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Fırat Tıp Dergisi
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Preoperative and Intraoperative Anesthesia Management of Asthmatic Patient: A Survey Study
Sengül ÖZMERT1, Emine DİBEK MISIRLIOĞLU2, Feyza SEVER1, Galip ÖZMERT3, Fatih MISIRLIOĞLU4, Can Naci KOCABAŞ5
1Sağlık Bilimleri Üniversitesi, Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Ankara, Türkiye
2Sağlık Bilimleri Üniversitesi Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi, Çocuk Alerji ve İmmünoloji Kliniği, Ankara, Türkiye
3Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Ankara, Türkiye
4Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Ankara, Türkiye
5Muğla Sıtkı Koçman Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Çocuk Alerji ve İmmünoloji Bilim Dalı, Muğla, Türkiye

Objective: Asthma is one of the most common diseases. It may cause peri-postoperative respiratory complications due to sensitivity and structural changes in airways. The selection of anesthesia techniques are important in preventing these risks. The aim of this study is to evaluate the approaches of anesthesiologists to asthmatic patients.

Material and Method: A questionnaire consisting of 13 questions was used in order to evaluate anesthesists for their approach to anesthesia mana-gement by asthmatic patients. The physicians were grouped according to the institution they work at. The physicians who work at university hospitals, state hospitals, education and research hospitals and private hospitals are divided into group A, group B, group C and group D respectively.

Results: Two hundred sixty-one anesthesiologists participated in our study. Forty-five (17,2%) of the physicians were working in university hospitals, 74 (28,4%) in state hospitals, 128 (49%) in educational research hospitals and 14 (5,4%) in private hospitals. In Group D responses, there was a statistically significant difference in the choice of the drug used in the management of asthmatic patients’ induction and the choice of agent used in the maintenance treatment.

Conclusion: In this study, the current status of anesthesiologists\' approach to anesthesia management in asthmatic patients has been analyzed. Accor-ding to the results of our survey, the attitudes and experiences of the anesthesiologists regarding the management of asthmatic patients have been found to be consistent with the literature. The data related to the attitudes, behaviors and practices of anesthesiologists and reanimation specialists working in our country in the applications of anesthesia in asthmatic patients may be a guide for the anesthesia management of asthmatic patients.


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