Knowns and unknowns about regional anesthesia techniques and local anesthetics

Yıl 2013, Cilt: 18 Sayı: 2, 58 - 63, 03.07.2013

Yasemin Isik , Ugur Goktas Muhammed Bilal Cegin Nureddin Yuzkat İsmail Kati

Öz

Abstract. In this study, a questionnaire was used to obtaininformation about the ideas and experiences of doctors working as operatingstaff from several specialties in regards to regional anesthesia and localanesthetic drugs to determine the extent to which their knowledge corroboratesthese types of application and to obtain data for studies to fulfill the futureneeds of this field. The questionnaireconsisted of 18 questions about the use of regional anesthesia and localanesthetic drugs at the time of an operation at nearby hospitals. In total, 109doctors from 12 branches were included in this study. Although the preferenceof doctors regarding the selection of regional anesthesia as the first priorityvaried by field, this choice was not affected by variables such as age, being aresearch assistant or specialist and working in a state or private hospital.Doctors who were 25-30 years old had more information about local anestheticdrugs than doctors who were 40 years old and older, and this difference wassignificant. Because doctorsaged 40 years and older had less information about local anesthetic drugs amongall the doctors studied, training doctors via postgraduate education about thissubject would be a better decision. Key words: Regional anesthesia, local anesthetic, doctors

Anahtar Kelimeler

Regional anesthesia, local anesthetic, doctors

Kaynakça

• Miller RD. Miller’s anesthesia In: Berde CB, Strichartz GR Chapter 30. Anesthetic pharmacology. Seventh edition 2010 by Churchill Livingstone an imprint of Elsevier Inc 2010: 913-940.
• Congedo E, Sgreccia M, De Cosmo G. Curr Drug Targets. New drugs for epidural analgesia 2009; 10: 696-70
• Sanford M, Keating GM. Levobupivacaine: a review of its use in regional anaesthesia and pain management. Drugs 2010; 70: 761-791.
• Imbelloni LE, Fornasari M, Fialho JC, et al. General anesthesia versus spinal anesthesia for laparoscopic cholecystectomy. Rev Bras Anestesiol 2010; 60: 2172
• Oldman M, McCartney CJ, Leungn A, et al. Survey of Orthopedic Surgeons’ Attitudes and Knowledge Regarding Regional Anesthesia. Anesth Analg 2004; 98: 1486-1490.
• Jeske HC, Lederer W, Lorenz I, et al. The impact of business cards on physician recognition after general anesthesia. Anesth Analg 2001; 93: 1262-1264. Ngan Kee WD, Hung VY, Roach VJ, et al. A survey of factors influencing patients' choice of anaesthesia for caesarean section. Aust NZ J Obstet Gynaecol 1997; 37: 300-303.
• Akçaboy Y, Akçaboy ZN, Ekren D, et al. Bir Eğitim ve Araştırma Devlet Hastanesinde Ortopedistlerin Rejyonal Anestezi ile İlgili Tutum ve Bilgilerinin Değerlendirilmesi. Turkiye Klinikleri J Anest Reanim 2009; 7: 143-147.
• Başaranoğlu G, Teker MG, Saidoğlu L, et al. Lokal Anestezik Kullanan Hekimlerin Toksisite ve İntralipid Tedavisi Hakkında Bilgileri Türk Anes Rean Der Dergisi 2010; 38: 262-267.
• Eti Z. Lokal anestezikler. In: Filiz Tüzüner, editor. Anestezi, yoğun bakım, ağrı. Ankara, Nobel tıp kitapevi, 2010: 225-235.
• Dillane D, Finucane BT. Local anesthetic systemic toxicity. Can J Anaesth 2010; 57: 368-380.
• Pöpping DM, Elia N, Marret E, et al. Clonidine as an Adjuvant to Local Anesthetics for Peripheral Nerve and Plexus Blocks: A Meta-analysis of Randomized Trials. Anesthesiology 2009; 111: 406-415.
• Sethi D, Wason R. Intravenous regional anesthesia using lidocaine and neostigmine for upper limb surgery. Journal of Clinical Anesthesia 2010; 22: 3243