Evaluation of the attitudes of surgeons about regional anesthesia: a survey study

Figures & data

Table 1 Demographic data

Age (mean ± SD)		38.4±8.2 (28–67)
Sex, n (%)
Male		134 (85.9)
Female		22 (14.1)
Surgical branches, n (%)
General Surgery		43 (27.6)
Obstetrics and Gynaecology		18 (11.5)
Cardiovascular Surgery		14 (9.0)
Neurosurgical Surgery		16 (10.3)
Orthopaedic Surgery		28 (17.9)
Plastic Surgery		12 (7.7)
Urological Surgery		25 (16.0)
Duration of work as a surgeon (mean ± SD)		7.9±7.9 (1–41)
Centre where surgeons were educated, n (%)
Educational and Research Hospital (Non-university)		84 (53.8)
University Hospital		72 (46.2)

Table 2 The reasons for choosing regional anesthesia

Reasons for choosing regional anesthesia	Mean	Median	Std. Deviation
A1. Risk of general anesthesia for patients with an ASA risk class of III and above	4.47	5^a	1.025
A2. Protection from the complications of general anesthesia	3.97	4^b	1.147
A3. Patient’s preference	3.26	3^cdef	1.378
A4. Ability of the surgeon to communicate with the patient (because the patient is awake)	2.72	2^g	1.238
A5. Long-lasting postoperative analgesia	3.56	3^bcd	1.214
A6. Saving time by performing the process in another room	3.04	3^efg	1.472
A7. Shorter recovery time postoperatively resulting in time gain	3.35	3^cde	1.293
A8. Preference of anaesthetist	3.38	3^cde	1.221
A9. Patient satisfaction	3.62	4^bc	1.210
A10. Early recognition of surgical complications in some patients	3.15	3^defg	1.364
A11. Lower risk of thromboembolism	3.83	4^b	1.219
A12. Low cost	2.76	3^fg	1.086

Note: The letters in the table next to the median values indicate the significance of the differences between the reasons for preference.

Table 3 The reasons for not choosing regional anesthesia

Reasons for not Choosing Regional Anesthesia	Mean	Median	Std. Deviation
B1. Complications that may occur during procedures	3.18	3^defg	1.288
B2. Postoperative complications that may occur	3.37	3^cde	1.245
B3. Late postoperative mobility	2.81	3^ghi	1.170
B4. Long duration of procedure causing loss of time	2.92	3^efgh	1.347
B5. Patient being awake	2.46	2^i	1.121
B6. Incompatibility of the patient	3.92	5^ab	1.288
B7. Patient refusal	3.63	4^bcd	1.276
B8. Patient’s fear of feeling pain during the surgery	3.65	4^bc	1.263
B9. Long duration of operation	3.29	3^cdef	1.334
B10. Motor blockade	2.66	2^hi	1.237
B11. Lack of adequate muscular relaxation	3.46	3^bcd	1.282
B12. Not appropriate for ambulatory anesthesia	2.85	3^fghi	1.274
B13. Not trusting the anesthetist’s skill	2.75	2^hi	1.440

Note: The letters in the table next to the median values indicate the significance of the differences between the reasons preference.

Table 4 Reasons for choosing regional anaesthesia according to other parameters

Reasons for Choosing Regional Anaesthesia	According to the education centre	According to the surgical branch	According to the age		According to the duration of work as a surgeon
	p	p	Correlation coefficient (r)	p	Correlation coefficient (r)	p
A1. Risk of general anaesthesia for patients with an ASA risk class of III and above	0.616	0.651	0.003	0.971	0.019	0.812
A2. Protection from complications of general anaesthesia	0.278	0.332	0.106	0.189	0.115	0.154
A3. Patient’s preference	0.193	0.299	0.013	0.875	0.033	0.685
A4. Ability of the surgeon to communicate with the patient (because the patient is awake)	0.978	0.151	0.039	0.679	0.033	0.681
A5. Long-lasting postoperative analgesia	0.285	0.040	−0.033	0.679	−0.113	0.159
A6. Saving time by performing the process in another room	0.024	0.379	−6	0.945	−0.094	0.244
A7. Shorter recovery time postoperatively resulting in time gain	0.026	0.079	0.054	0.502	−0.038	0.634
A8. Preference of anaesthetist	0.127	0.027	−0.158*	0.049	−0.214**	0.007
A9. Patient satisfaction	0.692	0.563	0.155	0.053	0.125	0.119
A10. Early recognition of surgical complications in some patients	0.846	0.382	0.079	0.328	0.018	0.825
A11. Lower risk of thromboembolism	0.213	0.282	−0.048	0.548	−0.028	0.732
A12. Lower cost	0.026	0.657	0.056	0.485	0.124	0.124

Notes: The bold text are statistically significant. *Statistically significant results at threshold of p<0.01. **Statistically significant results of p<0.05.

Table 5 Reasons for not choosing regional anaesthesia according to the other parameters

Reasons for not Choosing Regional Anaesthesia	According to the education centre	According to the surgical branch	According to the age		According to the duration of work as a surgeon
	p	p	Correlation coefficient (r)	p	Correlation coefficient (r)	p
B1. Complications that may occur during procedures	0.465	0.279	0.092	0.251	0.154	0.055
B2. Postoperative complications that may occur	0.260	0.275	−0.025	0.759	0.023	0.776
B3. Late postoperative mobility	0.394	0.259	−0.096	0.234	−0.04	0.619
B4. Long duration of procedure causing loss of time	0.959	0.0001	−0.255**	0.001	−0.143	0.075
B5. Patient being awake	0.857	0.032	−0.169*	0.034	−0.096	0.233
B6. Incompatibility of the patient	0.926	0.264	−0.076	0.348	−0.046	0.57
B7. Patient refusal	0.705	0.206	0.048	0.555	0.031	0.697
B8. Patient’s fear of feeling pain during the surgery	0.375	0.267	−0.104	0.198	−0.106	0.189
B9. Long duration of the operation	0.404	0.014	−0.12	0.135	−0.139	0.085
B10. Motor blockade	0.830	0.107	−0.05	0.532	−0.026	0.744
B11. Lack of adequate muscular relaxation	0.489	0.033	−0.177*	0.027	−0.112	0.166
B12. Not appropriate for ambulatory anesthesia	0.126	0.464	0.114	0.156	0.104	0.195
B13. Not trusting the anesthetist’s skill	0.408	0.014	0.169*	0.034	0.222**	5

Notes: The bold text are statistically significant. *Statistically significant results at threshold of p<0.01. **Statistically significant results of p<0.05.