The use of anaesthetic rooms for induction of anaesthesia: a postal survey of current practice and attitudes in Great Britain and Northern Ireland.
A postal survey was sent to all anaesthetic departments in the UK to identify current practice and gain insight into anaesthetists' attitudes regarding the use of anaesthetic rooms for induction of general anaesthesia. Replies were received from 247 (88%) departments. Of these, 10 (4%) departments routinely anaesthetise all patients in theatre. The main reason for change was patient safety. Of those who routinely use the anaesthetic room for induction of anaesthesia, only 5% have made provision to change to in-theatre induction. An estimated pound 30 million has been spent on equipping anaesthetic rooms since 1994; with the result that 91% of departments where anaesthetic room induction occurs, now have monitoring that complies with the current Association of Anaesthetists of Great Britain and Ireland guidelines. The majority of the respondents who use anaesthetic rooms perceived induction in theatre to result in reduced efficiency, increased patient anxiety, a worse teaching environment and no improvement in patient safety. This was in contrast to the attitudes of respondents from hospitals where in-theatre induction occurs. Only 9.7% of all respondents believed that clinical governance would necessitate a change to anaesthetizing all patients in theatre compared to 25% who believed that the increasing costs of monitoring equipment would lead to a change. Overall 79% of respondents prefer to use the anaesthetic room, 16% prefer in-theatre induction and 5% expressed no preference. However, of those who routinely anaesthetise in theatre, 70% thought it to be preferable.
Bromhead
H J
HJ
Specialist Registrars in Anaesthesia, Shackleton Department of Anaesthesia, Southampton General Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
Jones
N A
NA
D000761:Anesthesia Department, Hospital; D000768:Anesthesia, General; D000776:Anesthesiology / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D019538:Health Care Surveys; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods; D009873:Operating Rooms; D011364:Professional Practice / Q000706:statistics & numerical data; D006113:United Kingdom