Western University, London Health Science Centre, University Hospital, Department of Anesthesia and Perioperative Medicine, London, Canada.
Western University, London Health Science Centre, University Hospital, London, Canada.
Braz J Anesthesiol. 2021 Mar-Apr;71(2):116-122. doi: 10.1016/j.bjane.2021.02.002. Epub 2021 Feb 3.
The first national survey to ascertain the prevalence, structure, and functioning of the APS in Canadian university affiliated hospitals was conducted in 1991. This is a follow-up survey to assess the current status of the APS in Canada.
We requested completion of a 26-question survey from lead personnel of the APS teams or Anesthesia departments of Canadian teaching hospitals.
Among the 32 centers that were contacted, 21 (65.6%) responded. Of these respondents, 18 (85.7%) indicated that they have a structured APS (72.22% adults, 5.56% pediatrics, 22.22% mixed). Among the 18 centers with an APS, 16 of the services are led by an anesthesiologist. Eight centers (44.44%) have a regional anesthesia group, of which five (27.75%) have a regional anesthesia group that is distinct from the APS team. Nine centers (50%) offer ambulatory nerve catheter analgesia after discharge home. Fifteen centers (83.33%) use standardized order sets, and 13 centers (72.22%) use an electronic record for APS. More than 50% of the centers use intravenous lidocaine and ketamine as a part of their multimodal analgesia.
Most Canadian teaching hospitals do have a functioning APS. This survey has the potential to generate research questions about the availability of standardized and advanced acute pain management in Canada's teaching hospitals.
1991 年进行了首次全国调查，以确定加拿大大学附属医院中抗磷脂综合征（APS）的流行率、结构和功能。这是一项后续调查，旨在评估加拿大 APS 的现状。
我们要求加拿大教学医院的 APS 团队或麻醉科的主要人员完成一份包含 26 个问题的调查。
在联系的 32 个中心中，有 21 个（65.6%）做出了回应。在这些答复者中，18 个（85.7%）表示他们拥有结构化的 APS（72.22%成人，5.56%儿科，22.22%混合）。在拥有 APS 的 18 个中心中，有 16 个服务由麻醉师领导。有 8 个中心（44.44%）设有区域麻醉小组，其中 5 个（27.75%）的区域麻醉小组与 APS 团队不同。9 个中心（50%）提供出院后门诊神经导管镇痛。15 个中心（83.33%）使用标准化医嘱集，13 个中心（72.22%）使用 APS 的电子记录。超过 50%的中心将静脉利多卡因和氯胺酮作为多模式镇痛的一部分。
大多数加拿大教学医院确实拥有运作良好的 APS。这项调查有可能提出有关加拿大教学医院标准化和先进急性疼痛管理可用性的研究问题。
