maintain anesthesia with a volatile anesthetic agent, with a lesser proportion (20, 15%) reporting use of a total intravenous anesthetic technique. The majority of respondents (78, 61%) favor pressure control ventilation over volume control (50, 39%); just under half (57, 45%) report the routine use of positive end-expiratory pressure (median = 5 cmH(2)O [interquartile range (IQR), 4-5]). Fifty-two (40%) respondents report ventilating to a target tidal volume (median = 6 mL/kg [IQR, 5-7]). Most (114, 89%) respondents routinely ventilate with an F(I)O(2) less than 1.0. Thoracic epidural blockade (TEB) is favored by nearly two thirds of respondents (80, 62%) compared with paravertebral block (39, 30%) and other analgesic techniques (10, 8%). Anesthesiologists favoring TEB are significantly less likely to prescribe systemic opioids (17, 21% v 39, 100% [p < 0.001]). Proponents of TEB are significantly more likely to "routinely" use vasopressor infusions both intra- and postoperatively (16, 20% v 0, 0% [p = 0.003] and 28, 35% v 4, 11% [p =0.013], respectively). Most respondents (127, 98%) report a double-lumen tube as their first choice. Many (82, 64%) report "rarely" using bronchial blockers.
The authors hope this survey both provides interest and serves as a useful resource reflecting the current practice of thoracic anesthesia.
作者旨在提供英国和爱尔兰当代胸科麻醉实践的快照。
在线调查。
英国。
向心胸麻醉师协会的所有成员发送了参与邀请。
无。
共收到 132 份回复；由于它们不是来自英国，因此排除了 2 份。数值为数字（百分比）。麻醉技术：大多数受访者（109，85％）使用挥发性麻醉剂维持麻醉，比例较小（20，15％）报告使用全静脉麻醉技术。大多数受访者（78，61％）赞成压力控制通气而不是容量控制（50，39％）；近一半（57，45％）报告常规使用呼气末正压（中位数= 5 cmH 2 O [四分位距（IQR），4-5]）。52（40％）名受访者报告以目标潮气量（中位数= 6 mL / kg [IQR，5-7]）进行通气。大多数（114，89％）受访者常规使用 F（I）O（2）小于 1.0。近三分之二的受访者（80，62％）赞成胸段硬膜外阻滞（TEB），而赞成椎旁阻滞（39，30％）和其他镇痛技术（10，8％）的受访者则较少。赞成 TEB 的麻醉师明显不太可能开全身阿片类药物（17，21％比 39，100％[p <0.001]）。TEB 的支持者在围手术期内和术后使用血管加压素输注的可能性明显更高（16，20％比 0，0％[p = 0.003]和 28，35％比 4，11％[p = 0.013]）。大多数受访者（127，98％）将双腔管作为首选。许多（82，64％）报告“很少”使用支气管阻塞器。
作者希望这项调查既具有趣味性，又可以作为反映当前胸科麻醉实践的有用资源。
