[Renunciation of routine coagulation diagnostics before ENT operations in children. Results of a survey into the implementation of this recommendation in Dresden].
In Germany a recommendation was introduced by experts from several medical associations concerning the renunciation of preoperative coagulation diagnostics in ENT interventions in children with inconspicuous bleeding history and published in July 2006. In August 2007 a survey concerning the implementation of this recommendation was sent to all pediatricians and ENT doctors working in medical offices in Dresden.


RESULTS
The survey was answered by 23 (49%) paediatricians out of 47 who were contacted and 8 (33%) out of 24 ENT doctors. Fifteen pediatricians (65%) and 3 ENT doctors (38%) have implemented the recommendation consequently and 6 respectively 3 occasionally. Only 2 pediatricians and 2 ENT doctors did not accept the recommendation. Four paediatricians and 4 ENT doctors expressed their concerns with the implementation of recommendation. Since the implementation of this recommendation 3 children suffered from bleeding complications in ambulant ENT operations but in no case a coagulation disorder was present.


CONCLUSIONS
The implementation of the recommendation at the regional level is practicable. Its acceptance is obviously higher in paediatricians than in ENT doctors.
Knöfler
R
R
Oberarzt, Facharzt für Kinder- u. Jugendmedizin, Klinik u. Poliklinik für Kinder- u. Jugendmedizin, Bereich Hämatologie, Onkologie, Hämostaseologie, Universitätsklinikum Carl Gustav, Carus an der Technischen Universität Dresden, Dresden, Germany.
Jäckel
J
J
D001778:Blood Coagulation Disorders / Q000150:complications / Q000601:surgery*; D002648:Child; D003955:Diagnostic Tests, Routine / Q000592:standards* / Q000706:statistics & numerical data; D005858:Germany; D006801:Humans; D008511:Medicine / Q000592:standards; D010038:Otorhinolaryngologic Diseases / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D010372:Pediatrics / Q000592:standards; D013038:Specialization