Van Tıp Dergisi (Oct 2023)

Anesthesiologist Perspectives On Regional Analgesia İn The Treatment Of Postoperatif Pain; A National Survey Study

  • Elvan Tekir Yılmaz,
  • Ali Altınbaş,
  • Bilge Olgun Keleş

DOI
https://doi.org/10.5505/vtd.2023.24478
Journal volume & issue
Vol. 30, no. 4
pp. 432 – 438

Abstract

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INTRODUCTION: In recent years, anesthesiologists have used Postoperative pain management more frequently due to its effects on early mobilization and discharge. In this study, we aimed to investigate the factors affecting anesthetists' preference for regional techniques and especially plane blocks in postoperative analgesia. METHODS: Anesthesiologists were asked to answer a survey consisting of 20 questions electronically. Two hundred fifteen physicians fully replied to our survey digitally. The answers given to our survey, which consisted of questions to determine whether the demographic characteristics of the participants, the institution they work for, their working conditions, and the training they received impacted their preferences, were evaluated. RESULTS: It has been determined that the participants' professional background, age, whether they have received USG training, and their titles affected their analgesia preferences.The plane block application rate was 61.4% higher in those who received USG training significantly (P = 0.003). 88.4% of the physicians said they used opioids, 84.2% used nonsteroidal anti-inflammatory drugs (NSAIDs), and 82.3% used regional analgesia methods. They also pointed out that they mostly applied lumbar epidural block procedure among the regional block methods,.(88.8%). The limiting reasons for using regional analgesia were 49% intensity, 6.8% the risk of complications. DISCUSSION AND CONCLUSION: Opioids, NSAIDs, and regional methods were commonly used for postoperative analgesia. An epidural block is the most preferred method among the regional methods. Age, professional years, whether they have received USG training, their titles, intensity, and physical factors also determine analgesia preferences.

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