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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2004 June;70(6):473-91

language: English, Italian

A multicenter survey on anaesthesia practice in Italy

Peduto V. A. 1, Chevallier P. 2, Casati A. 3 on behalf of the VIMA Group 4

1 Department of Clinical and Experimental Medicine Policlinico Monteluce University of Perugia, Perugia, Italy
2 Medical Direction Abbott SpA Italy, Campoverde (Latina), Italy
3 Department of Anaesthesiology Vita-Salute University of Milano IRCCS H San Raffaele, Milan, Italy
4 VIMA Group


Aim. To ­achieve ­more infor­ma­tion on anaesthe­sia prac­tice in Italy.
Methods. One ques­tion­naire was com­plet­ed for eve­ry anaesthet­ic pro­ce­dure per­formed dur­ing the ­last ­week of June 1999 in 162 pub­lic hos­pi­tals select­ed in the north­ern, cen­tral and south­ern ­parts of Italy.
Results. A ­total of 12 263 anaesthet­ic pro­ce­dures ­were per­formed dur­ing the ­study ­week in par­tic­i­pat­ing hos­pi­tals, extrap­o­lat­ing to 4 905200 anaesthet­ic pro­ce­dures per­formed in Italy in 1999 (95% con­fi­dence inter­val, (±245000), ­with an annu­al ­rate of 8.5 anaesthet­ic pro­ce­dures per 100 pop­u­la­tion. Children rep­re­sent­ed 12%, ­adults 60%, and eld­er­ly ­patients 28% of all stud­ied ­patients. Emergency pro­ce­dures ­were per­formed in 14% of cas­es; ­only 14% of cas­es ­were out­pa­tients, but 31% of ­patients ­were dis­charged with­in 48 h ­after sur­gery. General anaesthe­sia was ­used in 65% of cas­es (45% vol­a­tile and 20% intra­ve­nous anaesthe­sia), region­al anaesthe­sia in 24%, ­local anaesthe­sia in 8.8% and mon­i­tored anaesthe­sia ­care in 2.2%. No dif­fer­enc­es in the dis­tri­bu­tion of anaesthe­sia tech­niques ­were ­observed accord­ing to the geo­graph­ic ­region or hos­pi­tal ­size.
Conclusion. Some organ­iza­tion­al prob­lems ­still ­remain to be imple­ment­ed, includ­ing the devel­op­ment of prop­er pre­op­er­a­tive eval­u­a­tion clin­ics and post­an­aesthe­sia ­care ­units, espe­cial­ly in ­bigger hos­pi­tals ­with ­more ­than 1 000 ­beds.

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