中国儿科麻醉现状调查

Status quo of pediatric anesthesia practice in China:an online survey

目的拟调查国内儿科麻醉的现状,以改进临床工作。方法于2017年5-6月通过微信网络平台对所有新青年麻醉论坛会员发送了1份关于儿科麻醉现状的问卷调查表。答题者可以通过手机或台式电脑来完成这份问卷调查表,每个IP地址只能容许完成问卷调查1次。结果总共5 779名会员阅读了这份问卷邀请,其中2 496名答卷者完成了问卷调查表,整体完成率占43%。3类最常见的儿科手术病种是:骨科、耳鼻喉和基本外科手术。19%回复者不使用术前用药。≥1岁的小儿全麻,有气囊气管导管较无气囊气管导管更为常用。在被调查者中,顺式阿曲库铵是最为常用的肌松药。瑞芬太尼是术中最为常用的镇痛药物。> 95%的被调查者术中不常规使用肌松监测,而> 70%的被调查者在手术结束时不常规使用肌松药拮抗药物。结论本研究是目前国内儿科麻醉现状的首次调查研究,其结果可以作为将来研究我国儿科麻醉的基础参考对照。此外,本调查研究数据将有助于了解我国儿科麻醉目前存在的问题,制定、实施相应的解决办法,从而最终改进我国儿科临床麻醉工作,提高儿科手术麻醉的围术期安全。

Objective To describe current practice of pediatric anesthesia in China for improving clinical anesthetic management. Methods We conducted a self-administered questionnaire survey on pediatric anesthesia practice via WeChat among members of New Youth Anesthesia Forum(NYAF) of China between May and June, 2017. The respondents could use a mobile device or desktop to complete the survey. Each internet protocol(IP) address was allowed to complete the survey once only. Results Of the 5 779 NYAF members browsing the notice of the survey, 2 496 completed the questionnaire, with an overall response rate of 43%. The three most common surgeries with anesthesia administration reported by the respondents were orthopedic, otorhinolaryngology, and general surgery. There were 19% of the respondents reporting not administering preoperative medications and the respondents reported more cuffed than uncuffed tracheal tube application in general anesthesia for the child patients of ≥ one year old. The respondents reported that the most commonly used neuromuscular blockade agent was cisatricurium and remifentanil was the most commonly used narcotic in surgery.More than 95% of the respondents reported no routine application of neuromuscular monitors and more than 70% of the respondents reported no routine administration of reversal agents at the end of a surgical procedure. Conclusion The results provide basic information on current status of pediatric anesthesia in China and references for further researches on improvement of clinic pediatric anesthesia practice in the country.