土耳其麻醉医生使用琥珀酰胆碱的情况：一项全国性调查。

Use of Succinylcholine by Anaesthetists in Turkey: A National Survey.

作者信息

Ömür Dilek, Kiraz Hasan Ali, Şahin Hasan, Toman Hüseyin, Uyan Berna, Ekin Serpil, Hancı Volkan

机构信息

Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.

Department of Anaesthesiology and Reanimation, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2015 Oct;43(5):323-31. doi: 10.5152/TJAR.2015.03708. Epub 2015 Aug 21.

DOI:10.5152/TJAR.2015.03708

PMID:27366522

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4894233/

Abstract

OBJECTIVE

Although succinylcholine (SCh) has side effects, it is among the most commonly used muscle relaxants for rapid induction because of the faster onset of its effects and short effect duration. However, there is no information regarding the frequency of use of SCh by anaesthetists in Turkey. This study aims to investigate the use of SCh by anaesthetists working in Turkey.

METHODS

A web-based survey form was sent by e-mail to anaesthetists working in Turkey. The form comprised a total of 24 questions.

RESULTS

E-mails were sent to a total of 1882 addresses at two separate times. E-mail replies were received from 433 (23%) anaesthetists. Based on those who responded to the survey, 54.27% anaesthetists routinely used SCh for adult elective cases, 29.33% for paediatric elective cases and 74.13% for emergency cases. In adult elective cases, SCh was most frequently chosen for caesarean section (20.5%), and in paediatric elective and emergency cases, SCh was chosen most frequently because difficult intubation was expected (31.3 and 21.4%, respectively).

CONCLUSION

Our study reveals that SCh is still widely used by anaesthetists in Turkey. Majority of physicians who participated our survey were aware of the side effects; however, they reported using SCh in certain special situations. It is evident that creation of a standard care guide for departments is essential. The first stage of creating a standard care guide is to analyse and document the current application. With this aim, more wide-ranging advanced studies should be completed.

摘要

目的

尽管琥珀酰胆碱（SCh）有副作用，但因其起效快、作用时间短，仍是快速诱导时最常用的肌肉松弛剂之一。然而，关于土耳其麻醉医生使用SCh的频率尚无相关信息。本研究旨在调查在土耳其工作的麻醉医生对SCh的使用情况。

方法

通过电子邮件向在土耳其工作的麻醉医生发送基于网络的调查问卷。该问卷共有24个问题。

结果

分两次共向1882个地址发送了电子邮件。收到了433名（23%）麻醉医生的电子邮件回复。根据参与调查者的情况，54.27%的麻醉医生在成人择期手术中常规使用SCh，29.33%在儿童择期手术中使用，74.13%在急诊手术中使用。在成人择期手术中，剖宫产最常选用SCh（20.5%），在儿童择期和急诊手术中，因预计有插管困难而最常选用SCh（分别为31.3%和21.4%）。