区域麻醉实践:来自欧洲调查的见解

A. Konijn, C. Aldecoa, D. Benhamou, V. Frkovic, P. Kessler, P. Marhofer
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引用次数: 0

摘要

区域麻醉的使用在过去二十年中不断增加和发展,但其程度尚不清楚。此外,目前欧洲没有明确的最佳做法标准化,这可能导致实践中区域麻醉的不一致。本次调查的目的是探讨整个欧洲的区域麻醉实践,包括手术的差异、超声的使用、并发症的报告、指南、培训和患者安全实施。欧洲区域麻醉专家制定了一项27个问题的调查,重点是受访者和机构概况、麻醉服务、患者和安全管理、培训、指南的使用以及NRFitTM(符合国际标准化组织(ISO)要求的轴向装置连接器)的实施。这项调查通过专业网络在几个欧洲国家传播。共有来自36个欧洲国家的794名受访者。调查表明,在欧洲,区域麻醉的使用正在增加,并得到新技术的支持。尽管一些结果与预期的趋势和应用相一致(例如,主要由麻醉师执行的程序),但在欧洲各国的实践中存在不一致性,特别是在用于不同临床应用的特定区域麻醉程序以及区域麻醉并发症的记录和报告方面。这些不一致还延伸到主要遵循哪些指导方针以及如何实施培训。在对NRFit的ISO标准的普遍认识和采用方面也存在差异。调查结果突出了在整个欧洲区域麻醉的使用和管理中明确需要标准化和一致性。教师们提出了几项行动呼吁,包括建立欧洲最佳做法、开发并发症报告系统和实施教育计划,以突出NRFit的重要性,这些呼吁可能为实现这一目标的正确方向提供重要步骤。
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Regional anaesthesia practices: insights from a European survey
The use of regional anaesthesia has increased and evolved over the past two decades but to what extent is unclear. Moreover, there is no clear standardisation of best practice in the current European landscape, which could result in inconsistencies in regional anaesthesia in practice. The objective of this survey was to explore regional anaesthesia practices across Europe, including the differences in procedures, use of ultrasound, reporting of complications, guidelines, training and patient safety implementation. A Faculty of European regional anaesthesia experts developed a survey of 27 questions focused on respondent and institution profile, anaesthesia services, patient and safety management, training, use of guidelines, and the implementation of NRFitTM [neuraxial device connectors that meet the International Organisation for Standardisation (ISO) requirements]. The survey was disseminated across several European countries via professional networks. There were 794 respondents from 36 European countries. The survey demonstrated that use of regional anaesthesia is growing in Europe and is supported by new technologies. Although some results are consistent with expected trends and applications (e.g. procedures predominantly performed by anaesthesiologists), there are inconsistencies in practice across European countries, especially in the specific regional anaesthesia procedures utilised for different clinical applications and the recording and reporting of regional anaesthesia complications. These inconsistencies also extended to which guidelines are primarily followed and how training is implemented. There were also variations in the general awareness and uptake of the ISO standard for NRFit. The survey results highlight a clear need for standardisation and consistency in the use and management of regional anaesthesia across Europe. The faculty put forth several calls to action that could provide major steps in the right direction towards meeting that goal, including the establishment of European best practices, development of a complication reporting system and implementation of educational programmes to highlight the importance of NRFit.
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