Variation in rapid sequence induction techniques: current practice in Wales
| Autor: | G. E. W. Roberts, J. P. Koerber, C. M. Thorpe, Rhiannon Whitaker |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pregnancy
medicine.medical_specialty business.industry medicine.medical_treatment medicine.disease Rapid sequence induction Asymptomatic digestive system diseases Surgery Bowel obstruction stomatognathic diseases surgical procedures operative Anesthesiology and Pain Medicine Laparotomy medicine Intubation Caesarean section Hernia medicine.symptom business |
| Zdroj: | Anaesthesia. 64:54-59 |
| ISSN: | 1365-2044 0003-2409 |
| DOI: | 10.1111/j.1365-2044.2008.05681.x |
| Popis: | A questionnaire survey examining rapid sequence induction techniques was sent to all anaesthetists in Wales. The questionnaire presented five common clinical scenarios: emergency appendicectomy; elective knee arthroscopy with a symptomatic hiatus hernia; elective knee arthroscopy with an asymptomatic hiatus hernia; elective Caesarean section; and emergency laparotomy for bowel obstruction. Completed surveys were received from 421 anaesthetists, a 68% response rate. Rapid sequence induction was chosen by 398/400 respondents (100%) for bowel obstruction, 392/399 (98%) for Caesarean section, 388/408 (95%) for appendicectomy, 328/395 (83%) for symptomatic hiatus hernia but only 98/399 (25%) for asymptomatic hiatus hernia (p < 0.001). Trainees were more likely to use a rapid sequence induction technique than consultants and staff grades for the appendicectomy (p = 0.025), symptomatic hiatus hernia (p = 0.004) and asymptomatic hiatus hernia (p = 0.001) scenarios and were also more likely to use a thiopental-suxamethonium combination for rapid sequence induction (p < 0.001). |
| Databáze: | OpenAIRE |
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