Anaesthesia in patients undergoing esophago-gastro-duodenoscopy for suspected bleeding
Research output: Contribution to journal › Journal article › Research › peer-review
Documents
- a5409
Final published version, 334 KB, PDF document
INTRODUCTION: Upper gastrointestinal bleeding (UGIB) is a common emergency. Currently, there are no agreed guidelines on the level of anaesthetic support required in patients undergoing acute esophago-gastro-duodendoscopy (EGD).
METHODS: An online questionnaire comprising 19 questions was distributed to all members of the Danish Association of Anaesthesiology and Intensive Care (n = 1,418) and the Danish Society of Anaesthesiologists in Training (n = 566). The questions concerned clinical practice for anaesthesia care to patients undergoing EGD for suspected UGIB and availability of local guidelines.
RESULTS: A total of 521 anaesthetists who had, on average, concluded medical school 14 years earlier (range: 9-27 years) answered the questionnaire. Of the responders, 65.5% (167/255; 95% confidence interval (CI): 59.7-71.3) had provided anaesthesia to five or more patients with suspected UGIB during the previous six months. 32.9% (110/333; 95% CI: 27.9-38.0) had a local guideline for this procedure. Rapid sequence induction was part of the guideline for 71.8% (79/110; 95% CI: 63.4-80.2) in case of general anaesthesia (GA). The preferred choice of anaesthesia was GA with endotracheal intubation (56.2%; 187/333; 95% CI: 50.9-61.5).
CONCLUSIONS: We found considerable variation in daily clinical practice of anaesthesia for patients undergoing EGD for suspected UGIB. The fact that anaesthesia for UGIB is a complex emergency procedure may underline the need for development of an international or at least a national guideline.
FUNDING: The study received financial support from Karner's Foundation, Denmark.
TRIAL REGISTRATION: not relevant.
Original language | English |
---|---|
Article number | A5409 |
Journal | Danish Medical Journal |
Volume | 64 |
Issue number | 10 |
Number of pages | 4 |
ISSN | 2245-1919 |
Publication status | Published - 2017 |
Links
Number of downloads are based on statistics from Google Scholar and www.ku.dk
ID: 195221767