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[What do French anesthesiologists choose when they are patients themselves?]
1Service d'Anesthésie-Réanimation, Clinique Cleret, Chambéry.
Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1990
Summary
French anesthesiologists prefer regional anesthesia for their own lower limb surgeries, with epidural anesthesia being the most popular choice. Anesthetist experience significantly influences technique selection, often outweighing concerns about potential complications.
Area of Science:
- Anesthesiology
- Surgical Procedures
- Patient Preference
Context:
- Investigating anesthesiologist preferences for regional anesthesia in France.
- Comparing preferences for emergency versus elective lower limb surgery scenarios.
- Assessing the influence of North American colleagues' preferences on French anesthesiologists.
Purpose:
- To determine if French anesthesiologists prefer regional anesthesia for themselves as patients.
- To compare preferences between emergency (full stomach) and elective lower limb surgery.
- To identify factors influencing the choice of regional anesthesia techniques.
Summary:
- A questionnaire survey of 1,187 French anesthesiologists revealed strong preference for regional anesthesia (89%) in emergency lower limb surgery (Scenario A) and a notable preference (57%) in elective surgery (Scenario B).
- Epidural anesthesia was preferred over spinal anesthesia, while lower limb blocks were infrequently chosen.
- Respondent's age, sex, medical school, and practice type significantly impacted technique selection, particularly for elective procedures. Anesthetist experience was a key factor, often more influential than fear of complications.
Impact:
- French anesthesiologists favor regional anesthesia for personal lower limb surgical needs.
- Anesthetist's experience with a specific technique is as critical as the technique itself in decision-making.
- Findings provide insights into anesthesiologist's personal choices, informing practice and training.