The Czech Anaesthesia Day 2010 – a national prospective observational one-day prevalence study of the current anaesthesia practice in the Czech Republic
Authors:
Černý Vladimír 1,2; Adamus Milan 3; Cvachovec Karel 4; Ševčík Pavel 5; Herold Ivan 6*
Authors‘ workplace:
Dalhousie University, Dept. of Anesthesia, Halifax, Nova Scotia, Canada
1; Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, Fakultní nemocnice Hradec Králové
2; Klinika anesteziologie a resuscitace, Lékařská fakulta Univerzity Palackého v Olomouci, Fakultní nemocnice Olomouc
3; Klinika anesteziologie a resuscitace, Univerzita Karlova v Praze, 2. lékařská fakulta a IPVZ, Fakultní nemocnice Motol, Praha
4; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Masarykovy univerzity Brno, Fakultní nemocnice Brno
5; Anesteziologicko-resuscitační oddělení, Oblastní nemocnice Mladá Boleslav, a. s., Nemocnice Středočeského kraje
6
Published in:
Anest. intenziv. Med., 22, 2011, č. 1, s. 5-12
Category:
Anaesthesiology - Original Paper
Overview
Objective:
The aim of this study was to take a snapshot of the anaesthetic modes and techniques used in the Czech Republic.
Design:
A prospective, one-day, questionnaire study.
Setting:
All units delivering anaesthetic services registered prior to the commencement of the study.
Materials and methods:
The study enrolled all patients in the registered units whose care by the anaesthetist commenced between 07:00 and 24:00 on 1st June 2010. Each patient’s data were entered on-line via an internet based form. The studied parameters included basic demographic data, ASA class, procedure, type of anaesthesia, airway management, anaesthetic agents, neuro-muscular blocking drugs (NMBDs) and neuro-muscular blockade antagonism, infusion therapy and post-anaesthesia care location.
Results:
Data for 2520 patients were collected, of whom 2514 were analyzed (1176 men, 1338 women). Total 2306 (91.7 %) procedures were performed as in-patient and 208 (8.3 %) as day-case procedures. General anaesthesia (GA) was performed in 82.6 % and 79.3 % of in-patients and day-patients respectively. A total of 92 % of all procedures performed under GA were carried out as in-patient and 8 % as day-case procedures. Airway management for GA: tracheal intubation (59.8 %), LMA (18.8 %), other devices (11.2 %) and device-free (10.1 %). The most common induction agent was propofol (71.3 %) and opioids (76.4 %), the most frequently used NMBDs were non-depolarizing NMBDs (36.4 %) and suxamethonimum (18.5 %). Maintenance agents: opioids (66 %), isoflurane (43.8 %), sevoflurane (38.5 %) and nitrous oxide (58.3 %). The most commonly used NMBDs were atracurium (43.1 %) and rocuronium (24.2 %). The most common intravenous fluids were crystalloids (85.4 %). Following GA 41 % patients went to the ward, 25.9 % to the post-anaesthesia care unit (recovery) and 23.3 % to HDU/ICU.
Conclusion:
Anaesthetic care is most frequently given to ASA I – II patients in the Czech Republic. GA is the most common technique. The most frequently used agents include propofol, opioids, isoflurane, sevoflurane and atracurium / rocuronium. Post-anaesthesia care is usually provided on post-anaesthesia care units, HDU/ICUs or on standard wards. In comparison with other countries there is a low proportion of procedures performed without subsequent hospitalisation of the patient.
Keywords:
general anaesthesia – regional anaesthesia – questionnaire study
Sources
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