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[Pediatric anesthesia practice in France: a survey of 1,526 anesthesiologists]
1Unité d'anesthésie-réanimation pédiatrique, CHU, hôpital Clocheville, Tours, France.
Insights
Most anaesthetists desire updated guidelines for paediatric anaesthesia (PA) practice. This survey highlights a need for standardized recommendations to improve care for young patients.
Area of Science:
- Anesthesiology
- Pediatric Medicine
Context:
- Paediatric anaesthesia (PA) practice varies significantly.
- A need exists for standardized guidelines and continuing education in PA.
Purpose:
- To assess current anaesthetist activity in paediatric anaesthesia.
- To identify anaesthetists' needs for continuing education and practice recommendations in PA.
Summary:
- A survey of 1,526 anaesthetists revealed diverse PA practices.
- Most anaesthetists (67%) desire recommendations for PA in children under 12 months.
- Specialized nurses are considered essential, and mask induction is common in young children.
Impact:
- This study underscores the demand for evidence-based recommendations in paediatric anaesthesia.
- Findings can inform the development of targeted educational programs and clinical guidelines.
- Improved PA practices can lead to enhanced patient safety and outcomes.
Objectives:
To assess the individual activity of anaesthetists in paediatric anaesthesia (PA), and collect their wishes about continuing education and recommendations in PA.
Study Design:
Transversal, prospective study.
Methods:
A questionnaire of 33 items, sent to 4,360 anaesthetists, spread over 15 health districts, working in a public or private institution.
Results:
We gathered 1,526 replies (35%) of which 34% university hospitals, 32% public institutions and 31% private institutions. 943 physicians (63%) had no specific structure, and 1,119 (87%) considered a specialized nurse to be essential for PA. 1,127 physicians (74%) had undertaken a specific session during their formation. The practice of PA depends upon age and context. Above 1 year old, the surgery that is performed weekly was ENT (38%), abdominal and urologic surgery (28%). Mask induction was performed by 60% of the physicians in children under 5 years. 63% of the anaesthetists dreaded a laryngospasm during induction. 625 physicians undertook regional anaesthesia in children under 5 years (87% caudal anaesthesia, 48% peripheral nerve blocks). 1,029 physicians (67%) wished for recommendations in PA in children under 12 months.
Conclusions:
This survey showed that most of the anaesthetists wished for recommendations in their paediatric anaesthesia practice.