naa a22 4500 510742912 CHVBK 20180411083034.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12630-013-9920-z doi (NATIONALLICENCE)springer-10.1007/s12630-013-9920-z Drug shortages in Canadian anesthesia: a national survey [Elektronische Daten] [Richard Hall, Gregory Bryson, Gordon Flowerdew, David Neilipovitz, Agnieszka Grabowski-Comeau, Alexis Turgeon] Pénuries de médicaments pour l'anesthésie au Canada: une enquête de pratique nationale Background: Canadian physicians are faced with an increasing frequency of drug shortages. We hypothesized that drug shortages have a clinical impact on anesthesia care in Canada. Methods: We conducted a self-administered survey of anesthesiologists in Canada using the membership list of the Canadian Anesthesiologists' Society. For survey development, we identified key domains, including types of drug shortages, impact on the ability of anesthesia practitioners to provide general anesthesia care, and impact on patient outcomes. We undertook assessments of face validity, clinical sensibility, and content validity. Respondents were surveyed from January-April 2012. Results: Completed valid questionnaires were submitted by 1,187 respondents (61.4%), and 779 (65.7%) of respondents described a shortage of one or more anesthesia or critical care drugs. Changes in anesthesia practice resulting from drug shortages were common; 586 (49%) respondents thought they had given an inferior anesthetic, and 361 (30%) reported administering medications with which they were unfamiliar. Respondents also reported that drug shortages were, at times, responsible for changes in the conduct of patient care, with 28 (2.4%) noting cancellation or postponement of surgery and 92 (7.8%) witnessing a drug error. One hundred sixty-five (13.9%) respondents regarded drug shortages as having prolonged recovery from anesthesia, and 124 (10.5%) viewed drug shortages as resulting in an increased number of postoperative complications, such as postoperative nausea and vomiting. Interpretation: Drug shortages are common in anesthetic practice in Canada. This state of affairs may have a negative effect on how anesthesiologists practice anesthesia and may be associated with adverse patient outcomes. Canadian Anesthesiologists' Society, 2013 Hall Richard Division of Critical Care Medicine, Department of Anesthesiology, Dalhousie University and the Capital District Health Authority, Room 5452 Halifax Infirmary, 1796 Summer Street, B3H 3A7, Halifax, NS, Canada aut Bryson Gregory Department of Anesthesiology, The University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, ON, Canada aut Flowerdew Gordon Department of Community Health and Epidemiology, Dalhousie University and the Capital District Health Authority, Halifax, NS, Canada aut Neilipovitz David Departments of Anesthesiology and Critical Care Medicine, The Ottawa Hospital, Ottawa, ON, Canada aut Grabowski-Comeau Agnieszka Division of Critical Care Medicine, Department of Anesthesiology, Dalhousie University and the Capital District Health Authority, Room 5452 Halifax Infirmary, 1796 Summer Street, B3H 3A7, Halifax, NS, Canada aut Turgeon Alexis Population Health and Practice-Changing Research Unit (Trauma-Emergency-Critical Care Medicine), Division of Critical Care Medicine, Department of Anesthesiology, Centre Hospitalier Universitaire de Québec (CHU) Research Center, CHU de Québec, Université Laval, Québec, QC, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/6(2013-06-01), 539-551 0832-610X 60:6<539 2013 60 12630 https://doi.org/10.1007/s12630-013-9920-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-9920-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hall Richard Division of Critical Care Medicine, Department of Anesthesiology, Dalhousie University and the Capital District Health Authority, Room 5452 Halifax Infirmary, 1796 Summer Street, B3H 3A7, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Bryson Gregory Department of Anesthesiology, The University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Flowerdew Gordon Department of Community Health and Epidemiology, Dalhousie University and the Capital District Health Authority, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Neilipovitz David Departments of Anesthesiology and Critical Care Medicine, The Ottawa Hospital, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Grabowski-Comeau Agnieszka Division of Critical Care Medicine, Department of Anesthesiology, Dalhousie University and the Capital District Health Authority, Room 5452 Halifax Infirmary, 1796 Summer Street, B3H 3A7, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Turgeon Alexis Population Health and Practice-Changing Research Unit (Trauma-Emergency-Critical Care Medicine), Division of Critical Care Medicine, Department of Anesthesiology, Centre Hospitalier Universitaire de Québec (CHU) Research Center, CHU de Québec, Université Laval, Québec, QC, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/6(2013-06-01), 539-551 0832-610X 60:6<539 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer