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新冠疫情期间土耳其的区域麻醉实践

Regional Anesthesia Practices in Turkey During the COVID-19 Pandemic.

作者信息

Cesur Sevim, Aksu Can, Kuş Alparslan

机构信息

Anesthesiology and Reanimation, Kocaeli University, Kocaeli, TUR.

出版信息

Cureus. 2020 Aug 30;12(8):e10135. doi: 10.7759/cureus.10135.

DOI:10.7759/cureus.10135
PMID:33005547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7524015/
Abstract

Introduction The aim of the survey was to investigate the changes, methods, and preferences in regional anesthesia (RA) applications during the COVID-19 pandemic in Turkey. Methods The questionnaire prepared on surveymonkey.com was sent to anesthesiology and reanimation specialists by e-mail. Results A total of 126 physicians participated in the study. Forty-two point sixty-two percent (42.62%) of the participants reported an increase in RA practices in their clinical anesthesia applications, whereas 57.38% did not state any change. Neuraxial anesthesia was determined to be the most preferred RA application, with a rate of 74%. The distribution of peripheral nerve blocks (PNBs) showed that upper extremity blocks were used at a rate of 64.9%, lower extremity blocks at 30.38%, and trunk blocks at 15%. Investigation of neurostimulator (NS) and/or ultrasound (US) use with PNB showed that 44% of the participants used only US while 50% used both US and NS. Conclusion Neuraxial blocks play an important role in RA applications. PNB comprise one-quarter of RA applications during the pandemic. The importance of ultrasound has gradually increased in RA applications worldwide, as well as in Turkey, during the pandemic.

摘要

引言 本调查的目的是研究土耳其在2019冠状病毒病大流行期间区域麻醉(RA)应用的变化、方法和偏好。方法 在surveymonkey.com上编制的问卷通过电子邮件发送给麻醉学和复苏专家。结果 共有126名医生参与了该研究。42.62%的参与者报告其临床麻醉应用中RA操作有所增加,而57.38%的参与者表示没有变化。确定椎管内麻醉是最常用的RA应用,使用率为74%。外周神经阻滞(PNB)的分布显示,上肢阻滞的使用率为64.9%,下肢阻滞为30.38%,躯干阻滞为15%。对PNB使用神经刺激器(NS)和/或超声(US)的调查显示,44%的参与者仅使用US,50%的参与者同时使用US和NS。结论 椎管内阻滞在RA应用中起重要作用。在大流行期间,PNB占RA应用的四分之一。在大流行期间,超声在全球以及土耳其的RA应用中的重要性逐渐增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/5221a455ecc1/cureus-0012-00000010135-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/89b89f86a11c/cureus-0012-00000010135-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/332ee8783a18/cureus-0012-00000010135-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/f6dd457a14ed/cureus-0012-00000010135-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/6229dac5868f/cureus-0012-00000010135-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/3daf4ae7afd2/cureus-0012-00000010135-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/461c9bdc73dd/cureus-0012-00000010135-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/48b10d6385e9/cureus-0012-00000010135-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/ab7ce8985c4b/cureus-0012-00000010135-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/5221a455ecc1/cureus-0012-00000010135-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/89b89f86a11c/cureus-0012-00000010135-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/332ee8783a18/cureus-0012-00000010135-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/f6dd457a14ed/cureus-0012-00000010135-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/6229dac5868f/cureus-0012-00000010135-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/3daf4ae7afd2/cureus-0012-00000010135-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/461c9bdc73dd/cureus-0012-00000010135-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/48b10d6385e9/cureus-0012-00000010135-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/ab7ce8985c4b/cureus-0012-00000010135-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/7524015/5221a455ecc1/cureus-0012-00000010135-i09.jpg

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本文引用的文献

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COVID-19: Recommendations for regional anesthesia.新型冠状病毒肺炎:区域麻醉的建议
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Spinal Anesthesia Is Associated With Decreased Complications After Total Knee and Hip Arthroplasty.椎管内麻醉与全膝关节和髋关节置换术后并发症减少相关。
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