{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T08:16:09Z","timestamp":1761725769331,"version":"build-2065373602"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,3,15]],"date-time":"2006-03-15T00:00:00Z","timestamp":1142380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>The clinical governance framework and medico\u2010legal climate in the United Kingdom has changed significantly in the past 7\u2003years. We used a postal questionnaire to survey thoracic epidural practice in the United Kingdom in 1997 and repeated this survey in 2004. The response rate to both surveys was 59\u201360%. There has been considerable change in respect of taking specific consent for thoracic epidural analgesia (24% in 1997, 74% in 2004), awake epidural cannulation (40% in 1997, 84% in 2004), availability of an acute pain service (47% in 1997, 95% in 2004) and HDU\u2010only nursing of patients (63% in 1997, 30% in 2004). Of the 2004 respondents,\u2003&lt;\u20031% used the newer, less toxic local anaesthetics, 49% would consider inserting a thoracic epidural in patients receiving clopidogrel, and 34% would consider inserting a thoracic epidural in patients receiving both aspirin and clopidogrel. A central register of thoracic epidural complications would assist in further developing practice.<\/jats:p>","DOI":"10.1111\/j.1365-2044.2006.04549.x","type":"journal-article","created":{"date-parts":[[2006,3,15]],"date-time":"2006-03-15T04:27:24Z","timestamp":1142396844000},"page":"363-369","source":"Crossref","is-referenced-by-count":19,"title":["The changing practice of thoracic epidural analgesia in the United Kingdom: 1997\u20132004"],"prefix":"10.1111","volume":"61","author":[{"given":"S. H.","family":"Pennefather","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gilby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Danecki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. N.","family":"Russell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,3,15]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.1998.00525.x"},{"volume-title":"The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984\u201095. Learning from Bristol.","year":"2001","author":"Anonymous.","key":"e_1_2_5_3_2"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7275.1493"},{"key":"e_1_2_5_5_2","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1213\/00000539-199803000-00032","article-title":"The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta\u2010analyses of randomized, controlled trials","volume":"86","author":"Ballantyne JC","year":"1998","journal-title":"Anesthesia and Analgesia"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.6.1890"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200110000-00010"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198302000-00010"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199502000-00008"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)92245-4"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08266-1"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1989.tb11352.x"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1988.tb05757.x"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.1998.00573.x"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.01422-2.x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/87.3.512"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199703000-00021"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199401000-00021"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.1999.00856.x"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200002000-00012"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/rapm.2003.50046"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.122027"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200002000-00011"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(89)90210-8"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-2044.2006.04549.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-2044.2006.04549.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T01:11:10Z","timestamp":1761700270000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-2044.2006.04549.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,3,15]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["10.1111\/j.1365-2044.2006.04549.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-2044.2006.04549.x","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"type":"print","value":"0003-2409"},{"type":"electronic","value":"1365-2044"}],"subject":[],"published":{"date-parts":[[2006,3,15]]}}}