Original Articles
Anesthesia in Thoracic Surgery in Catalonia: Results of a Survey Carried Out in 2003
Esther Vilàa,
, Roser García-Guascha, Sergi Sabatéb, Montserrat Lucasa, Jaume Caneta, on behalf of the ANESCAT group
Corresponding author
35021evb@comb.es
Correspondence: Dra E. Vilà Servicio de Anestesiología, Hospital Universitario Germans Trias i Pujol Ctra. del Canyet, s/n 08916 Badalona, Barcelona, Spain
Correspondence: Dra E. Vilà Servicio de Anestesiología, Hospital Universitario Germans Trias i Pujol Ctra. del Canyet, s/n 08916 Badalona, Barcelona, Spain
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Vilà Servicio de Anestesiología, Hospital Universitario Germans Trias i Pujol Ctra. del Canyet, s/n 08916 Badalona, Barcelona, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-10-17" "fechaAceptado" => "2007-12-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155070" "palabras" => array:5 [ 0 => "Thoracic Surgery" 1 => "Anesthesia" 2 => "Catalonia, Spain" 3 => "Procedures" 4 => "Survey" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155071" "palabras" => array:5 [ 0 => "Cirugía torácica" 1 => "Anestesia" 2 => "Cataluña" 3 => "Procedimientos" 4 => "Encuesta" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To determine the anesthetic, surgical, and postoperative characteristics of patients who underwent thoracic surgery in Catalonia, Spain, in 2003.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective, cross-sectional survey was carried out on 14 randomly chosen days in 2003. All hospitals performing thoracic surgery in Catalonia took part. Data were collected on patient characteristics, anesthetic techniques, procedures, analgesia, and postoperative care.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Data on 171 anesthetic procedures in thoracic surgery were collected from 27 hospitals; these procedures represented 0.7% of the total anesthetic workload. Extrapolation from the collected data indicated that 4458 anesthetic procedures were performed in thoracic surgery in 2003 (95% confidence interval, 3624-4823 procedures). Of these procedures, 75.4% were performed in public hospitals and 24.6% in private hospitals. The median age of patients was 55 years (10th-90th percentiles, 22.4-73 years) and 63.9% were men. Surgical procedures were scheduled in 92.8% of the cases. The most common interventions were lung and bronchial surgery other than resection (36.8%), lung and/or bronchial resection (24.6%), and thoracoscopy and mediastinoscopy (20.5%). The median duration of pneumonectomies and lobectomies was 180 minutes (10th-90th percentiles, 90-221 minutes). General anesthesia was the most commonly used procedure (74.3%). Postoperative recovery took place in a conventional recovery room in 54.4% of cases, in a postanesthetic intensive care unit in 33.3% of cases, and in an intensive care unit in 12.3% of cases.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">This survey provided information on anesthesia in thoracic surgery, which represented 0.7% of all anesthesia procedures in an area with a population of 7 million.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer las características anestésicas, quirúr-gicas y postoperatorias de los pacientes a los que se realizó cirugía torácica en Cataluña en 2003.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha llevado a cabo un estudio prospectivo y transversal en forma de encuesta realizada en 14 días aleatorios de 2003. Participaron todos los hospitales que efectuaban cirugía torácica en Cataluña. Se recabaron datos sobre las características de los pacientes, técnicas anestésicas, procedimiento, analgesia y control postoperatorio.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se recogieron 171 procedimientos anestésicos en cirugía torácica en 27 centros, lo que representa el 0,7% de toda la actividad anestésica. Los datos permiten extrapolar que durante 2003 se realizaron 4.458 procedimientos anestésicos por cirugía torácica en Cataluña (intervalo de confianza del 95%, 3.624-4.823). El 75,4% se llevó a cabo en hospitales públicos y el 24,6% en centros privados. La mediana de edad de los pacientes fue de 55 años (percentiles 10-90: 22,4-73) y el 63,9% fueron varones. Los procedimientos quirúrgicos programados representaron el 92,8%. Las intervenciones más frecuentes fueron: cirugía de pulmón y bronquio distinta de la resección (36,8%), resección pulmonar y/o bronquial (24,6%), toracoscopia y mediastinoscopia (20,5%). La mediana de duración de las neumonectomías o lobectomías pulmonares fue de 180 min (percentiles 10-90: 90-291). La anestesia general fue el procedimiento anestésico más frecuente (74,3%). El postoperatorio se realizó en una sala de recuperación convencional en el 54,4% de los casos, en una unidad de reanimación en el 33,3% y en cuidados intensivos en el 12,3% restante.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio permite conocer la actividad anestésica en cirugía torácica en un área poblacional de 7 millones de habitantes, que representa el 0,7% del total de la actividad anestésica.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This project was jointly funded by the Catalan Health Service and the Catalan Society of Anesthesiology, Critical Care, and Pain Therapy (SCARTD).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 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| 2018 January | 3 | 4 | 7 |
| 2017 December | 5 | 8 | 13 |
| 2017 November | 3 | 7 | 10 |
| 2017 October | 5 | 7 | 12 |
| 2017 September | 5 | 6 | 11 |
| 2017 August | 6 | 8 | 14 |
| 2017 July | 3 | 3 | 6 |
| 2017 June | 10 | 11 | 21 |
| 2017 May | 6 | 4 | 10 |
| 2017 April | 2 | 4 | 6 |
| 2017 March | 2 | 2 | 4 |
| 2017 February | 1 | 1 | 2 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 5 | 4 | 9 |
| 2016 November | 14 | 9 | 23 |
| 2016 October | 7 | 5 | 12 |
| 2016 September | 4 | 9 | 13 |
| 2016 August | 8 | 5 | 13 |
| 2016 July | 7 | 6 | 13 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 41 | 6 | 47 |
| 2015 September | 34 | 7 | 41 |
| 2015 August | 30 | 10 | 40 |
| 2015 July | 30 | 4 | 34 |
| 2015 June | 29 | 3 | 32 |
| 2015 May | 39 | 4 | 43 |
| 2015 April | 25 | 8 | 33 |
| 2015 March | 22 | 5 | 27 |
| 2015 February | 16 | 4 | 20 |
| 2015 January | 33 | 6 | 39 |
| 2014 December | 35 | 6 | 41 |
| 2014 November | 34 | 7 | 41 |
| 2014 October | 28 | 7 | 35 |
| 2014 September | 20 | 6 | 26 |
| 2014 August | 22 | 6 | 28 |
| 2014 July | 25 | 6 | 31 |
| 2014 June | 49 | 6 | 55 |
| 2014 May | 63 | 6 | 69 |
| 2014 April | 46 | 5 | 51 |
| 2014 March | 39 | 9 | 48 |
| 2014 February | 32 | 13 | 45 |
| 2014 January | 24 | 6 | 30 |
| 2013 December | 27 | 12 | 39 |
| 2013 November | 28 | 2 | 30 |
| 2013 October | 23 | 9 | 32 |
| 2013 September | 24 | 6 | 30 |
| 2013 August | 30 | 6 | 36 |
| 2013 July | 33 | 9 | 42 |
| 2013 June | 25 | 6 | 31 |
| 2013 May | 30 | 5 | 35 |
| 2013 April | 10 | 7 | 17 |
| 2013 March | 6 | 1 | 7 |
Show all
