Anestezistlerin rejyonal anestezi kararı verirken dikkate aldıkları kriterler: Ulusal bir anket çalışması

Amaç: Son yıllarda anestezi pratiğinde giderek artış gösteren rejyonal anestezi uygulamalarının anestezistler tarafından hangi sebeplerden dolayı tercih edildiği net değildir. Bu çalışmamızda anestezistlerin rejyonal anestezi kararı verirken dikkate aldıkları kriterleri değerlendirmeyi amaçladık. Gereç ve Yöntem: Likert tipi anket katılımcılara elektronik ortamda ulaştırıldı. Anket toplam 27 sorudan oluşmakta, birinci bölüm katılımcıların demografik özelliklerinin, ikinci bölümün hasta özelliklerinin, üçüncü bölümünde cerrahın rejyonal anesteziye bakış açısının, dördüncü bölümünde ise anestezistsin kendi özelliklerinin rejyonal anestezi kararına etkisi değerlendirilmiştir. Bulgular: Anketi 295 anestezist eksiksiz olarak tamamladı. Katılımcıların % 72.2'si genel olarak rejyonal anesteziyi tercih ettiğini belirtti. Katılımcıların % 37.6’sı hastanın cinsiyetinin rejyonal anestezi tercihinde kesinlikle önemli olmadığını belirtmiştir. Katılımcılar yaşın, mental durumun, operasyon bölgesinin, ek hastalıkların, cerrahın anestezistle uyumunun, anesteziye kendi bakış açısının ve rejyonal anestezi tecrübesinin rejyonal anestezi tercihinde kesinlikle önemli olduğunu belirtmiştir. Anestezistlerin yaş ortalaması ve uzmanlık süresi arttıkça genel anestezi tercih oranında artış görülmektedir (sırasıyla, P=0.006 ve P=0.014). Sonuç: Sonuç olarak, anestezistlerin rejyonal anestezi tercihinde hastaların klinik özellikleri, birlikte çalıştıkları cerrahi ekiplerin ve kendilerinin özellikleri etkili olmaktadır. Ayrıca anestezistlerin rejyonal anestezi tercihinde kendi yaş, uzmanlık süresi, çalıştıkları kurum ve görev unvanlarının da etkili olduğu görülmektedir.

Anahtar Kelimeler:

Anestezist, rejyonal anestezi, anket

The criteria that anesthesiologists consider in the decision of regional anesthesia: A national survey study

Aim: In recent years, gradually increasing the practice of anesthesia by anesthesiologists of regional anesthesia is preferred for reasons which are not clear.In this study, we aimed to evaluate the criteria that anesthesiologists consider in the decision of regional anesthesia.Materials and Methods: Likert type questionnaire was delivered to the participants in an electronic environment.The questionnaire consisted of 27 questions, the demographic characteristics of the first part, the patient characteristics of the second part, the perspective of the surgeon to regional anesthesia in the third part, and the effect of the anesthesiologist on the regional anesthesia decision in the fourth part.Results: The questionnaire was completed by 295 anesthesiologists. 72.2% of the participants stated that they preferred regional anesthesia in general. 37.6% of the participants stated that the gender of the patient was not important in the preference of regional anesthesia. Participants stated that age, mental status, operation area, comorbidities, compliance of the surgeon with the anesthesiologist, his / her perspective of anesthesia and the experience of regional anesthesia are absolutely important in the choice of regional anesthesia. As the age and duration of anesthesia of the anesthesiologists increased, general anesthesia preference rate increased (P = 0.006 and P = 0.014, respectively). Conclusions: As a result, the clinical characteristics of the anesthesiologists in the choice of regional anesthesia, the characteristics of the surgical teams they work with and their characteristics are effective. Furthermore, it is seen that anesthesiologists have the choice of regional anesthesia in terms of their age, duration of expertise, the institutions they work and their duty titles.

Keywords:

Anesthetist, regional anesthesia,

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