The routine use of anticholinergic premedication among Finnish anaesthesiologists decreased over a 5-year period, with glycopyrrolate becoming the preferred agent.
Declining routine anticholinergic premedication use may reflect shifting practice; this Level 4 survey leaves open outcome effects and optimal indications.
In order to investigate the present use of anticholinergic drugs in premedication, a questionnaire was sent to Finnish anaesthesiologists. The results indicate that there is significant variation between different parts of the country regarding the usage of these drugs. A decrease in routine use has taken place over the past 5 years. Half of the anaesthesiologists now routinely use anticholinergic drugs in premedication, while 69% were using them 5 years ago. Glycopyrrolate has gained popularity and was the most used drug. Most anaesthesiologists gave the anticholinergic premedication intravenously, briefly before induction.
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Kentala et al. (1990) studied this question.
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