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Anaesthesia for day case surgery: a survey of paediatric clinical practice in the UK

  • K. Payne (a1), E. W. Moore (a2), R. A. Elliott (a1), J. K. Moore (a2) and G. A. McHugh (a3)
  • DOI: http://dx.doi.org/10.1017/S0265021503000504
  • Published online: 01 June 2005
Abstract

Summary

Background and objective: In October 2000, we conducted a national postal survey of day case consultant anaesthetists in the UK to explore the range and variation in practice of anaesthetizing a patient for day case surgery (paediatrics, urology and orthopaedics). This paper reports the findings of this national survey of paediatric day case anaesthetic practice carried out as part of a major two-centre randomized controlled trial designed to investigate the costs and outcome of several anaesthetic techniques during day care surgery in paediatric and adult patients (cost-effectiveness study of anaesthesia in day case surgery).

Methods: The survey used a structured postal questionnaire and collected data on the duration of surgical procedure; the use of premedication; the anaesthetic agents used for induction and maintenance; the fresh gas flow rates used for general anaesthesia; the use of antiemetics; and the administration of local anaesthesia and analgesia.

Results: The overall response rate for the survey was 74 and 63% for the paediatric section of the survey. Respondents indicated that 19% used premedication, 63% used propofol for induction, 54% used isoflurane for maintenance, 24% used prophylactic antiemetics and 85% used a laryngeal mask. The findings of this national survey are discussed and compared with published evidence.

Conclusions: This survey identifies the variation in clinical practice in paediatric day surgery anaesthesia in the UK.

Copyright
Corresponding author
Correspondence to: Katherine Payne, School of Pharmacy & Pharmaceutical Sciences, University of Manchester, Manchester, M13 9PL, UK. E-mail: katherine.payne@man.ac.uk; Tel: +44 (0)161 276 5385; Fax: +44 (0)161 275 2416
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European Journal of Anaesthesiology
  • ISSN: 0265-0215
  • EISSN: 1365-2346
  • URL: /core/journals/european-journal-of-anaesthesiology
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