Kanat Elvin, Çağıran Zeynep, Sertöz Nezih
Ege University Faculty of Medicine, Department of Anaesthesiology and Reanimation, İzmir, Türkiye.
Turk J Anaesthesiol Reanim. 2025 May 21. doi: 10.4274/TJAR.2025.251900.
This study was designed to determine why anaesthesiologists working in various institutions in our country prefer current regional anaesthesia methods and to evaluate the use and prevalence of ultrasonography in these methods.
A questionnaire created on SurveyMonkey.com was sent electronically or face-to-face to anaesthesiology and reanimation physicians working in different provinces of our country, and they were asked to fill it out. The survey was intended to be administered to at least 200 volunteer anaesthesiologists. The questionnaire consisted of 34 questions, including demographic characteristics, neuraxial block and peripheral nerve block (PNB) applications, drug choices, preferences in paediatric cases, training, and safety measures.
A total of 215 anaesthesiologists participated in our questionnaire. 39.2% were working in a university hospital, and 38.2% were working in a training and research hospital. PNB training was received by 89.2% of the participants during specialty training. For analgesic purposes, the interscalene block was preferred for shoulder surgery (57.4%), the axillary block for elbow, forearm, and hand surgery (49.8%), the erector spinae plane block for thoracic surgery (33.8%), and the transverse abdominis and rectus block for open abdominal surgery (51.5%).
Regional anaesthesia is an essential part of multimodal analgesia and is used both as an anaesthetic and analgesic in routine practice. In recent years, many new techniques have been utilized as a result of advancements. However, for these to be implemented in practice, up-to-date information should be closely followed, and anaesthetists should be supported in terms of training and equipment.
本研究旨在确定我国不同机构的麻醉医生偏爱当前区域麻醉方法的原因，并评估超声检查在这些方法中的使用情况和普及程度。
在SurveyMonkey.com上创建的一份问卷以电子方式或面对面的形式发送给我国不同省份的麻醉和复苏医生，并要求他们填写。该调查旨在至少对200名志愿麻醉医生进行。问卷由34个问题组成，包括人口统计学特征、神经轴阻滞和周围神经阻滞（PNB）应用、药物选择、儿科病例中的偏好、培训以及安全措施。
共有215名麻醉医生参与了我们的问卷。39.2%在大学医院工作，38.2%在培训和研究医院工作。89.2%的参与者在专科培训期间接受了PNB培训。出于镇痛目的，肩部手术首选肌间沟阻滞（57.4%），肘部、前臂和手部手术首选腋路阻滞（49.8%），胸部手术首选竖脊肌平面阻滞（33.8%），开腹手术首选腹横肌和腹直肌阻滞（51.5%）。
区域麻醉是多模式镇痛的重要组成部分，在常规实践中既用作麻醉方法也用作镇痛方法。近年来，由于技术进步，许多新技术得到了应用。然而，为了在实践中实施这些技术，应密切关注最新信息，并且应在培训和设备方面为麻醉医生提供支持。
