Xiehe Yixue Zazhi (May 2022)
A Survey of the Current Status of Anesthesiology for Plastic and Cosmetic Surgery in China
Abstract
Objective To investigate the current status of anesthesiology in plastic and cosmetic surgery in China, so as to provide a basis for standardizing the regulation of this industry and ensuring the safety of patients during perioperative anesthesia. Methods From November 1, 2021 to January 31, 2022, the online questionnaires were used to investigate the anesthesia practice status of medical institutions providing anesthesia services for plastic and cosmetic surgery in China. The contents of the questionnaires included the setting of anesthesiology department, the general information of the chiefs of the anesthesiology department, the anesthesia staffing of plastic and cosmetic surgery, the configuration of anesthesia-related equipment and emergency medicine, the responsibilities, status of training and scientific research of the anesthesiologists sub-specializing in plastic surgery, and the adverse events of anesthesia in plastic and cosmetic surgery. Then, the survey results of public and non-public medical institutions were compared. Results A total of 244 medical institutions were investigated, including 118 public hospitals and 126 non-public medical institutions. (1)The setting of the anesthesiology department: 100% of public hospitals and 98.41% of non-public medical institutions have established anesthesiology departments. Among them, the proportion of anesthesiology departments in non-public medical institutions that were affiliated to plastic surgery was significantly higher than that in public hospitals (32.54% vs. 17.80%, P=0.008). (2)The general information of the chiefs of the anesthesiology department: compared with non-public medical institutions, the proportion of senior title (94.07% vs. 64.29%, P 50 hours per week (10.17% vs. 26.19%, P=0.017) in public hospitals were lower than those in non-public medical institutions. In public hospitals, the percentage of anesthesiologists engaged in plastic and cosmetic surgery who participated in national continuing education training (51.80% vs. 38.10%, P=0.033) and the per capita number of Chinese core journal papers (0.66±0.14 vs. 0.36±0.12, P=0.001) and SCI papers (0.21±0.06 vs. 0.07±0.03, P < 0.001) were more than those in non-public medical institutions. (6) The adverse events of anesthesia in plastic and cosmetic surgery: The incidence of anesthesia-related complications in plastic and cosmetic surgery in public hospitals in the past three years was lower than that in non-public medical institutions(P < 0.001), and both showed a downward trend year by year. Conclusions The lack of anesthesiologists in medical institutions that provided anesthesia for plastic and cosmetic surgery was obvious, especially in non-public medical institutions. Compared with non-public medical institutions, public hospitals have obvious advantages in the discipline construction of anesthesia, the configuration of anesthesia-related facilities and equipment, professional and technical level, educational background, professional training, and scientific research capabilities, which lead to the reduction of incidence of anesthesia-related complications in plastic and cosmetic surgery.
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