Our practice of regional anesthesia in orthopedic surgery between 2000-2004 years

Objective: Regional anesthesia is the method of choice in the major lower extremity surgery. While it is blunted of the endocrine and metabolic response to surgery, it also decreases blood loss and tromboembolic complications (I). Regional anesthesia is more attractive to patients and surgeons due to the recent introductions of improved techniques and catheters for continuous peripheral nerve blocks which brings less opioid consumption, earlier patient rehabilitation and higher patient satisfaction (2,3). In this retrospecive sucly, we aimed to evaluate current anesthetic practice and regional anesthesia enthusiasm in our clinic.
Study Design: Our clinic documentations belong to 2000- 2004 years are analysed with retrospectively.
Results: Our range of regional anaesthesia was 21.98 % in between 2000-2004 years. The most preferable type of regional anaesthesia was found to be spinal anaesthesia. Our success rate in regional anesthesia for orthopedic surgery was found to be 97.48 %.
Conclusions: General anestesia has sf.il first choice in orthopedic surgery in our clinic managements. Using of regional anesthesia has got respectively decreased ratio through these years.Spinal anesthesia has still most preferable choice in regional anesthesia in our practise.

2000-2004 yýllarý arasý ortopedik cerrahide rejyonel anestezi pratiðimiz

Amaç: Rejyonel anestezi,cerrahiye endokrin ve metaholik cevabý, kan kaybrýn ve tromboembolik komplikasyonlarý azalttýðý için majör ait ekstremde cerrahisinde özellikle tercih nedenidir (I). Sürekli periferik sinir blok kataterleri ve teknikte ki geliþmeler daha az opioid tüketimi, daha çabuk hasta rehabilitasyonu ve daha yüksek hasta memnuniyetini de beraberinde getirdiðinden rejyonel anestezi gerek cerrahlar gerekse hastalar için daha çekici hale gelmiþtir (2,3). Bu çalýþmayý planlarken biz de anestezi pratiðimizi deðerlendirmeyi ve rejyonel anesteziye ilgimizi araþtýrmayý amaçladýk.
Gereç ve Yöntem: 2000-2004 yýllarý arasýndaki anestezi klinik kayýtlan retrospektif olarak gözden geçirildi.
Bulgular: Kliniðimizde 2000-2004 yýllarý arasýnda uygulanan ortopedik cerrahide ki rejyonel anestezi oranýmýz % 21.98 idi ve en çok tercih edilen rejyonel anestezi yöntemi spinal anestezi idi. Kliniðimizin ortopedik cerrahideki rejyonel anestezi baþarý oraný % 97.48 bulundu.
Sonuçlar: Kliniðimiz uygulamalarýnda genel anestezi ortopedik cerrahide halen birinci tercihdir. Rejyonel anestezi uygulamasý yýllar içinde giderek azalan bir orana sahiptir. Spinal anestezi hala kliniðimizde en çok tercih edilen rejyonel anestezi tipidir.