Ahmed Abdulaziz E, Alaqaili Abdulaziz F, Elbashary Ahmed S, Bin Muammar Abdullah F, AlQarni Adel, Yamani Nada T, Eldawlatly Abdelazeem A
Department of Anesthesia, College of Medicine, King Saud University, Riyadh, KSA.
Intern, King Khalid University Hospital, Riyadh, KSA.
Saudi J Anaesth. 2024 Jul-Sep;18(3):395-401. doi: 10.4103/sja.sja_130_24. Epub 2024 Jun 4.
Bariatric surgery in Saudi Arabia has become one of the most performed surgical procedures for weight loss surgery (WLS). The aim of this survey is to highlight the importance of education and training in bariatric anesthesia (BA).
An Internet-based cross-sectional survey was conducted to examine the percentages of general anesthesiologists among respondents who supported the need for formal structured training in BA as the primary outcome. A 41 items questionnaire on different aspects of BA included in this survey. All anesthesiologists in KSA participated in this survey.
42% responded giving anesthesia for bariatric surgery/year between 25 and 50% of cases/year. 22% responded performing 25-50 cases/month, 21% from 10-25 cases, and 14% from 50-100 cases. Compared with how many elective bariatric surgical procedures performed in your center/month revealed significant differences ( < 0.05), 39% responded with no dedicated team in their center, 14% for <10 cases a month, 9% between 25 and 50 cases a month. Compared to the number of cases performed by non-bariatric anesthetists revealed non-significant differences ( > 0.05), upon asking on how many trained/skilled anesthesiologists in bariatric anesthesia in your center, 24% reported none, 4% only one, 21% 2-5 anesthesiologists, 12% 5-10 anesthesiologists, and 19% of the respondents reported more than 10 anesthesiologists specialized in BA.
We believe in education and training in bariatric anesthesia. Residents' rotation in BA should be included in their curriculum. A dedicated fellowship program to be developed at a national level as well as courses and workshops.
在沙特阿拉伯，减肥手术已成为最常施行的减重手术（WLS）之一。本调查旨在强调肥胖症麻醉（BA）教育与培训的重要性。
开展了一项基于网络的横断面调查，以支持将正式结构化BA培训作为主要结果的受访者中的普通麻醉医师百分比为研究对象。本调查包含一份关于BA不同方面的41项问卷。沙特阿拉伯所有麻醉医师均参与了此次调查。
42%的受访者表示每年为25%至50%的减肥手术病例实施麻醉。22%的受访者表示每月实施25 - 50例手术，21%的受访者表示每月实施10 - 25例手术，14%的受访者表示每月实施50 - 100例手术。与您所在中心每月进行的择期减肥手术数量相比，存在显著差异（<0.05），39%的受访者表示其所在中心没有专门团队，14%的受访者表示每月手术量<10例，9%的受访者表示每月手术量在25至50例之间。与非肥胖症麻醉医师实施的病例数相比，差异不显著（>0.05），当被问及您所在中心有多少经过肥胖症麻醉培训/熟练的麻醉医师时，24%的受访者表示没有，4%的受访者表示只有1名，21%的受访者表示有2 - 5名麻醉医师，12%的受访者表示有5 - 10名麻醉医师，19%的受访者表示有超过10名专门从事BA的麻醉医师。
我们相信肥胖症麻醉的教育与培训。应将BA住院医师轮转纳入其课程设置。应在国家层面制定专门的进修项目以及课程和研讨会。
