The effect of anesthetic technique on operating room time in elective cesarean section: spinal or general?

Sungur, Mukadder Orhan; Havas, Fadıl; Karadeniz, Meltem Savran; Acar, Umut; Altun, Demet; Seyhan, Tülay Özkan

doi:10.5222/jtaics.2012.136

Cited by 2 publications

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reasons for not favouring regional anaesthesia were reported in that study as delays in the induction of anaesthesia and an unpredictable success rate. In another study, 75% of orthopaedic surgeons reported considering regional anaesthesia to be a safe procedure, and that they therefore prefer this anaesthetic method14 “Saving time by performing the RA procedure in another room” and “short postoperative recovery” were found to be important in our study among surgeons who had been educated at university hospitals, although regional anaesthesia, even performed in the operation room, did not prolong operation room usage times compared to general anaesthesia, as was reported previously 2,11–13,15–18. However, the use of a teaching model in which residents dedicated to an RA rotation and regional blocks perform them in the preoperative area under the supervision of specific regional anaesthesiology faculty has been shown to dramatically increase the number of blocks performed 19.…”

Section: Discussionsupporting

confidence: 74%

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

İnal¹,

Yılmaz²,

Daşkaya³

et al. 2019

LRA

View full text Add to dashboard Cite

BackgroundThe intraoperative attending anaesthesiologist ultimately makes decisions about the anaesthesiology technique to be performed, but the attitudes of surgeons and preferences of patients on this subject may affect their choice. In this questionnaire-based study, we aimed to evaluate the attitudes and behaviors of surgeons about the use of regional anaesthesia (RA) in surgical operations.MethodsSurgeons from different surgical branches with residencies at 4 different hospitals were asked to complete questionnaires that included reasons for preferring (12 reasons) and not preferring (13 reasons) the use of RA techniques for surgeries, using a 5-point Likert scale.ResultsA total of 156 surgeons from 4 hospitals, out of 167 surgeons who were approached to participate in the study, completed the questionnaire. The most commonly observed reason for a preference towards regional anaesthesia among the surgeons was the risk of general anaesthesia for patients with an American Society of Anesthesiologists (ASA) risk class of III and above. The second most commonly observed reason was for protection from the complications of general anaesthesia, and the third most commonly observed reason was the lower risk of thromboembolisms with regional anaesthesia. The most commonly observed reasons for not choosing regional anaesthesia were found to be incompatibility of the patients and patients’ fears of feeling pain during surgery.ConclusionWe conclude that programmes for informing surgeons and educating patients about the advantages of RA may increase the preference ratio among surgeons and decrease patients’ refusals to choose this procedure.

show abstract

Section: Discussionsupporting

confidence: 74%

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

İnal¹,

Yılmaz²,

Daşkaya³

et al. 2019

LRA

View full text Add to dashboard Cite

show abstract

Elektif Sezaryen Vakalarında Genel ve Spinal Anestezinin Hasta Memnuniyeti Açısından Karşılaştırılması

Yavuz¹,

Gişi²,

Urfalıoğlu³

et al. 2021

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Amaç: Elektif sezaryenlerde spinal ve genel anesteziyi anne memnuniyeti açısından kıyaslamayı amaçladık. Ek olarak hastaların kaygı düzeylerinin anestezi yöntemi seçimine etkisini araştırdık. Gereç ve yöntemler: Elektif sezaryen ile opere olan 101 gönüllü hasta prospektif olarak araştırıldı. Hastalar anestezi yöntemlerini kendileri tercih etti. Spinal anesteziyi tercih eden 51, genel anesteziyi tercih eden 50 hasta araştırıldı. Hastaların operasyon öncesi anestezi ile ilgili endişeleri soruldu. Operasyon öncesi kaygı düzeyleri Durumluluk-Süreklilik Kaygı Ölçeği (STAI= State-Trait Anxiety Inventory) ile tespit edildi. Operasyondan 24 saat sonra komplikasyonlar sorgulandı ve memnuniyet düzeyi ölçümü için ameliyat sonrası iyileşme kalitesini ölçen Memnuniyet-Derlenme Kalitesi Ölçeği (QoR-40= Quality of Recovery-40) anketi hastalara uygulandı. Bulgular: Genel anesteziyi tercih eden hastaların kaygı düzeyi daha yüksek bulundu (p:0,000). Hastaların anesteziden en büyük edişeleri ameliyat sonrası uyanmamak (% 53,5), yoğun bakımda kalmak (%18,8), ameliyat sonrası ağrı (%11,9) olarak tespit edildi. Postoperatif komplikasyonlardan bulantı-kusma, bel sırt ağrısı ve nefes darlığı gelişen hastaların QoR-40 değerlerinin istatistiksel olarak anlamlı düşük olduğu gözlenmiştir. Spinal anestezi ile opere olan hastaların QoR-40 puanları daha yüksekti (p:0,014). Sonuç: Spinal anestezi ile opere olan hastaların daha memnun oldukları tespit edildi. Genel anesteziyi tercih eden hastaların kaygı düzeylerinin daha yüksek olduğu görüldü.

show abstract

The effect of anesthetic technique on operating room time in elective cesarean section: spinal or general?

Cited by 2 publications

References 22 publications

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

<p>Evaluation of the attitudes of surgeons about regional anesthesia: a survey study</p>

Elektif Sezaryen Vakalarında Genel ve Spinal Anestezinin Hasta Memnuniyeti Açısından Karşılaştırılması

Contact Info

Product

Resources

About