James M R, Milsom P L
Department of Anaesthetics, Pinderfields General Hospital, Wakefield, England.
Arch Emerg Med. 1988 Sep;5(3):151-5. doi: 10.1136/emj.5.3.151.
Junior anaesthetists in 75 English hospitals were surveyed for their views on whether administering general anaesthetics in A&E departments provoked more anxiety than in the main theatre, and if so what factors contributed to this. Of these anaesthetists, 71% were more apprehensive working in A&E departments than in main theatre; 91% felt that they were adequately experienced but despite this there was a marked decline in apprehension with increasing experience. Sixty eight per cent of the anaesthetists thought that their assistance was inadequate and only 28% had an Operating Department Assistant (ODA). Forty eight per cent said that the equipment was inadequate in either standard or maintenance and 40% said that some of the patients were unsuitable for day case anaesthesia. The authors recommend that anaesthetists performing general anaesthetics in A&E departments should be adequately experienced using equipment provided and maintained by the anaesthetic department and assisted by adequately trained nurses or ODAs.
对英国75家医院的初级麻醉师进行了调查，询问他们对于在急症室实施全身麻醉是否比在主手术室更令人焦虑的看法，若情况如此，哪些因素导致了这种情况。在这些麻醉师中，71%在急症室工作比在主手术室更担心；91%觉得自己经验足够，但尽管如此，随着经验增加，担心程度显著下降。68%的麻醉师认为他们得到的协助不足，只有28%有手术室助理（ODA）。48%表示设备在标准或维护方面不足，40%表示有些患者不适合日间手术麻醉。作者建议，在急症室实施全身麻醉的麻醉师应具备足够经验，使用麻醉科提供和维护的设备，并由训练有素的护士或手术室助理协助。
