Factors affecting general or regional anesthesia preference in patients with elective surgery Factors of General or Regional Anesthesia Preference.

Main Article Content

Esra Adıyeke
Levent Adıyeke

Abstract

Objective: This study aimed to investigate the factors that affect the preference of the anesthesia method in patients who were indicated for general or regional anesthesia.


Material and Methods: A descriptive questionnaire was used to evaluate the opinions of 123 patients who were planned to undergo elective surgery in the orthopedics and traumatology outpatient clinic between January 2018 and June 2019.


Results: 73 women (%59) and 50 men (%41) participated in the study. The mean age was 58.62±11 years. General anesthesia was preferred in 58% of the patients. The most common reason for rejection was that the patients who preferred general anesthesia did not want to receive visual and auditory stimuli during the surgical procedure. There was a significant positive correlation between education level and regional anesthesia preference rate. There was a significant positive correlation between the regional anesthesia preference rate of patients receiving hand and foot surgery indications.


Conclusion: The preference of the majority of patients was found to be general anesthesia method. Additionally, the type of surgery and education level of the patients was found to be effective in preference of the anesthesia method.

Downloads

Download data is not yet available.

Article Details

How to Cite
AdıyekeE., & AdıyekeL. (2020). Factors affecting general or regional anesthesia preference in patients with elective surgery. Medical Science and Discovery, 7(7), 570-574. https://doi.org/10.36472/msd.v7i7.403
Section
Research Article

References

1. Hwang SM, Lee JJ, Jang JS, Gim GH, Kim MC, Lim SY. Patient preference and satisfaction with their involvement in the selection of an anesthetic method for surgery. Journal of Korean medical science. 2014;29(2):287-91.

2. Yeung J, Patel V, Champaneria R, Dretzke J. Regional versus general anaesthesia in elderly patients undergoing surgery for hip fracture: protocol for a systematic review. Systematic reviews. 2016;5(1):66.

3. D O'Donnell B, Iohom G. Regional anesthesia techniques for ambulatory orthopedic surgery. Current Opinion in Anesthesiology. 2008;21(6):723-8.

4. Wong PB, McVicar J, Nelligan K, Bleackley JC, McCartney CJ. Factors influencing the choice of anesthetic technique for primary hip and knee arthroplasty. Pain management. 2016;6(3):297-311.

5. Sagün A, Birbiçer H, Yapici G. Patients’, who applied to the anesthesia clinic, perceptions and knowledge about anesthesia in Türkiye. Saudi journal of anaesthesia. 2013;7(2):170.

6. Oldman M, McCartney CJ, Leung A, Rawson R, Perlas A, Gadsden J, et al. A survey of orthopedic surgeons’ attitudes and knowledge regarding regional anesthesia. Anesthesia & Analgesia. 2004;98(5):1486-90.

7. Pelinka LE, Pelinka H, Leixnering M, Mauritz W. Why patients choose regional anesthesia for orthopedic and trauma surgery. Archives of orthopaedic and trauma surgery. 2003;123(4):164-7.

8. Egol KA, Soojian MG, Walsh M, Katz J, Rosenberg AD, Paksima N. Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia. Journal of orthopaedic trauma. 2012;26(9):545-9.

9. Chery J, Semaan E, Darji S, Briggs WT, Yarmush J, D’Ayala M. Impact of regional versus general anesthesia on the clinical outcomes of patients undergoing major lower extremity amputation. Annals of vascular surgery. 2014;28(5):1149-56.

10. Helwani MA, Avidan MS, Abdallah AB, Kaiser DJ, Clohisy JC, Hall BL, et al. Effects of regional versus general anesthesia on outcomes after total hip arthroplasty: a retrospective propensity-matched cohort study. JBJS. 2015;97(3):186-93.

11. Urwin S, Parker M, Griffiths R. General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials. British journal of anaesthesia. 2000;84(4):450-5.

12. Sargın M, Kara İ. Anestezistlerin rejyonal anestezi kararı verirken dikkate aldıkları kriterler: Ulusal bir anket çalışması. Çukurova Anestezi ve Cerrahi Bilimler Dergisi. 2019;2(2):61-9.






















































13. Salam AA, Afshan G. Patient refusal for regional anesthesia in elderly orthopedic population: A cross-sectional survey at a tertiary care hospital. Journal of anaesthesiology, clinical pharmacology. 2016;32(1):94.

14. Qiu C, Chan PH, Zohman GL, Prentice HA, Hunt JJ, LaPlace DC, et al. Impact of anesthesia on hospital mortality and morbidities in geriatric patients following emergency hip fracture surgery. Journal of orthopaedic trauma. 2018;32(3):116-23.

15. Yek J, Lee A, Tan J, Lin G, Thamotharampillai T, Abdullah H. Defining reasonable patient standard and preference for shared decision making among patients undergoing anaesthesia in Singapore. BMC medical ethics. 2017;18(1):6.

16. Elkassabany NM, Abraham D, Huang S, Kase B, Pio F, Hume E, et al. Patient education and anesthesia choice for total knee arthroplasty. Patient education and counseling. 2017;100(9):1709-13.