Klinik Ultrasonografi Kullanımına Anesteziyologların Bakışının Değerlendirilmesi
Amaç: Çalışmanın amacı, klinik anestezideki ultrasonografi kullanımı ve bunun klinik pratiğe katkısını anket aracılığıyla değerlendirmektir. Yöntem: Çalışma bağımsız etik kurul tarafından onaylandı. Yüz kırk altı anesteziste yüz yüze veya e-mail aracılığıyla anket soruları yöneltildi ve yanıtları kaydedildi. Klinik ultrasonografi tutumları 5 noktalı Likert skalası ile değerlendirildi. Bulgular: Katılımcıların yaş ortalaması 38.45±9.49; %28’i araştırma görevlisi, %72’si uzman dok- tordu. %53.79’u eğitim araştırma hastanesinden, 21.38’i devlet hastanesinden, %16.55’i üniver- site hastanesinden, %8.28’i özel hastanedendi. Araştırma görevlileri uzman hekimlere kıyasla daha yüksek oranda hem rejyonal hem de klinik anestezi girişimlerinde ultrasonografi kullanmak- taydı (p=0.008). Araştırma görevlileri ultrasonografi kullanımında eğitimlerinin yeterli olduğunu düşünmekteydi. Ek kurs gereksinim duyma bakımından hekimler arası fark yoktu. Katılımcıların çoğu ultrasonografinin klinik pratiğe katkı sağladığını düşünmekteydi. Klinik ultrasonografi en çok santral ven girişimlerinde (%97.3) tercih etmekteydi. Sonuç: Ultrasonografi rejyonal yöntemlerin yanı sıra perioperatif klinik sorunların belirleme ve tedavisinde de sık kullanılmaktadır. Çalışmamızda, rejyonal ve klinik anestezi alanında ultrasonog- rafi kullanımı, araştırma görevlileri arasında uzman hekimlere kıyasla daha yüksek oranda tercih edilmektedir. Ultrasonografi kullanım oranı eğitim kliniklerinde daha yüksektir.
Evaluation of the Attitudes of Anesthesiologists to the Use of Clinical Ultrasonography
Objective: The aim of study was to evaluate the use of ultrasonography in clinical anesthesia and its role in clinical practice among anesthetists through a questionnaire survey. Methods: The study was approved by the independent ethics committee. The questions in the survey forms were directed to 146 anesthesiologists by face- to- face interviews or by e-mail.Their attitudes towards clinical ultrasonography were evaluated with a 5-point type Likert scale. Results: The mean age of the participants was 38.45±9.49 years, and study population consisted of research workers (28%) and specialists (72%); while 53.79% of them were employed in the educational research, 21.38 in the state, 16.55% in the university and 8.28% in the private hospi- tals.. Research workers used ultrasonography more frequently in both regional and clinical anes- thesia interventions compared to specialists (p=0.008). As compared to specialists, research workers thought that their residency training is sufficient for ultrasonography use. There was no difference between physicians in terms of the need for an additional course. The majority of participants thought that use of ultrasonography contributes to clinical practice. Clinical ultra- sonography is mostly (97.3%) preferred in central venous interventions. Conclusion: Ultrasonography is frequently used in the detection and treatment of perioperative clinical problems as well as regional methods. In our study, the use of ultrasonography in the field of regional and clinical anesthesia was more preferred among the research workers who were continuing their residency training compared to the specialist physicians. The rate of ultrasonog- raphy use was found to be higher in education clinics.
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