Dupré L J
Service d'Anesthésie-Réanimation, Clinique Cleret, Chambéry.
Ann Fr Anesth Reanim. 1990;9(2):176-9. doi: 10.1016/s0750-7658(05)80056-5.
To determine whether, as patients, French anaesthesiologists prefer regional anaesthesia, like their North American colleagues, they were all mailed a questionnaire which submitted 2 different scenarios. Scenario A concerned emergency surgery for an open fracture to the right tibia, the patient-cum-anaesthetist having a full stomach. Scenario B was the elective removal of the plate a year later. Response rate was 15% (1,187 answers). For scenario A 89% of physicians preferred regional anaesthesia, while 57% preferred regional anaesthesia for scenario B. Epidural anaesthesia was twice as popular as spinal anaesthesia. Lower limb blocks were only chosen by a minority (A:5%; B:6%). Statistically significant differences were found between selected techniques, according to respondent's age, sex, medical school and type of practice, especially for scenario B. The fear of complications like regurgitation, allergic reaction, or postdural puncture headache seemed to be of less influence in the choice than the experience of the anaesthetist to carry out the anaesthetic in each scenario. It can therefore be concluded that French anaesthesiologists prefer regional anaesthesia for lower limb surgery required for themselves. However, experience of the "operator" with the technique seems to be as important as the technique itself.
为了确定法国麻醉医生作为患者时是否像他们的北美同行一样更喜欢区域麻醉,给他们都邮寄了一份包含两种不同场景的问卷。场景A涉及右胫骨开放性骨折的急诊手术,患者兼麻醉医生为饱胃状态。场景B是一年后取出钢板的择期手术。回复率为15%(1187份回答)。对于场景A,89%的医生更喜欢区域麻醉,而对于场景B,57%的医生更喜欢区域麻醉。硬膜外麻醉的受欢迎程度是脊髓麻醉的两倍。只有少数人选择下肢阻滞(A:5%;B:6%)。根据受访者的年龄、性别、医学院校和执业类型,在所选择的技术之间发现了统计学上的显著差异,尤其是对于场景B。与麻醉医生在每种场景下实施麻醉的经验相比,对反流、过敏反应或硬膜穿刺后头痛等并发症的担忧似乎对选择的影响较小。因此可以得出结论,法国麻醉医生在自己需要进行下肢手术时更喜欢区域麻醉。然而,“操作者”对该技术的经验似乎与技术本身同样重要。