Turkish orthopedists do not use anesthetics methods always for reduction of Colles fractures

Yıl 2019, Cilt: 11 Sayı: 4, 468 - 471, 01.12.2019

Ahmet Issın , Nizamettin Koçkara

https://doi.org/10.21601/ortadogutipdergisi.477152

Öz

Aim: This study determines the current anesthetic approach for the reduction of a Colles fracture among Turkish orthopedists.
Material and Method: An online survey was conducted to determine the approach and beliefs about anesthetic use in fracture reduction among Turkish orthopedists who are registered to Turkish orthopedic communities by sending them invitations.
Results: Approximately 50% of the Turkish orthopedists never use anesthetic methods for the reduction of Colles fractures. This rate is 72% for residents. Most common excuses for such a practice were to finish the job quickly (53%) and belief of unnecessariness of the anesthesia in such a quick procedure (58%).
Conclusion: Most of the Colles fractures in Turkey are being reduced without any kind of anesthesia. More than a half of the Turkish orthopedists do not believe the necessity of anesthesia in such a quick procedure. Risky and time-consuming anesthetic methods for such a quick procedure are not approved by the majority of Turkish orthopedists.

Anahtar Kelimeler

fracture, reduction, anesthesia, Colles, Turkish

Türk ortopedistler Colles kırığı redüksiyonunda her zaman anestezik yöntem tercih etmezler

Öz

Amaç: Bu çalışmayla Türk ortopedistlerin Colles kırığı redüksiyonu yaparken kullandıkları anestezi yaklaşımını ve bunun nedenlerini belirlemek amaçlanmıştır.
Gereç ve Yöntem: Türk ortopedi cemiyetlerine üye hekimlere davetiye gönderilerek çevrimiçi anketimize katılmaları istenmiştir.
Bulgular: Türk ortopedistlerin takriben %50’si Colles kırığı redüksiyonu için herhangi bir anestezik yöntem kullanmamaktadır. Bu oran asistanlarda %72’dir. Anestezik yöntem kullanmama için en sık bahaneler %58 ile “bu kadar kısa bir işlem için anestezi gerektiğine inanmama” ve %53 ile “işi çabuk bitirmek için”dir.
Sonuçlar: Türkiye’de Colles kırıklarının çoğu hiçbir anestezik yöntem kullanılmadan redükte edilmektedir. Türk ortopedistlerin yarısından fazlası bu işlem sırasında anestezinin gerekliliğine inanmamaktadır. Bu kadar basit ve kısa bir işlem için riskli ve uzun anestezik yöntemlerin kullanılması Türk ortopedistlerinin çoğunun onayladığı bir yöntem değildir.

Anahtar Kelimeler

kırık, redüksiyon, anestezi, Colles, Türk

Kaynakça

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