French survey of anesthesia in 1996
ABSTRACT To identify the growth in the number of anesthetic procedures since 1980 and the changes in the practice of anesthesia, the present survey was designed to collect and analyze the anesthetic activity performed in France in 1996, from a representative sample collected in all French hospitals and clinics.
This study, initiated by the French Society of Anesthesia and Intensive Care, collected information that included the characteristics of patients (age, sex, American Society of Anesthesiologists status), the techniques of anesthesia, and the nature of the procedure for which anesthesia was required. All French private, public, and military hospitals were asked to participate in the survey. In each hospital in the country, all anesthetic procedures were documented and collected during 3 consecutive days, chosen at random during a 12-month period, to obtain a representative sample of the annual activity. All data were analyzed at the INSERM (National Institute of Health and MEDICAL RESEARCH: At the conclusion of the study, 5% of hospitals were randomly assigned to be audited to check for missing data and errors. The rate of anesthetic activity was calculated as the ratio between the annual number of anesthetic procedures and the number of the general population in the same age group.
The participation rate of hospitals was 98%. The analysis of the 62,415 collected questionnaires allowed extrapolation of the anesthetic activity to 7,937,000 anesthetic procedures (95% confidence interval, +/- 387,000) performed in France in 1996. Thus, the annual rate of anesthetic procedures was 13.5 per 100 population, varying between 5.4 per 100 in girls aged 5-14 yr and 30.2 per 100 in men aged 75-84 yr. Surgery was involved in 71% of anesthesia cases. Regional anesthesia alone was performed in 20% of all surgical cases and was combined with general anesthesia in 3% of additional cases. Anesthesia for obstetric procedures represented 9% of all cases. Seventy-six percent of all anesthetic procedures started between 12:00 A.M. and 7:00 A.M. were related to obstetric activities.
In comparison with a previous study, the present survey shows that the number of anesthetic procedures has increased by 120% since 1980, and the rate of anesthetic procedures increased from 6.6 to 13.5 per 100 population, the major changes being observed in patients aged > or = 75 yr and in those with an American Society of Anesthesiologists physical status of 3. In the same time period, the number of regional anesthetic procedures increased 14-fold. In obstetrics, the practice of epidural analgesia extended from 1.5% to 51% of all deliveries of the country.
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ABSTRACT: Regional anesthesia (RA) techniques (central neuraxial and peripheral nerve blocks [CNBs and PNBs]) are well-established anesthesia/analgesia modalities. However, information on their nationwide use is sparse. The aim of the survey was to assess the utility of RA techniques in Greece, during 2011. A nationwide, cross-sectional descriptive survey was conducted (March to June, 2012), using a structured questionnaire that was sent to 128 Greek Anesthesia Departments. Sixty-six completed questionnaires (response rate 51.56%) were analyzed. The data corresponded to 187,703 operations and represented all hospital categories and geographical regions of Greece. On the whole, RA was used in 45.5% of performed surgical procedures (85,386/187,703). Spinal anesthesia was the technique of choice (51.9% of all RA techniques), mostly preferred in orthopedics (44.8%). Epidural anesthesia/analgesia (application rate of 23.2%), was mostly used in obstetrics and gynecology (50.4%). Combined spinal-epidural and PNBs were less commonly instituted (11.24% and 13.64% of all RA techniques, respectively). Most PNBs (78.5%) were performed with a neurostimulator, while elicitation of paresthesia was used in 16% of the cases. Conversely, ultrasound guidance was quite limited (5%). The vast majority of consultant anesthesologists (94.49%) were familiar with CNBs, whereas only 46.4% were familiar with PNBs. The main reported limitations to RA application were lack of equipment (58.23%) and inadequate education/training (49.29%). Regional modalities were routinely used by Greek anesthesiologists during 2011. Neuraxial blocks, especially spinal anesthesia, were preferred over PNBs. The underutilization of certain RA techniques was attributed to lack of equipment and inadequate training.Journal of Anaesthesiology Clinical Pharmacology 01/2015; 31(1):59. DOI:10.4103/0970-9185.150545
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ABSTRACT: Conocer la actividad anestésica en Cataluña en el año 2003, describir las características específicas de las técnicas anestésicas, la distribución de las mismas y el perfil de los pacientes.Pacientes y métodosSe utilizaron los datos del estudio epidemiológico ANESCAT que recogió información en forma de cuestionarios de todas las anestesias realizadas en Cataluña en 14 días aleatorios y representativos de la actividad anestésica del año 2003.ResultadosParticiparon 131 centros (100% de los autorizados para la práctica anestésica). Se recogieron 23.136 cuestionarios, con una estimación de 603.189 actos anestésicos y una tasa de 9,0 anestesias /100 habitantes/año. El 58% de los pacientes eran mujeres, mediana de edad 52 años. El 73,3% de los pacientes fueron ASA 1 ó 2; el 21,3%, ASA 3; y el 5,4% ASA 4 ó 5. La duración mediana de la anestesia fue de 60 min. La anestesia más frecuente fue la regional (41,4%) y el bloqueo subaracnoideo el más utilizado; la anestesia general fue aplicada en el 33,5%, la combinada en el 3,5% y hubo un 21,6% de sedaciones. Ortopedia/traumatología, oftalmología, cirugía general, obstetricia, cirugía de cataratas, parto vaginal, reparación de hernia inguinal y la colonoscopia fueron por orden decreciente las especialidades y procedimientos con mayor incidencia de uso de anestesia.ConclusionesCasi 1 de cada 10 ciudadanos son anestesiados cada año en Cataluña y la mayoría de ellos con alguna técnica de anestesia locorregional o sedación. Estos datos permiten estimar la realidad actual y prever las necesidades anestesiológicas futuras.Revista espanola de anestesiologia y reanimacion 03/2008; 55(3):151-159. DOI:10.1016/S0034-9356(08)70533-4
European Journal of Anaesthesiology 02/2015; DOI:10.1097/EJA.0000000000000226 · 3.01 Impact Factor