• O Ritz, M Laffon, M H Blond, J C Granry, and C Mercier.
• Unité d'anesthésie-réanimation pédiatrique, CHU, hôpital Clocheville, Tours, France.
• Ann Fr Anesth Reanim. 2000 May 1;19(5):348-55.

ObjectivesTo assess the individual activity of anaesthetists in paediatric anaesthesia (PA), and collect their wishes about continuing education and recommendations in PA.Study DesignTransversal, prospective study.MethodsA questionnaire of 33 items, sent to 4,360 anaesthetists, spread over 15 health districts, working in a public or private institution.ResultsWe gathered 1,526 replies (35%) of which 34% university hospitals, 32% public institutions and 31% private institutions. 943 physicians (63%) had no specific structure, and 1,119 (87%) considered a specialized nurse to be essential for PA. 1,127 physicians (74%) had undertaken a specific session during their formation. The practice of PA depends upon age and context. Above 1 year old, the surgery that is performed weekly was ENT (38%), abdominal and urologic surgery (28%). Mask induction was performed by 60% of the physicians in children under 5 years. 63% of the anaesthetists dreaded a laryngospasm during induction. 625 physicians undertook regional anaesthesia in children under 5 years (87% caudal anaesthesia, 48% peripheral nerve blocks). 1,029 physicians (67%) wished for recommendations in PA in children under 12 months.ConclusionsThis survey showed that most of the anaesthetists wished for recommendations in their paediatric anaesthesia practice.

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