Drug shortages in Canadian anesthesia: a national survey

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Richard HallCanadian Perioperative Anesthesia Clinical Trials Group

Abstract

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. 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. 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%) ...Continue Reading

References

Oct 12, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gerald T NyakatawaFarai D Madzimbamuto
Mar 21, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Mario Bedard
Mar 28, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Patricia Houston, Richard Chisholm
Dec 3, 2014·Emergency Medicine Clinics of North America·Robert S Green, Sean K Gorman
May 6, 2015·Anaesthesia·W Harrop-Griffiths
Oct 9, 2015·Hospital Pharmacy·Celeste R CaulderBill Stevenson
Mar 17, 2015·PloS One·Kim PauwelsIsabelle Huys
Apr 25, 2016·Annales pharmaceutiques françaises·S HuvelleL Galanti
Aug 26, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard Hallmembers of the Canadian Perioperative Anesthesiology Clinical Trials Group (PACT) Steering Committee*
Oct 23, 2016·Drugs·Michail AlevizakosEleftherios Mylonakis
Mar 17, 2018·Anesthesia and Analgesia·Jason W Nickerson, Edson Chikumba
Nov 7, 2019·Anesthesia and Analgesia·Daniel S OrlovichKaren B Domino
Jul 1, 2017·European Journal of Hospital Pharmacy. Science and Practice·M ClossetL Galanti
Dec 28, 2019·Indian Journal of Anaesthesia·Tyler J LawAdrian W Gelb
Aug 28, 2020·Frontiers in Medicine·Nenad MiljkovićBranislava Miljković
Sep 10, 2020·Advances in Medical Education and Practice·Emily D GeyerDmitry Tumin
May 6, 2019·PloS One·Jonathan Minh PhuongRebekah Moles

Citations

Aug 10, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K Jenkins, D Wong
Oct 11, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kathryn JenkinsRobin Correa
Oct 24, 2002·The American Journal of Nursing·Toni Inglis
Jun 24, 2003·Anesthesia and Analgesia·Tong J GanDepartment of Anesthesiology, Duke University Medical Center
May 7, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Zeev FriedmanCanadian Anesthesiologists' Society
Oct 29, 2004·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Amanda M BaumerJoseph H Deffenbaugh
Feb 1, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Georges Peter
Aug 21, 2007·JAMA : the Journal of the American Medical Association·Tracy Hampton
Nov 29, 2007·Anesthesia and Analgesia·Tong J GanSociety for Ambulatory Anesthesia
Jul 23, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Geoff McCrackenSociety of Obstetricians and Gynecologists of Canada
Jul 30, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Karen E A BurnsACCADEMY Group
May 21, 2011·Anesthesia and Analgesia·Gildasio S De OliveiraRobert J McCarthy
Jul 23, 2011·Anesthesia and Analgesia·David A StoryANZCA Trials Group
Sep 6, 2011·The American Journal of Psychiatry·Daniel F MaixnerIrving M Reti
Sep 21, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Rola KaakehJames Stevenson
Nov 2, 2011·The New England Journal of Medicine·Mandy L Gatesman, Thomas J Smith
Jan 24, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Milena M GriffithMarc H Scheetz
Apr 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard HallDavid Campbell

Related Concepts

Anesthesia Procedures
General Anesthesia [PE]
Anesthesiology
Absence of Sensation
General Anesthesia
Anesthesia Recovery Period
Specialty Type - Critical Care
Postoperative Nausea and Vomiting
Postoperative Complications
Anesthetics

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