Lutz H, Osswald P M, Bender H J
Anaesthesist. 1982 Jan;31(1):1-5.
153,660 protocols of general and local anaesthesias were evaluated according to the complications observed during anaesthesia. The complications recorded were analysed with respect to the following criteria: type of anaesthetic procedure, experience of the anaesthesiologist, urgency of the operation and pre-operative condition (risk group) of the patient. The study shows that under the requirements of anaesthetic treatment at a university clinic, the degree of risk connected with anaesthesia is only slightly dependent on the type of the anaesthetic procedure and the experience of the physician performing the anaesthesia. Distinct differences in the complications recorded are found to be dependent on the urgency of the operation (cardiovascular and technical complications) and on the pre-operative condition of the patient (cardiovascular complications). A further decrease of the anaesthetic risk is only possible if all measures for optimal preparation before an operation are fully met and compromises are avoided to the utmost. However, spectacular improvement must not be expected with these measures.
根据麻醉期间观察到的并发症，对153660份全身麻醉和局部麻醉方案进行了评估。记录的并发症根据以下标准进行分析：麻醉程序类型、麻醉医生的经验、手术的紧急程度以及患者的术前状况（风险组）。研究表明，在大学诊所麻醉治疗的要求下，与麻醉相关的风险程度仅略微取决于麻醉程序的类型和实施麻醉的医生的经验。发现记录的并发症存在明显差异取决于手术的紧急程度（心血管和技术并发症）以及患者的术前状况（心血管并发症）。只有在充分满足术前最佳准备的所有措施并最大程度避免妥协的情况下，麻醉风险才有可能进一步降低。然而，不能期望通过这些措施有显著改善。
