Gould T H, Upton P M, Collins P
Department of Anaesthetics, Derriford Hospital, Plymouth.
Anaesthesia. 1994 Sep;49(9):807-10. doi: 10.1111/j.1365-2044.1994.tb04459.x.
A questionnaire designed to assess the knowledge of newly qualified house officers about the management of postoperative pain, was sent to 203 preregistration house officers in the South West region of England. The questionnaire sought information on the following: (1) the prescription of postoperative analgesia for four clinical cases, (2) the use of nonsteroidal anti-inflammatory drugs in patients with six medical conditions, and (3) the management of a patient who had an epidural infusion. The response rate was 26% (54 house officers) and only 13% of those circulated answered all four clinical cases appropriately. The use of nonsteroidal anti-inflammatory drugs was often inappropriate. The management of the patient with a postoperative epidural infusion was inadequate when compared with a minimum safe response protocol designed by the authors. The poor theoretical and practical knowledge demonstrated in this survey indicates that urgent changes are required in the undergraduate curriculum to take account of the recent revolution in the management of severe postoperative pain.
一份旨在评估新获得资格的住院医生对术后疼痛管理知识的调查问卷，被发送给了英格兰西南部地区的203名预注册住院医生。该问卷收集了以下方面的信息：(1) 针对四个临床病例的术后镇痛处方；(2) 六种疾病患者使用非甾体抗炎药的情况；(3) 一名接受硬膜外输注患者的管理。回复率为26%（54名住院医生），在所有发放问卷的人中，只有13%正确回答了所有四个临床病例。非甾体抗炎药的使用常常不恰当。与作者设计的最低安全应对方案相比，术后硬膜外输注患者的管理并不充分。本次调查中显示出的理论和实践知识的欠缺表明，本科课程需要进行紧急改革，以跟上近期严重术后疼痛管理方面的变革。
