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Published in: Journal of Anesthesia 2/2015

01-04-2015 | Original Article

Preoperative anesthesia clinic in Japan: a nationwide survey of the current practice of preoperative anesthesia assessment

Authors: Fumimasa Amaya, Saki Shimamoto, Megumi Matsuda, Kyoko Kageyama, Teiji Sawa

Published in: Journal of Anesthesia | Issue 2/2015

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Abstract

Purpose

In order to investigate the current practice of preoperative anesthesia assessment in Japan, we conducted a nationwide survey of the preoperative anesthesia clinic (PAC).

Methods

A written questionnaire was sent to anesthesia teaching hospitals certified by the Japanese Society of Anesthesiologists.

Results

Completed questionnaires were received from 789 hospitals (response rate 62.5 %). PACs were conducted in 52.0 % of these hospitals and were more frequently implemented in large hospitals. Services covered by the PAC included medical history taking, physical examination, review of laboratory data, and obtaining informed consent. Majority of the anesthesiologists at hospitals that did not have a PAC responded that although they acknowledged that a PAC is necessary, they were unable to set one up. The main obstacle preventing establishment of the PAC was shortage of human resources.

Conclusions

Half the anesthesia teaching hospitals in Japan use a PAC for preoperative assessment. At such hospitals, all the procedures required before anesthesia are performed in the clinic. Lack of human resources is the major obstacle preventing establishment of PACs in all hospitals.
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Metadata
Title
Preoperative anesthesia clinic in Japan: a nationwide survey of the current practice of preoperative anesthesia assessment
Authors
Fumimasa Amaya
Saki Shimamoto
Megumi Matsuda
Kyoko Kageyama
Teiji Sawa
Publication date
01-04-2015
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 2/2015
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-014-1918-3

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