�o�unlu�un fark�nda olmad��� tehlike: Lokal anestezi komplikasyonlar�

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ISSN 2667-7024

Cilt : 34 Say�: 3 Y�l : 2020

Son Say� Yay�mlanm�� Say�lar Bask�daki Makaleler En �ok �ndirilen Makaleler Online Makale G�nder

�o�unlu�un fark�nda olmad�� tehlike: Lokal anestezi komplikasyonlar� []

. 2018; 32(3): 103-107 | DOI: 10.5222/JTAPS.2018.103

�o�unlu�un fark�nda olmad�� tehlike: Lokal anestezi komplikasyonlar�

Ahmet Burak Do�an¹, G�zen �ks�z², Ahmet G�khan G�ler¹, Ali Erdal Karakaya³
¹S�t�� mam �niversitesi T�p Fak�ltesi �ocuk Cerrahisi Anabilim Dal�, Kahramanmara�, T�rkiye
²S�t�� mam �niversitesi T�p Fak�ltesi Anesteziyoloji ve Reanimasyon Anabilim Dal�, Kahramanmara�, T�rkiye
³�zel Megapark Hastanesi �ocuk Cerrahisi Klini�i, Kahramanmara�, T�rkiye

Ama�: Bu �al��mada, �ocuk Cerrahisi prati�inde olduk�a s�k kullan�lan lokal anesteziklerin neden oldu�u komplikasyonlar�n fark�ndal�� ama�lanm��t�r.
Gere� ve Y�ntem: Bu �al��ma, Kahramanmara� S�t�� mam �niversitesi T�p Fak�ltesi Klinik Ara�t�rmalar Etik Kurulu (KAREK) onay� al�nd�ktan sonra elektronik ortamda olu�turulan anket formunun kat�l�mc�lara ula�t�r�lmas� ile ger�ekle�tirilmi�tir. �o�unlu�u �ocuk Cerrahisi ve �ocuk �rolojisi uzmanlar�ndan olu�an kat�l�mc�lara, mesleki bilgileri ve demografik verileri yan�nda lokal anestezik kullan�m pratikleri ile ilgili sorular y�neltilmi�tir. Elde edilen numerik veriler ortalama � standart sapma, kategorik veriler ise say�sal de�er ve y�zdeleri ile belirtilmi�tir.
Bulgular: Anket �al��mam�za 84�� (%84) �ocuk Cerrahisi uzman�, 10�u (%10) �ocuk �rolojisi uzman�, 6�s� (%6) di�er bran�lardan toplam 100 hekim kat�ld�. Lokal anestezikler i�erisinde bupivakain 48 (%48) kat�l�mc�n�n ilk tercihi iken, lidokain 37 (%37), prilokain ise 11 (%11) kat�l�mc�n�n ilk tercihi olmu�tur. En s�k cilt alt� (%92) ve topikal (%37) yolla kullan�lan lokal anestezikleri, 23 (%23) hekim her g�n, 44 (%44) hekim ise haftada en az iki kez kulland��n� belirtmi�tir. Sadece 35 (%35) kat�l�mc� daha �nce lokal anestezi toksisitesi (LAT) ile kar��la�m��. LAT i�in en s�k uygun doz hesab� ve (%68) ve monit�rizasyon (%53) ile �nlem al�ndi�� belirtilirken, 72 (%72) kat�l�mc� daha �nce lipit tedavisini duymad�klar�n� belirtmi�lerdir. �ki kat�l�mc� ise daha �nce LAT nedeniyle lipit tedavisi uygulad�klar�n� belirtmi�tir.
Sonu�: Lokal anestezinin s�k olarak uyguland�� sahalarda bu konudaki gerekli �nlemlerin al�nmas� ve sa�l�k personelinin bu konuda e�itimi �nem arz etmektedir. �ocuk Cerrahisi e�itiminde bu konunun daha etkili vurgulanmas� fark�ndal�� ciddi d�zeyde ar�tacakt�r.

Anahtar Kelimeler: Lokal anestezi, toksisite, lipit tedavisi

The risk that many do not recognize: Complications of local anesthesia

Ahmet Burak Do�an¹, G�zen �ks�z², Ahmet G�khan G�ler¹, Ali Erdal Karakaya³
¹S�t�� mam University School of Medicine Department of Pediatric Surgery, Kahramanmara�, T�rkiye
²S�t�� mam University School of Medicine Department of Anesthesiology and Reanimation, Kahramanmara�, T�rkiye
³Megapark Private Hospital Department of Pediatric Surgery, Kahramanmara�, T�rkiye

Aim: In this study, it was aimed to be aware of the complications caused by local anesthetics which are used frequently in the practice of Pediatric Surgery.
Material and Methods: This study was conducted with the electronically created questionnaire forms which were filled in by the surgeons using local anesthetics after Kahramanmaras S�t�� mam University Medical Faculty Clinical Research Ethics Committee (KAREK) approval. Participants, most of whom were Pediatric Surgeon and Pediatric Urologist, were asked questions about local anesthetic practice as well as professional information and demographic data. The numerical data were expressed as a mean � standard deviation, and categorical data were expressed as numerical values and percentages.
Results: A total of 100 physicians attended in our study, 84 (84%) Pediatric Surgeons, 10 (10%) Pediatric Urologists, and 6 (6%) others. Bupivacaine was the first choice of 48 (48%) participants. Lidocaine and prilocaine were the first choices of 37 (37%) and 11 (11%) participants, respectively. It was stated that local anesthetics were most commonly used subcutaneously (92%) and topical (37%). Twenty-three and 44 of the participants reported using local anesthetics daily and twice weekly, respectively. Only 35 (35%) participants had previous local anesthetic toxicity (LAT). The most common measure for LAT was indicated as appropriate dose calculation (68%) and monitoring (53%). Seventy-two (72%) of the participants stated that they had never heard of lipid therapy before. Two (2%) participants previously performed lipid therapy in case of LAT.
Conclusion: It is essential to take the essential measures in the locations where the local anesthesia is frequently applied and to educate the medical staff. The more effective emphasis on LAT in Pediatric Surgery training will significantly improve the awareness.

Keywords: Local anesthesia, toxicity, lipid rescue

Ahmet Burak Do�an, G�zen �ks�z, Ahmet G�khan G�ler, Ali Erdal Karakaya. The risk that many do not recognize: Complications of local anesthesia. . 2018; 32(3): 103-107

Sorumlu Yazar: Ahmet Burak Do�an, T�rkiye

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