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筋膜平面阻滞的围手术期应用;土耳其麻醉和复苏医师的方法:一项全国调查研究。

Perioperative use of fascial plane blocks; anesthesiology and reanimation physicians' approach in Türkiye: A national survey study.

机构信息

Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, Türkiye.

Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, Sakarya, Türkiye.

出版信息

Agri. 2024 Jan;36(1):45-52. doi: 10.14744/agri.2023.67674.

DOI:10.14744/agri.2023.67674
PMID:38239123
Abstract

OBJECTIVES

Our aim was to assess the approach of Turkish Anesthesiology and Reanimation Specialists to the perioperative use of truncal/fascial plane blocks (FPB) in various surgeries. A survey was designed to evaluate the perioperative management of FPBs.

METHODS

Anesthesiology and Reanimation specialists and residents in various hospitals in Türkiye were surveyed on a voluntary basis. We contacted them between June 1 and September 10, 2022, using email and smartphone messenger applications. They were asked to complete a questionnaire form regarding the perioperative management of FPBs.

RESULTS

A total of 242 anesthesiology specialists and residents responded to the survey. Most participants (42.3%) were anesthesiology specialists in 3rd level (academic, teaching, or university) hospitals. 90% of the participants use these blocks in their clinical practice. The primarily used FPBs were the erector spinae plane (ESP) (629 responses in all categories).

CONCLUSION

The anesthesia and reanimation specialists in Türkiye are reasonably familiar with FPBs and use these blocks frequently in clinical practice. The primarily preferred blocks seem to be ESP and TAP blocks. Lack of equipment is a major reason for the non-performance of FPBs. There is still a lack/need for additional education and training for these blocks.

摘要

目的

我们旨在评估土耳其麻醉学和复苏专家在各种手术中使用躯干/筋膜平面阻滞(FPB)的围手术期方法。设计了一项调查来评估 FPB 的围手术期管理。

方法

在土耳其的各个医院,以自愿的方式对麻醉学和复苏专家以及住院医师进行了调查。我们于 2022 年 6 月 1 日至 9 月 10 日期间通过电子邮件和智能手机消息应用程序与他们联系。要求他们填写一份关于 FPB 围手术期管理的问卷表。

结果

共有 242 名麻醉学专家和住院医师对调查做出了回应。大多数参与者(42.3%)是 3 级(学术、教学或大学)医院的麻醉学专家。90%的参与者在临床实践中使用这些阻滞。主要使用的 FPB 是竖脊肌平面阻滞(ESP)(所有类别共 629 次)。

结论

土耳其的麻醉学和复苏专家对 FPB 有一定的了解,并且在临床实践中经常使用这些阻滞。首选的阻滞似乎是 ESP 和 TAP 阻滞。缺乏设备是不进行 FPB 的主要原因。这些阻滞仍然缺乏/需要额外的教育和培训。

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