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[Anesthesia in France].

M C Laxenaire1, Y Auroy

  • 1Service d'anesthésie-réanimation Hôpital Central CO no. 34 54035 Nancy. mc.laxenaire@chu-nancy.fr

La Revue Du Praticien
|June 5, 2001
PubMed
Summary

Anaesthesiology-intensive care has expanded significantly in France, with a 2.2-fold increase in procedures over 15 years. This growth impacts diverse patient groups and surgical specialities, highlighting the evolving role of anaesthesia.

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Area of Science:

  • Medical Speciality
  • Anaesthesiology-intensive care

Background:

  • Anaesthesiology, formally Anesthésie-réanimation, established in 1965.
  • Scope includes anaesthesia, intensive care, emergencies, pain management, and follow-up.

Purpose of the Study:

  • To analyze the evolution and scope of anaesthesiology in France.
  • To quantify the increase in anaesthesia procedures and identify contributing factors.

Main Methods:

  • Analysis of anaesthesia procedure data in France over a 15-year period.
  • Examination of trends across different surgical types, patient demographics, and anaesthesia techniques.

Main Results:

  • 8 million anaesthesias performed annually by 8,500 physicians and 7,500 nurses.
  • 13.5% of the French population undergoes anaesthesia annually, with variations by sex and age.
  • A 2.2-fold increase in anaesthesia procedures over 15 years, driven by orthopaedics, obstetrics (35x epidurals), and GI endoscopy (50x increase).
  • Increased procedures involve extreme age groups and fragile patients.
  • Local/regional anaesthesia at 21%; outpatient anaesthesia increased 12-fold.

Conclusions:

  • Anaesthesiology practice in France has seen substantial growth and diversification.
  • The specialty now serves a broader and more complex patient population.
  • Trends indicate a rise in minimally invasive procedures and outpatient care.

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