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.
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.
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。
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