EFFECT OF LOW-FLOW ANESTHESIA EDUCATION ON KNOWLEDGE, ATTITUDE AND BEHAVIOR OF THE ANESTHESIA TEAM


HANCI V., YURTLU B. S., AYOĞLU H., OKYAY R. D., Erdogan G., Abdusoglu M., ...Daha Fazla

KAOHSIUNG JOURNAL OF MEDICAL SCIENCES, cilt.26, sa.8, ss.415-421, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 8
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1016/s1607-551x(10)70067-x
  • Dergi Adı: KAOHSIUNG JOURNAL OF MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.415-421
  • Anahtar Kelimeler: education, fresh gas flow speed, low-flow anesthesia, SEVOFLURANE, ISOFLURANE, DESFLURANE, PATTERNS
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

The aim of this study was to evaluate the effect of education on the knowledge, attitude and behavior of anesthesiology staff and residents towards low-flow anesthesia. The staff and residents in the Department of Anesthesia and Reanimation, Zonguldak Karaelmas University were given theoretical and practical training in delivering low-flow anesthesia. To evaluate their attitudes and behaviors toward low-flow anesthesia, we collected data during the 6 months before training, during the first 3 months after training, and at 4-6 months after training. Anesthesia follow-up records, operation time, volatile anesthetic agent used, and the amount (in liters) of fresh gas flow mid-anesthesia were recorded in all three stages. A total of 3,158 patients received general anesthesia and inhalation anesthesia was used in 3,115 of these patients. Our study group consisted of 2,752 patients who had no absolute or relative contraindications to low-flow anesthesia. While the mean fresh gas flow was 4.00 +/- 0.00 L/min before training, this level dropped to 2.98 L/min in the first 3 months after training, and to 3.26 L/min in the following 3 months. The mean fresh gas flow was significantly lower at the two post-training assessments than before training (p <0.05). In conclusion, low-flow anesthesia may be used more frequently if educational seminars are provided to anesthetists. The use of low-flow anesthesia may increase further by allocating more time to this technique in anesthesia training programs provided at regular intervals.