Department of Anesthesiology and Reanimation, Medical Faculty, Karaelmas University, Zonguldak, Turkey.
Kaohsiung J Med Sci. 2010 Aug;26(8):415-21. doi: 10.1016/S1607-551X(10)70067-X.
The aim of this study was to evaluate the effect of education on the knowledge, attitude and behavior of anesthesiology staff and residents towards low-flow anesthesia. The staff and residents in the Department of Anesthesia and Reanimation, Zonguldak Karaelmas University were given theoretical and practical training in delivering low-flow anesthesia. To evaluate their attitudes and behaviors toward low-flow anesthesia, we collected data during the 6 months before training, during the first 3 months after training, and at 4-6 months after training. Anesthesia follow-up records, operation time, volatile anesthetic agent used, and the amount (in liters) of fresh gas low mid-anesthesia were recorded in all three stages. A total of 3,158 patients received general anesthesia and inhalation anesthesia was used in 3,115 of these patients. Our study group consisted of 2,752 patients who had no absolute or relative contraindications to low-flow anesthesia. While the mean fresh gas flow was 4.00 +/- 0.00 L/min before training, this level dropped to 2.98 L/min in the first 3 months after training, and to 3.26 L/min in the following 3 months. The mean fresh gas flow was significantly lower at the two post-training assessments than before training (p < 0.05). In conclusion, low-flow anesthesia may be used more frequently if educational seminars are provided to anesthetists. The use of low-flow anesthesia may increase further by allocating more time to this technique in anesthesia training programs provided at regular intervals.
本研究旨在评估教育对麻醉科工作人员和住院医师对低流量麻醉的知识、态度和行为的影响。对宗古尔达克卡拉埃米尔大学麻醉与复苏科的工作人员和住院医师进行了低流量麻醉的理论和实践培训。为了评估他们对低流量麻醉的态度和行为，我们在培训前 6 个月、培训后 3 个月和培训后 4-6 个月收集数据。在所有三个阶段，都记录了麻醉随访记录、手术时间、挥发性麻醉剂的使用以及低中度麻醉时新鲜气体的用量（以升计）。共有 3158 名患者接受全身麻醉，其中 3115 名患者使用吸入麻醉。我们的研究组包括 2752 名患者，他们没有低流量麻醉的绝对或相对禁忌症。在培训前，新鲜气体流量平均值为 4.00 +/- 0.00 L/min，培训后 3 个月降至 2.98 L/min，随后 3 个月降至 3.26 L/min。培训后两次评估的新鲜气体流量明显低于培训前（p < 0.05）。总之，如果向麻醉师提供教育研讨会，低流量麻醉的使用可能会更加频繁。如果在定期提供的麻醉培训计划中为该技术分配更多时间，低流量麻醉的使用可能会进一步增加。
