title: Anesthesia methods used by anesthetic specialists for circumcision cases. National survey study for Turkey.
abstract: To examine the anesthesiologist's choice for anesthesia techniques and drugs in circumcision and determine the preoperative examination, intraoperative monitoring techniques, postoperative analgesia methods, and common complications among anesthesiologists working in Turkey. Methods: This cross-sectional study was conducted at Bulent Ecevit University Hospital, Zonguldak, Turkey, between May and July 2012. Survey data were obtained via survey forms through electronic data over the web. The questionnaire consists of 20 questions. These questions included demographic data, methods of anesthesia for circumcision, postoperative analgesia methods, and monitoring methods. Results: The data were obtained from 206 anesthesiologists who agreed to participate in the survey. Circumcision was performed most frequently in the age group of 3-6 years old. It was found that 47% of routine preoperative laboratory tests were coagulation parameters and complete blood count tests. The most common method of anesthesia was laryngeal mask. The frequency of administration of regional anesthesia was 37.4%, and caudal block was more preferable. Bupivacaine as a local anesthetic in regional anesthesia and midazolam and ketamine were the most preferred agents in sedoanalgesia. During regional anesthesia, ultrasound was most often used by anesthesiologists (31.6%). Conclusion: Ambulatory anesthesia protocols, which are also needed in circumcision, can be improved with international recommendation, and these protocols could be conformed as sociocultural structure in societies. This study should be regarded as a preliminary study to attract attention on anesthesia techniques in circumcision.
authors.affiliation: Department of Anesthesiology and Reanimation, Sakarya Education and Research Hospital, Sakarya, Turkey. E-mail. altascafer@gmail.com.
authors.forename: Cafer
authors.initials: C
authors.lastname: Altaş
authors.forename: Gamze
authors.initials: G
authors.lastname: Küçükosman
authors.forename: Bülent S
authors.initials: BS
authors.lastname: Yurtlu
authors.forename: Rahşan D
authors.initials: RD
authors.lastname: Okyay
authors.forename: Bengü G
authors.initials: BG
authors.lastname: Aydın
authors.forename: Özcan
authors.initials: Ö
authors.lastname: Pişkin
authors.forename: Murat
authors.initials: M
authors.lastname: Çimencan
authors.forename: Hilal
authors.initials: H
authors.lastname: Ayoğlu
authors.forename: Volkan
authors.initials: V
authors.lastname: Hancı
authors.forename: Işıl
authors.initials: I
authors.lastname: Özkoçak-Turan
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male; D003430:Cross-Sectional Studies; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D014421:Turkey
chemical_list: D000779:Anesthetics, Local; D007649:Ketamine; D008874:Midazolam; D002045:Bupivacaine