Anesteziyoloji ve reanimasyon hekimleri arasında total kalça artroplastisi cerrahisi sonrası ağrı yönetiminde; prosedüre özgü ağrı yönetimi (PROSPECT) farkındalığı anket çalışması

Year 2025, Volume: 7 Issue: 5, 678 - 686, 15.09.2025

Dilek Yeniay , Ali Altınbaş

https://doi.org/10.38053/acmj.1759424

Abstract

Amaç: Prosedüre özgü ağrı yönetimi (PROSPECT) klinisyenlere postoperatif ağrı yönetiminde kanıta dayalı öneriler sunmaktadır. Anesteziyoloji ve Reanimasyon hekimlerinin total kalça artroplastisi (TKA) cerrahisi sonrası analjezi yönetimine yönelik tercihlerinin değerlendirilmesi amaçlandı.
Yöntem: Demografik veriler, TKA cerrahisi için uygulanan analjezi yöntemleri ve PROSPECT önerilerinin takip edilip edilmediğini içeren 19 sorudan oluşan anket hazırlandı. Bu anket elektronik posta yoluyla katılımcılara iletildi.
Bulgular: Ankete toplam 199 katılımcı yanıt verdi. Katılımcıların %43,8’i PROSPECT önerilerini takip ettiğini bildirdi. Katılımcıların sadece %6,5’i TKA cerrahisi sonrası analjezi için opioidleri tercih etmezken, %14,1’i rutin olarak kullandığını geri kalanlarda diğer tekniklerle birlikte tercih ettiğini bildirdi.
Sonuç: TKA cerrahisi büyük oranda komorbid hastalıkların eşlik ettiği yaşlı popülasyonda uygulanması nedeniyle Anesteziyoloji ve Reanimasyon hekimleri arasında ameliyat sonrası analjezi yöntemleri konusunda kesin bir fikir birliği bulunmamaktadır. TKA cerrahisinde postoperatif ağrı yönetimi eğitimlerinin artırılması ve bu eğitimlerde PROSPECT önerilerinin yaygınlaştırılması gerektiğini düşünmekteyiz.

Keywords

anesteziyoloji ve reanimasyon , anket çalışması , PROSPECT , total kalça artroplastisi , ağrı yönetimi

Awareness of procedure specific pain management (PROSPECT) in pain management after total hip arthroplasty surgery among anesthesiology and reanimation physicians survey study

Abstract

Aims: Procedure-specific pain management (PROSPECT) provides clinicians with evidence-based recommendations for postoperative pain management. We aimed to evaluate Anesthesiology and Reanimation physicians' preferences for analgesia management after total hip arthroplasty (THA) surgery.
Methods: A questionnaire consisting of 19 questions including demographic data, analgesia methods used for THA surgery and whether PROSPECT recommendations were followed was prepared. This questionnaire was sent to the participants via e-mail.
Results: A total of 199 participants responded to the survey. 43.8% of the participants reported following PROSPECT recommendations. Only 6.5% of the participants did not prefer opioids for analgesia after THA surgery, while 14.1% reported that they routinely used opioids and the rest preferred them in combination with other techniques.
Conclusion: Since THA surgery is mostly performed in the elderly population with comorbid diseases, there is no consensus among anesthesiology and reanimation physicians about postoperative analgesia methods. We think that postoperative pain management trainings in THA surgery should be increased and PROSPECT recommendations should be disseminated in these trainings.

Keywords

Anesthesiology and reanimation , survey , PROSPECT , total hip arthroplasty , pain management

Ethical Statement

The study was initiated with the approval of the XXX Training and Research Hospital Ethics Committee (Date: 2025, Decision No: 19.03.2025/05).

Supporting Institution

None

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