Møller J T, Pederson T, Johansen S H
Ugeskr Laeger. 1989 Nov 13;151(46):3069-71.
By means of a questionnaire investigation, 84 Danish anaesthetic departments were questioned in January 1987 about their monitoring routines during anaesthesia and recovery. 100% replied. The investigation revealed that measurement of the blood pressure in adults was the routine in all of the departments. Patients were monitored routinely with EGG in 62 departments where minor surgical interventions were concerned while, in major surgical intervention, ECG monitoring was the routine in 91% of the departments. Patients were observed postoperatively in the recovery room or intensive care unit in 51% of the departments. The questionnaire investigation revealed great variation in the monitoring and supervision routines in the anaesthetic departments in Denmark. Hitherto, it has not been possible to demonstrate that monitoring of the functions of vital organs in operation patients can reduce the morbidity and mortality connected with the anaesthesia. It is concluded that it would be desirable to carry out clinically controlled investigations to illustrate whether monitoring equipment can reduce the morbidity connected with anaesthesia and to develop a Danish recommendation concerning peroperative monitoring and postoperative observation.
1987年1月，通过问卷调查的方式，对84个丹麦麻醉科室进行了关于其麻醉及苏醒期间监测常规的询问。所有科室均予以回复。调查显示，所有科室均常规测量成人血压。62个涉及小型外科手术的科室常规使用心电图（ECG）监测患者，而在大型外科手术中，91%的科室常规进行心电图监测。51%的科室在术后于恢复室或重症监护病房观察患者。问卷调查显示，丹麦麻醉科室的监测和监督常规存在很大差异。迄今为止，尚无证据表明对手术患者重要器官功能进行监测能够降低与麻醉相关的发病率和死亡率。得出的结论是，开展临床对照研究以阐明监测设备是否能降低与麻醉相关的发病率，并制定丹麦关于围手术期监测和术后观察的建议是可取的。
