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The State of UK anaesthesia: a survey of National Health Service activity in 2013

British journal of anaesthesia : BJA, 2014-10, Vol.113 (4), p.575-584 [Peer Reviewed Journal]

2014 The Author(s) ;The Author 2014. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com. ;ISSN: 0007-0912 ;EISSN: 1471-6771 ;DOI: 10.1093/bja/aeu292 ;PMID: 25236896

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Title:
The State of UK anaesthesia: a survey of National Health Service activity in 2013
Author: Sury, M.R.J. ; Palmer, J.H.M.G. ; Cook, T.M. ; Pandit, J.J.
Subjects: Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; airway ; anaesthesia ; Anesthesia - statistics & numerical data ; Anesthesia - trends ; Anesthesia Recovery Period ; Anesthesia, Conduction ; Anesthesiology - trends ; Anesthetics ; audit ; Child ; Child, Preschool ; Conscious Sedation - statistics & numerical data ; Consciousness Monitors ; Consultants ; Emergency Medical Services - statistics & numerical data ; Female ; General Surgery - statistics & numerical data ; General Surgery - trends ; Health Care Surveys ; Humans ; Infant ; Infant, Newborn ; level of consciousness ; Male ; Medical Audit ; Middle Aged ; monitoring ; Monitoring, Intraoperative ; Monitoring, Physiologic ; Patient Admission ; Perioperative Period - mortality ; Pregnancy ; sedation ; Specialization ; State Medicine ; technique ; United Kingdom ; Young Adult
Is Part Of: British journal of anaesthesia : BJA, 2014-10, Vol.113 (4), p.575-584
Description: Details of current UK anaesthetic practice are unknown and were needed for interpretation of reports of accidental awareness during general anaesthesia (GA) within the 5th National Audit Project. We surveyed NHS anaesthetic activity to determine numbers of patients managed by anaesthetists and details of ‘who, when, what, and where': activity included GA, local anaesthesia, sedation, or patients managed awake. Anaesthetists in NHS hospitals collected data on all patients for 2 days. Scaling enabled estimation of annual activity. Hospital response rate was 100% with 20 400 returns. The median return rate within departments was 98% (inter-quartile range 0.95–1). Annual numbers (% of total) of general anaesthetics, sedation, and awake cases were 2 766 600 (76.9%), 308 800 (8.6%), and 523 100 (14.5%), respectively. A consultant or career grade anaesthetist was present in more than 87% of cases. Emergency cases accounted for 23.1% of workload, 75% of which were undertaken out of hours. Specialties with the largest workload were orthopaedics/trauma (22.1%), general surgery (16.1%), and gynaecology (9.6%): 6.2% of cases were non-surgical. The survey data describe: who anaesthetized patients according to time of day, urgency, and ASA grade; when anaesthesia took place by day and by weekday; the distribution of patient types, techniques, and monitoring; where patients were anaesthetized. Nine patients out of 15 460 receiving GA died intraoperatively. Anaesthesia in the UK is currently predominantly a consultant-delivered service. The low mortality rate supports the safety of UK anaesthetic care. The survey data should be valuable for planning and monitoring anaesthesia services.
Publisher: England: Elsevier Ltd
Language: English
Identifier: ISSN: 0007-0912
EISSN: 1471-6771
DOI: 10.1093/bja/aeu292
PMID: 25236896
Source: Geneva Foundation Free Medical Journals
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The State of UK anaesthesia: a survey of National Health Service activity in 2013

2014 The Author(s) ;The Author 2014. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com. ;ISSN: 0007-0912 ;EISSN: 1471-6771 ;DOI: 10.1093/bja/aeu292 ;PMID: 25236896

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