Fassoulaki A, Sarantopoulos C, Vassiliou M
Department of Anesthesia, St Savas Hospital, Athens, Greece.
Acta Anaesthesiol Belg. 1995;46(2):79-86.
To assess the performance of anesthesiologists in 12 Departments of Anesthesia a questionnaire was completed by 132 anesthesiologists. The questionnaire included preoperative visit, preoxygenation, the anaesthetic record, time of stay in the operating room, management of apnea at the end of surgery and rapid sequence induction. Anesthesiologists were also asked if they keep update and how. Eighty-nine percent of the anesthesiologists visit the patients preoperatively, 77% preoxygenate them routinely, 22% preoxygenate only the emergency patients, 0.8% never preoxygenate, 83% keep an anesthetic record, and the average time they stay in the operating room is 84% of the procedures. If the patient is apneic at the end of surgery, 43% of the anesthesiologists use peripheral nerve stimulator, 41% give atropine/neostigmine, 13% repeat the neostigmine, and 82% continue mechanical ventilation. The 12 Departments of Anesthesia differed significantly between them in all the above variables (P < 0.01-P < 0.0001 for each of the variables between them). To induce anesthesia in patients with full stomach, 89% give thiopentone and succinylcholine, 4% thiopentone and nondepolarizing relaxant, 76% apply cricoid pressure and 5% inflate the lungs via a face mask, (P < 0.0001, P = 0.018 and P < 0.0001 respectively). Eighty-seven percent of the anesthesiologists keep update attending congresses, 76% departmental meetings (P = 0.0015 within the 12 Hospitals), 86% reading journals and 78% reading textbooks. The 12 Departments of Anesthesia presented a uniformity in updating knowledge but not in practicing anesthesia.
为评估12个麻醉科麻醉医生的工作表现，132名麻醉医生完成了一份调查问卷。问卷内容包括术前访视、预给氧、麻醉记录、在手术室的停留时间、手术结束时呼吸暂停的处理以及快速顺序诱导。还询问了麻醉医生是否以及如何保持知识更新。89%的麻醉医生会在术前访视患者，77%的医生常规进行预给氧，22%的医生仅对急诊患者进行预给氧，0.8%的医生从不进行预给氧，83%的医生会做麻醉记录，他们在手术室的平均停留时间占手术过程的84%。如果患者在手术结束时出现呼吸暂停，43%的麻醉医生会使用外周神经刺激器，41%的医生给予阿托品/新斯的明，13%的医生重复使用新斯的明，82%的医生继续进行机械通气。上述所有变量在12个麻醉科之间均存在显著差异（各变量之间的P值为<0.01 - <0.0001）。对于饱胃患者进行麻醉诱导时，89%的医生给予硫喷妥钠和琥珀酰胆碱，4%的医生给予硫喷妥钠和非去极化肌松药，76%的医生应用环状软骨压迫法，5%的医生通过面罩给肺充气（P值分别为<0.0001、0.018和<0.0001）。87%的麻醉医生通过参加学术会议保持知识更新，76%的医生通过科室会议（12家医院内P = 0.0015），86%的医生通过阅读期刊，78%的医生通过阅读教科书。12个麻醉科在知识更新方面表现出一致性，但在麻醉实践方面并非如此。
